Tina Hove
Alvarado,TX
Summary
Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin a new challenge with a successful team.
Overview
28
28
years of professional experience
Work History
Claims Rep, Biller, Analyzer & Cash Posting
Professional Medical Services
Fort Worth, TX
02.2016 - Current
- Cash Posting and Claim Rep
- Provides excellent service and attention to customers when face-to-face or through phone conversations
- Improved customer satisfaction by finding creative solutions to problems
- Handled all delegated tasks, including Special Projects and Workers Comp
- Earned reputation for good attendance and hard work
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines
- Created master spreadsheet to record procedures, denials and approvals
- Recognized by management for providing exceptional customer service
- Examined claims, records and procedures to grant approval of coverage
- Retained strong medical terminology understanding in effort to better comprehend procedures
- Handled billing related activities focused on medical specialties
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology
- Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling
- Improved operations by working with team members and customers to find workable solutions
- Answered calls or returned calls within a 24 hour timeframe to answer customer questions.
Charge Entry Supervisor
Sports Medicine And Orthopedics
San Antonio, TX
01.2007 - 01.2015
- Scrubbed medical records against the encounter form
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
- Evaluated accuracy and compliance of all documentation and reports
- Mentored new employees on verifying correct coding and CPT codes and delivered constructive feedback to increase understanding of job duties
- Guided employees through routine and complex administrative situations with decisive but motivational approach
- Completed scrubbing project resulting in clean claims being submitted for payment
- Handled all delegated tasks, including Retro Authorizations, etc
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines
- Collaborated with others to discuss new opportunities within the company for growth
- Improved customer satisfaction by finding creative solutions to problems
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
Billing Specialist
The Delacruz Pediactric Clinic
Brownsville, TX
01.2004 - 01.2007
- Established, enforced and optimized billing policies and procedures to maximize revenue, streamline operations and minimize aging balances
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes
- Followed up on legal claims to update and verify status or patients' of outcome and obtain due payments
- Verified proper coding on more than claims per week, investigating and resolving issues to maintain billing accuracy
- Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe
- Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance.
Medical Billing Manager
The Diaz Clinic
Irving, TX
01.1994 - 01.2004
- Improved productivity initiatives, managed accounts, coordinated itinerary and scheduled client and leadership appointments
- Recruited and hired highly talented individuals who brought intelligence and ideas to department, which increased efficiency of entire team
- Boosted revenue, utilizing highly proficient collection methods while adhering to regulatory compliance protocol
- Coordinated office activities and operations to secure efficiency and compliance with company policies
- Streamlined back office services for clients to promote proper functionality and positive user experience
- Guided employees through routine and complex administrative situations with decisive but motivational approach
- Mentored new employees on job description and delivered constructive feedback to increase understanding of job duties
- Led training classes and recorded instruction for later use
- Offered specific training programs to help workers improve job requirements
- Defined application problems by consulting with clients to evaluate procedures and processes.
Education
High School Diploma -
Key West High School
Key West06.1977
Skills
- Replacement and repair work
- Medical Billing and Collections
- Reporting and briefing
- Reporting and analysis
- Documenting and reporting
- Diagnosis and repair
- Claims handling
- Cash Posting
- Charge Entry
Additional Information
Looking to work remotely.
Billing Systems:
Epic
Magic
Centricity
P2P
NextGen
Advanced MD
and many more.
Timeline
Claims Rep, Biller, Analyzer & Cash Posting
Professional Medical Services
02.2016 - Current
Charge Entry Supervisor
Sports Medicine And Orthopedics
01.2007 - 01.2015
Billing Specialist
The Delacruz Pediactric Clinic
01.2004 - 01.2007
Medical Billing Manager
The Diaz Clinic
01.1994 - 01.2004
High School Diploma -
Key West High School
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