Tonya Malady
Bartlett,TN
Summary
Accomplished medical billing and credentialing manager, with over 25 years experience. Extensive skills in handling the day to day accounting functions of medical practices, as well as overseeing and streamlining front to back office workflow procedures.
Overview
25
25
years of professional experience
Work History
Medical Billing & Credentialing Manager
VeloxMD
Cordova, Tennessee
05.2010 - 03.2022
- Managed revenue cycle management for multiple physician practices
- Coordinate billing and collection activities
- Monitor accounts receivables activity
- Oversee monthly close processes, including reporting and account balancing
- Ensure accurate billing of insurance providers and patients
- Document medical billing denials from insurance providers
- Evaluate billing processes and procedures
- Train new staff members
- Responsible for onboarding new physicians/ practices
- Complete provider credentialing and re-credentialing applications, provider enrollment and contracting applications, licensing applications
- Maintained up tp date physician accounts: CAQH, PECOS, NPPES, I&A, and etc
- Communicated effectively and extensively with other departments to resolve claims issues
- Evaluated patients' financial status and established appropriate payment plans
- Communicated with insurance providers to resolve denied claims and resubmitted
- Prepared accounts with past due balances and transferred those cases to collection agency
Skills
- Revenue cycle management
- Practice management software
- ICD10, CPT and medical terminology
- Medical coding and billing
- Rejection and denial review
- Provider credentialing and contracting
- HIPPA compliance
- Deadline driven and detail oriented
- Front and back office management
- Practice set up
- Physician on boarding
- Self-motivated professional
- Flexible and Adaptable
- Microsoft Office
- Responsible
Previous Employer
Reimbursement Xperts
Cordova, TN
Medical Billing Account Rep 2004- 2010
Concorde Career College
Memphis, TN
Medical Office Program Instructor 2002 - 2004
Prince William Family Healthcare
Gainesville, VA
Front Office Manager 1998 - 2001
Blue Cross & Blue Shield of TN
Memphis, TN
Medical Claims Processor and Auditor 1991-1998
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Medical Billing & Credentialing Manager
VeloxMD
05.2010 - 03.2022
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