Tiffinee Bigelow
Tarrytown,NY
Summary
Detail-oriented Medical Billing Specialist with proven expertise in denial resolution, claims processing, and accounts receivable management. Committed to ensuring HIPAA compliance and maximizing cash flow through effective billing strategies.
Overview
8
8
years of professional experience
Work History
Medical Billing and Collections Specialist
Blythedale Children's Hospital
Valhalla, NY
11.2023 - 03.2026
- Processed and submitted medical claims to insurance providers for timely reimbursement electronically and on paper when needed.
- Submitted corrected claims and submitted secondary claims to insurance carriers. Also responsible for rejected claims.
- Conducted detailed research to identify payment and denial trends.
- Resolved billing discrepancies by collaborating with clinical staff, insurers and insurance companies.
- Reconciled and followed up on outstanding claims, including submitting appeals.
- Utilized websites such as EPACES, Connex, Availity, Waystar, etc.
- Utilized systems such as Inversion/A2K, Huron/Track, Cerna, Phreesia, NextGen, Meditech etc.
- Resolved billing inquiries from patients, insurance companies and internal staff.
- Implemented strategies for timely follow-up on outstanding claims resulting in an increase in cash flow.
- Maintained an understanding of insurance policies, coverage limitations, and reimbursement guidelines to maximize revenue collection.
Medical Biller and Collections Specialist
ENT & Allergy Associates
Tarrytown, NY
03.2020 - 05.2023
- Managed billing processes for ENT and allergy services, ensuring accurate claim submissions.
- Coordinated patient insurance verifications, streamlining pre-authorization procedures.
- Reviewed and resolved discrepancies in billing statements to enhance accuracy.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Utilized systems such as NexGen, EGR, RCX Rules, etc.
- Voided and re-enter charges manually as needed.
- Run weekly claim production reports.
- Worked rejections and and assigned tasks.
- Ran daily pre-bills.
Patient Account Representative
ENT & Allergy Associates
Tarrytown, NY
07.2018 - 03.2020
- Analyzed accounts receivable reports to identify trends and optimize collections strategy.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Followed up on all denials.
- Utilized tasking system.
- Verify patient eligibility.
- Submitted corrected claims when needed.
- Submitted medical records and appeals as needed.
- Processed incoming and outgoing mail and packages according to established procedures.
Education
No Degree - Health Information Technology
Westchester Community College
Valhalla, NY09-2027
Skills
- Denial resolution
- Medical billing software proficiency
- Claims processing proficiency
- HIPAA compliance
- Accounts receivable management
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking Abilities
- Reliability
Timeline
Medical Billing and Collections Specialist
Blythedale Children's Hospital
11.2023 - 03.2026
Medical Biller and Collections Specialist
ENT & Allergy Associates
03.2020 - 05.2023
Patient Account Representative
ENT & Allergy Associates
07.2018 - 03.2020
No Degree - Health Information Technology
Westchester Community College