Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

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 West
06.1977

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

Similar Profiles

  • Jaywan MooreJaywan Moore

    Customer Service / Cash Handler at Fazoli’sCustomer Service / Cash Handler at Fazoli’s

  • Brandie MorrisonBrandie Morrison

    Cash Posting Specialist at Providence Medical InstituteCash Posting Specialist at Providence Medical Institute

  • Christine KittChristine Kitt

    Cash Posting Specialist at Healthmark Regional Medical CenterCash Posting Specialist at Healthmark Regional Medical Center

  • DEEPAK KUMAR SAJWARDEEPAK KUMAR SAJWAR

    <ul><li>Profile: Record to Reporting (R2R)</li><li>Performing financial reporting and controlling for across all the entities (in Hyperion and Oracle = JD Edward).</li><li>Performing End to End P&L finalization (Review of accruals, Negative Cash Accrual, prepaid amortization schedule, FX Adjustments, creation, deletion and capitalization of fixed assets, posting of depreciation etc.) & taking calls with Controllers during Months end for further review of P&L.</li><li>Banking process includes positive pay exceptions, stop payment, voiding checks with AP team. Checks movement to unclaimed property. Payment proof, remittance details.</li><li>IFRS lease computation complying with IFRS 16 in CoStar – Real Estate Manager system (this is only for lease).</li><li>Preparation of webforms and variance analysis report and sharing with stakeholders with detailed information.</li><li>Performing Balance sheet reconciliation with adherence of policy and clearance of open items along with relevant details of lines which is overaged however will be staying for long time (i.e.- Bonus and dividends, Common Stocks, Security Deposits).</li><li>Facilitating team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem-solving recommendations, and recommendations of standardizing team operations.</li><li>Cross train resources in order to have backup of each other to help team synergy helping team members to take leaves when required without bothering of work/process deliverables.</li><li>Conduct weekly, biweekly and monthly meetings with stake holders as per their agreement.</li><li>Create opportunities for team members to provide input on procedures/processes and share their expertise with other team members.</li><li>Working knowledge of ERP systems People Soft, ART (Reconciliation software of Oracle), JD Edward, Teradata, Cetova, Hyperion (HFM), Cadency, Blackline, SAP, NetSuite, Workday Adaptive, Coupa, Tableau, CoStar, Alteryx.</li><li>PROCESS IMPROVEMENTS</li><li>Given 12 lean ideas in area of Month End Close journals, Balance Sheet Reconciliations, and Bank Reconciliations.</li><li>Part of a green belt project on quality of reconciliations and BOT implementation (work in progress) – controllership impact</li><li>Bring automation & Marco enabling dash board MIS reporting for monthly SLA, KPI, IC balances, Cash forecasting etc.</li></ul> at Genpact India Pvt. Ltd<ul><li>Profile: Record to Reporting (R2R)</li><li>Performing financial reporting and controlling for across all the entities (in Hyperion and Oracle = JD Edward).</li><li>Performing End to End P&L finalization (Review of accruals, Negative Cash Accrual, prepaid amortization schedule, FX Adjustments, creation, deletion and capitalization of fixed assets, posting of depreciation etc.) & taking calls with Controllers during Months end for further review of P&L.</li><li>Banking process includes positive pay exceptions, stop payment, voiding checks with AP team. Checks movement to unclaimed property. Payment proof, remittance details.</li><li>IFRS lease computation complying with IFRS 16 in CoStar – Real Estate Manager system (this is only for lease).</li><li>Preparation of webforms and variance analysis report and sharing with stakeholders with detailed information.</li><li>Performing Balance sheet reconciliation with adherence of policy and clearance of open items along with relevant details of lines which is overaged however will be staying for long time (i.e.- Bonus and dividends, Common Stocks, Security Deposits).</li><li>Facilitating team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem-solving recommendations, and recommendations of standardizing team operations.</li><li>Cross train resources in order to have backup of each other to help team synergy helping team members to take leaves when required without bothering of work/process deliverables.</li><li>Conduct weekly, biweekly and monthly meetings with stake holders as per their agreement.</li><li>Create opportunities for team members to provide input on procedures/processes and share their expertise with other team members.</li><li>Working knowledge of ERP systems People Soft, ART (Reconciliation software of Oracle), JD Edward, Teradata, Cetova, Hyperion (HFM), Cadency, Blackline, SAP, NetSuite, Workday Adaptive, Coupa, Tableau, CoStar, Alteryx.</li><li>PROCESS IMPROVEMENTS</li><li>Given 12 lean ideas in area of Month End Close journals, Balance Sheet Reconciliations, and Bank Reconciliations.</li><li>Part of a green belt project on quality of reconciliations and BOT implementation (work in progress) – controllership impact</li><li>Bring automation & Marco enabling dash board MIS reporting for monthly SLA, KPI, IC balances, Cash forecasting etc.</li></ul> at Genpact India Pvt. Ltd

CREATE PROFILE
Tina Hove