Tiffany Moore
New York,NY
Summary
A dynamic, performance-driven, team player, pays attention to detail, and self-motivated go getter who thrives in busy office environments while remaining calm in high-pressure situations. With over 10 years of experience in business administration,and financial insurance coordinator. Expert in auditing, insurance benefits, authorizations CPT10 coding, and reimbursements. Knowledgeable in Epic, Citrix, and Microsoft Office (Word, Excel, Outlook and PowerPoint). Consistently embrace the wider perspective without ignoring the complementary details. Excellent leadership, customer service, communication and task management skills. With the ability to solve complex problems, and adapt quickly in a pressure environment while maintaining accuracy and efficiency.
Overview
11
11
years of professional experience
Work History
Transplant Financial Coordinator
Mount Sinai Hospital
06.2018 - Current
- Prepare necessary document to obtaining authorization of evaluation, listing under UNOS (United Network for Organ Sharing), and in-patient stay once transplant and managed between 30-50 approvals weekly.
- Review and verify patient benefits via HDX to determine and estimate out of pocket, deductible , gap, cap, prescriptions cost, and copayment for patient care and procedures.
- Council patients and family members regarding coverage, financial liabilities/responsibilities, COB and other issues for recipient and donors.
- Communicate with case managers to review and resolve transplant denials and follow up with pending requests to schedule peer to peer if needed.
- Communicate and educate physicians, staff and management regarding insurances charges with, policies, guidelines, and codes for approvals to decrease denial's.
- Enter and scan documents into patient chart.
- Answered any questions and concerns over phone and/or in-person regarding billing, scheduling and treatment.
Bariatrics Billing and Financial Assistant
NYU Langone Medical Center
12.2015 - 06.2018
- Administrative duties such as answering high volume phone calls over 70 calls daily, answering and sorting emails, scheduling meetings and patient appointments, scanning documents in Epic, taking messages and redirecting calls to appropriate colleagues.
- Verified 200 patients daily insurance coverage, obtaining pre-certification, referrals, and authorizations.
- Worked with patients and guarantors to clarify financial responsibilities.
- Prepared travel charts for traveling providers with Medicare and Medicaid waivers for payment and claims.
- Maintained files and records under HIPPA policy rules and regulations.
- Ordered and audit products inventory, keep track of invoices, and payments receipts.
- Documented fiscal budget and established procedures for tracking expenses.
Insurance Verifier and Billing Auditor
Laser & Skin Surgery Center of NY
09.2014 - 12.2015
- Trained and develop new staff.
- Managed 12 doctors billing ques.
- Filed audit records and enter encounters into database for billing.
- Provided basic administrative support and routing questions to appropriate team for staff and higher management, answering phones, and emails.
- Followed up with providers regarding open encounters, missing signatures, and proper coding for claims.
- Verifying patient's coverage making sure providers are in-network for billing.
- Communicated with patients regarding financial responsibility, billing, and collection process.
Billing and Front Desk Assistant
Dynamic Sports Physical Therapy
05.2012 - 12.2015
- Greeted and assist clients and patients with check-in process.
- Registered new patients and make appointments.
- Processing insurance verification and authorizations for 100 patients weekly.
- Effectively communication with physicians regarding open encounters, missing signatures, and proper coding for claims and billing.
- Conducted general administrative duties include answering phones, emails, travel arrangements, schedule meetings and appointments, ordering and managing office supplies.
- Following up with day-to-day bookkeeping and account functions.
- Collect patient balance copay, deductible, past due balance, coinsurance, reconcile monthly invoices, deposits and reports.
Education
Associate of Applied Science - Liberal Arts
Community & Technical College
Minneapolis, MNBachelor of Technical Management - Human Resource Management
DeVry University
New York, NYSkills
- Insurance & Verifications
- Training & Development
- Policy & Benefits Compliance
- Insurance Documentation Processing
- Telephone Etiquette
- Data Entry & Tracking
- CPT10 & Diagnostic Codes
- Verbal & Written Communication
- Obtaining Authorizations
- Scheduling Peer to Peers
Timeline
Transplant Financial Coordinator
Mount Sinai Hospital
06.2018 - Current
Bariatrics Billing and Financial Assistant
NYU Langone Medical Center
12.2015 - 06.2018
Insurance Verifier and Billing Auditor
Laser & Skin Surgery Center of NY
09.2014 - 12.2015
Billing and Front Desk Assistant
Dynamic Sports Physical Therapy
05.2012 - 12.2015
Associate of Applied Science - Liberal Arts
Community & Technical College
Bachelor of Technical Management - Human Resource Management
DeVry University
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