Tinesha Dyson
Hammond,LA
Summary
Adept Medical Billing Specialist with a proven track record at CYPRESS POINTE SURGICAL HOSPITAL, showcasing expertise in claims processing and denial management. Demonstrates a quality-oriented approach, enhancing billing accuracy and efficiency. Skilled in EPIC and CPSI, significantly improving payment resolution. Collaborates effectively across teams to resolve billing issues, ensuring customer satisfaction and financial health.
Overview
12
12
years of professional experience
Work History
Medical Billing Specialist
CYPRESS POINTE SURGICAL HOSPITAL
Hammond, LA
12.2022 - Current
- Ensure claims are entered and submitted within 48 hours of receipt.
- Accurately apply payments to patient accounts.
- Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
- Ensure the accuracy of insurance claims. Verify the correct ICD-10 and CPT codes for a variety of physicians.
- Work with the clearinghouse to resolve file compatibility issues.
- Send secondary claims upon the processing of primary insurance.
- Monthly processing of patient statements. Answer and resolve patient billing inquiries.
- Follow up on insurance and patient aging. Re-submit insurance claims as necessary. Knowledgeable about timely restrictions.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Submitted claims to insurance companies.
- Monitored assigned accounts for payment resolution or appeal opportunities.
- Collaborated with healthcare providers and insurance companies to gather additional information and resubmit denied claims.
Revenue Cycle Specialist
NORTHOAKS MEDICAL CENTER
Hammond, LA
08.2015 - 12.2022
- Processed appeals related to denied or rejected claims in a timely manner.
- Reached out to responsible companies and individuals to collect on outstanding debts.
- Developed reports detailing billing activities, including payment trends and denial rates.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
- Assisted with the development of new processes for billing, coding, collections, and reimbursements.
- Contacted insurance providers to check patient coverage.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Maintained updated knowledge through continuing education and advanced training.
- Submitted claims to insurance companies.
- Handled billing, waivers and claims for private and commercial clients.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
FINANCIAL SERVICE ASSOCIATE II
WHITNEY HANCOCK BACK
Covington, LA
01.2013 - 08.2016
- Contacted customers about potential service upgrades, new services and account changes.
- Answered incoming calls promptly, courteously, and professionally.
- Exceeded established service goals while leveraging customer service, sales and employee management best practices.
- Educated customers on how to complete transactions through web-based or in-store options, reducing service load by empowering individuals to manage personal needs.
- Processed customer transactions in an efficient and accurate manner.
- Participated in team meetings to discuss goals and objectives.
- Assisted customers by finding solutions to complaints, concerns and inquiries.
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
- Resolved customer complaints in a professional manner.
- Identified leads and generated sales.
Education
DIPLOMA - BILLING, INSURANCE, AND CODING
Remington College
Baton Rouge, LA02-2005
Skills
- Quality-oriented team player
- Files and records management
- Payment posting
- CPT knowledge
- Medicare and medicaid process
- Denial management
- Claim submission
- Insurance verification
- Patient billing
- Collections management
- Claims review
- Claims processing
- Medical claims submission
- Customer service
- Electronic claims
- CPT code modifiers
- Submission of medical claims
- Billing and collection procedures
- CMS-1500 billing forms
- Proficiency in EPIC
- Proficiency in CPSI
Languages
English
Professional
References
References available upon request.
Timeline
Medical Billing Specialist
CYPRESS POINTE SURGICAL HOSPITAL
12.2022 - Current
Revenue Cycle Specialist
NORTHOAKS MEDICAL CENTER
08.2015 - 12.2022
FINANCIAL SERVICE ASSOCIATE II
WHITNEY HANCOCK BACK
01.2013 - 08.2016
DIPLOMA - BILLING, INSURANCE, AND CODING
Remington College
Similar Profiles
Mary A TerjersenMary A Terjersen
Receptionist Front Desk: Registration /Semi Retired Part-time at Cypress Pointe Surgical HospitalReceptionist Front Desk: Registration /Semi Retired Part-time at Cypress Pointe Surgical Hospital
Christi MadereChristi Madere
RN Clinical Educator at Beacon Behavioral HospitalRN Clinical Educator at Beacon Behavioral Hospital
Keri SettoonKeri Settoon
Chief Nursing Officer at PAM Health Specialty Hospital of HammondChief Nursing Officer at PAM Health Specialty Hospital of Hammond