Summary
Overview
Work History
Education
Skills
Activities
References
Coursework
Timeline
Generic

Timijha McKinney

Passaic,NJ

Summary

Seeking an opportunity as a team player which will fully utilize my office experience, strong work ethic and dedication to maximize my experience in a challenging environment for achieving all the corporate goals.

Familiar with commercial insurances, Medicaid, and Medicare Functional knowledge of insurance companies and claims information Remarkable customer service skills with multi-tasking abilities

Overview

13
13
years of professional experience

Work History

Payment Resolution Specialist II

Trinity Health, INC
11.2020 - Current
  • Contacts Government Healthcare insurance companies to follow up on outstanding accounts receivable
  • Reviews insurance EOB's and initiates appeals as necessary
  • Identifies billing errors for corrections and resubmit claims to insurance carrier
  • Remains up to date with all Medicare rules and regulations
  • Follows all compliance policies and procedures pertaining to HIPPA


  • Analyzed trends in payment patterns identifying opportunities for process enhancements that would improve overall AR performance.
  • Managed high dollar accounts, ensuring prompt collection of outstanding balances.
  • Prevented revenue loss by promptly identifying and addressing potential payment delinquencies.
  • Monitored aging accounts
  • Completed in-depth research to investigate claims and resolve problems.
  • Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
  • Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.

AR Specialist 2

nThrive, INC
10.2016 - 10.2020
  • Contacts Government Healthcare insurance company to follow up on outstanding accounts receivable
  • Reviews insurance EOB's and initiates appeals as necessary
  • Identifies billing errors for corrections and resubmit claims to insurance carrier
  • Remains up to date with all Medicare rules and regulations
  • Follows all compliance policies and procedures pertaining to HIPPA
  • Increased customer satisfaction levels by promptly addressing inquiries regarding billing issues or adjustments needed on their accounts.
  • Analyzed trends in payment patterns identifying opportunities for process enhancements that would improve overall AR performance.

Senior Biller

The Mental Health Clinic of Passaic
11.2015 - 09.2016
  • Insures claim information is complete and accurate
  • Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form
  • Follow up with insurance companies on unpaid or rejected claims
  • Resolve issues and re-submits claims
  • Verify patient benefits, eligibility and coverage
  • Post insurance and patient payments
  • Handled account payments and provided information regarding outstanding balances.
  • Maintained accurate records of customer payments.
  • Produced and mailed monthly statements to customers
  • Reconciled accounts receivable to general ledger.
  • Follows all compliance policies and procedures pertaining to HIPPA

Sales Associate

Barry's Tuxedo's Men's Formalwear
03.2014 - 10.2015
  • Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
  • Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
  • Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
  • Built relationships with customers to encourage repeat business.
  • Provided positive first impressions to welcome existing, new, and potential customers.
  • Managed returns, exchanges and refunds in accordance with store policy.

Assistant Crew Chief

Stanley Steamer
06.2011 - 01.2013


  • Supported Crew Chief in managing daily operations, ensuring efficient workflows and high-quality results.
  • Maintained a safe working environment by enforcing safety protocols and conducting regular inspections.
  • Improved team efficiency by implementing streamlined processes and optimizing daily tasks.
  • Managed inventory of tools and materials, maintaining adequate supplies for uninterrupted workflow.
  • Reduced equipment downtime with proactive maintenance checks and timely repairs.
  • Monitored crew performance, providing constructive feedback for continuous improvement and skill development.

Education

BS - Business Administration; Concentration in Management

Montclair State University
Montclair, NJ
05.2014

Skills

  • Medical billing
  • Medical collections
  • Insurance rejection follow-ups
  • Cash posting
  • Electronic billing procedures
  • Hardcopy billing procedures
  • DDE
  • Epic
  • Collections Management
  • Allscripts
  • Patient statements
  • Obtaining authorizations
  • Insurance claim issues
  • Payment issues

Activities

Equal Opportunity Fund Achievement Award

References

Furnished upon request

Coursework

  • Motivation Leadership
  • Personal Finance
  • Applied Business Strategy
  • Fundamentals in Financial/Managerial accounting
  • Business Administration Communications
  • Introduction to Computers in Business
  • Human Resource Management

Timeline

Payment Resolution Specialist II

Trinity Health, INC
11.2020 - Current

AR Specialist 2

nThrive, INC
10.2016 - 10.2020

Senior Biller

The Mental Health Clinic of Passaic
11.2015 - 09.2016

Sales Associate

Barry's Tuxedo's Men's Formalwear
03.2014 - 10.2015

Assistant Crew Chief

Stanley Steamer
06.2011 - 01.2013

BS - Business Administration; Concentration in Management

Montclair State University

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Timijha McKinney