Tina Holley
Humble,TX
Summary
Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations. With over ten years of accounts receivables and accounts payable experience which includes medical billing experience.
Overview
11
11
years of professional experience
Work History
Denial Specialist
Conifer Healthcare Solutions
Frisco, TX
12.2020 - Current
- My duties while working for Conifer Health Solutions ability to interpret explanation of benefits (EOB), perform contractual adjustments needed to obtain the correct expected payment, able to comprehend and understand various insurance terms, escalating payment variance, trends or issues to NIC management, creating appeals for denied or underpaid claims. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals, when necessary. Generate an appeal based on the dispute reason and contract terms specific to the payer. This includes online reconsiderations. Follow specific payer guidelines for appeals submission, escalate exhausted appeal efforts for resolution.
Recovery Specialist
Benefit Recovery
Houston, Texas
05.2016 - 12.2020
- Obtained and remitted insurance claims, applied payments to patient’s accounts, and retrieved payments from providers virtually. Making various calls, talking with provider office, building relationships, and obtaining any pertinent information to process and complete our billable claims.
AR Cash Posting Specialist
Severn Trent Services
Houston, TX
04.2015 - 04.2016
- Performed lockbox deposit and statement reconciliation to ensure accurate customer account updates. Researched cash posting errors and clarified past due payments while assisting staff in collecting funds for posting to past due accounts. Balance cash at month end, making sure all monies are posted and accounted for. Audited work orders, ensuring accurate invoicing and prompt payment to vendors for client billing. Ensured timely billing by diligently correcting and adjusting all invoices.
Accounts Payable Specialist
Landry's Inc. Rainforest Cafe
Houston, TX
02.2013 - 04.2015
- Audited restaurant invoices for payment, resolved discrepancies, and maintained records and vendor files.
Education
Associate of Applied Science - Health Information Technology
DeVry University
Houston, TX03-2010
Skills
- Multitasking
- Communication
- Microsoft Office
- Customer Service
- Payment Processing
- Cash handling experience
- Administrative Support
- Cash Handling
- Mail handling
- Bank Deposit Preparation
- Organizational abilities
- Documentation skills
- Bookkeeping Support
Timeline
Denial Specialist
Conifer Healthcare Solutions
12.2020 - Current
Recovery Specialist
Benefit Recovery
05.2016 - 12.2020
AR Cash Posting Specialist
Severn Trent Services
04.2015 - 04.2016
Accounts Payable Specialist
Landry's Inc. Rainforest Cafe
02.2013 - 04.2015
Associate of Applied Science - Health Information Technology
DeVry University
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