TONYIA Y. HARRIS
Missouri City,TX
Summary
A dedicated and results-oriented healthcare administrative professional with over 20 years of experience in medical billing, collections, and office management. Demonstrated success in insurance claims processing, denials and appeals, credentialing, and compliance with CMS, HHSC, and commercial insurance regulations. Excellent awareness of direct supervision of staff, training staff, and management of high-volume payment functions with great accuracy. Strong organizational skills, attention to detail, and capacity to perform effectively under pressure. A dependable team player who maintains a positive attitude and is committed to returning high-quality results in high-volume and fast-paced environments based on the health care organization.
Overview
20
20
years of professional experience
Work History
Medical Collector
Oncology Consultants
Houston, TX
09.2023 - Current
- Communicated with insurance companies to expedite claims processing and ensure timely payments.
- Trained new team members on best practices for medical billing and collections processes.
- Analyzed payment trends and developed reports to inform strategic decision-making for collections efforts.
- Evaluated aged accounts receivable reports regularly, prioritizing collection activities based on aging categories for optimal results.
- Provided feedback to management on potential improvements in processes or procedures, leading to more efficient collections and revenue cycle management.
- Managed 30 to 40 accounts per day to assist in collection efforts.
Payment Resolution Specialist
Oncology Consultants
Houston, TX
01.2021 - 09.2023
- Supervised the payment posting team in navigating challenging posting issues by sharing expertise and offering guidance when requested.
- Accurately identified posting issues in batches, ensuring that all issues were resolved so that the month-end closing process was complete on time.
- Reviewed and closed over 100 batches a day.
- Trained new team members on best practices for posting,system navigation, and solving complex posting issues.
- Led team in adopting a proactive approach to identify potential issues and trends on EOPs.
- · Reconciled accounts receivable ledger to verify payments and resolve variances.
- · Generated monthly billing and posting reports for management review.
Payment Poster
Oncology Consultants
Houston, TX
07.2019 - 12.2020
- Posted payments accurately to patient accounts, ensuring timely reconciliation of transactions.
- Managed approximately 30 e-mails and faxes daily.
- Processed payments that had been received from insurance companies and Medicare.
- Reduced payment discrepancies through meticulous attention to detail in data entry and reconciliation.
- Identified overpayments and processed refunds for insurance carriers and patients.
- Maintained compliance with HIPAA regulations while handling sensitive patient information during payment posting tasks.
- Managed large volumes of data efficiently and with great care daily.
Medical Billing Supervisor/Program Manager
CT Pediatric Services Inc.
Houston, TX
08.2006 - 08.2019
- Supervised billing operations to ensure compliance with all program regulations.
- Completed all state and site surveys with no less than 95% accuracy.
- Trained and mentored staff on best practices for medical coding and billing processes.
- Analyzed billing reports to identify trends, ensuring timely resolution of discrepancies.
- Collaborated with clinical teams to streamline documentation for optimal reimbursement outcomes.
- Led initiatives to optimize workflow efficiency within the billing department, reducing processing times.
- Conducted regular audits of billing practices to maintain high standards of quality and compliance.
- Negotiated contracts with all payers and worked with agencies and insurance companies to ensure credentialing was complete on time.
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations, and industry updates.
Education
High School Diploma -
Lake Charles Boston High School
Lake Charles, LA05-1990
Criminal Justice
University of Southwestern Louisiana
Lafayette, LACriminal Justice
McNeese State University
Lake Charles, LASkills
- Denial management
- Debt collection techniques
- Payment negotiation
- Claim processing
- Aging reports analysis
- Medical billing
- Data entry proficiency
- HIPAA compliance
- ICD-9/10, HCPCS level II, and CPT code set
- Teamwork and collaboration
- Customer service
- Multitasking Abilities
- Organization skills
Timeline
Medical Collector
Oncology Consultants
09.2023 - Current
Payment Resolution Specialist
Oncology Consultants
01.2021 - 09.2023
Payment Poster
Oncology Consultants
07.2019 - 12.2020
Medical Billing Supervisor/Program Manager
CT Pediatric Services Inc.
08.2006 - 08.2019
High School Diploma -
Lake Charles Boston High School
Criminal Justice
University of Southwestern Louisiana
Criminal Justice
McNeese State University