TIYADA G. TAYLOR
Nashville,NC
Summary
Skilled Medical Billing Specialist with background in accurate coding, claims processing and managing patient accounts. Showcased proficiency in medical software systems, healthcare regulations, and insurance policies. Proven ability to streamline billing procedures leading to increased productivity and improved revenue cycle management. Known for strong problem-solving skills and commitment to maintaining confidentiality in handling sensitive patient information.
Overview
15
15
years of professional experience
Work History
Sr. Patient Account Representative
Conifer Health Solutions LLC
10.2023 - Current
- Processed medical claims using industry-standard billing software.
- Managed accounts receivable and followed up on outstanding claims.
- Submitted electronic claims to various insurance carriers.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
Medical Billing Lead
Virtual Benefit Solutions Inc
09.2022 - 06.2023
- Trained and led billing team on company policies, ways of working
- Managed accounts receivable aging reports, prioritizing collections efforts for overdue balances.
- Developed comprehensive training materials for new hires, ensuring a thorough understanding of medical billing procedures and regulations.
- Established efficient workflows, organizing tasks to optimize the use of time and resources within the team.
- Audited and corrected billing and posting documents for accuracy.
Medical Billing Manager
Carrboro Family Medicine
11.2010 - 04.2022
- Oversaw billing operations and ensured compliance with healthcare regulations.
- Managed claims submissions and follow-ups to optimize revenue cycle processes.
- Coordinated with insurance companies to resolve billing discrepancies promptly.
- Collaborated with medical providers to gather necessary documentation for claims.
- Reviewed appeals processes and assisted in preparing appeal letters when necessary.
- Resolved issues related to denied or rejected payments from insurance companies.
- Conducted audits on claims submitted by medical billing staff, ensuring compliance with all applicable laws and regulations.
Education
High School
Rocky Mount Sr. High
Rocky Mount, NCMedical Receptionist Certificate -
Guilford Technical Community College
Greensboro, NCSkills
- Insurance verification and billing
- Problem solving
- Revenue recovery
- Follow-up and communication
- Medical terminology expertise
- Payment processing and coding
- Hospital operations management
- Insurance collaboration
Languages
- English
- Full Professional
Timeline
Sr. Patient Account Representative
Conifer Health Solutions LLC
10.2023 - Current
Medical Billing Lead
Virtual Benefit Solutions Inc
09.2022 - 06.2023
Medical Billing Manager
Carrboro Family Medicine
11.2010 - 04.2022
High School
Rocky Mount Sr. High
Medical Receptionist Certificate -
Guilford Technical Community College