Tysha Manning
Overland Park,KS
Summary
Exceptionally focused and organized, extensive experience in the Medical Insurance Industry, and the ability to work at a rapid pace. Analytical and a detail oriented professional. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
25
25
years of professional experience
Work History
Check Specialist
GEHA
01.2021 - Current
- Assisted in training on new policies and procedures relating to return checks and adjustments
- Medical and dental claims processing & adjustments, payment processing, unsolicited check verification and research, customer service, experience and knowledge with government employee's medical and dental contracts & policies, data entry, A/P A/R, collections, overpayments, worker's compensation insurance, vision insurance, MVA insurance experience, HIPPA certified, medical claims adjusting experience.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
Policy Support Representative
Americo Financial
11.2019 - 03.2020
- Took incoming calls from policy holder's regarding premium payments, early option withdrawal from annuity plans and verified cash value options on the particular life insurance plans designated
- Knowledge gained regarding life insurance products such as whole life, term life, annuity, universal life and the variations of each product.
Check Specialist
GEHA
02.2014 - 06.2019
- Medical and dental claims processing & adjustments, payment processing, unsolicited check verification and research, customer service, experience and knowledge with government employee's medical and dental contracts & policies, data entry, A/P A/R, collections, overpayments, worker's compensation insurance, vision insurance, MVA insurance experience, HIPPA certified, medical claims adjusting experience.
Contract worker
IOS Staffing
01.2011 - 01.2013
- Claims Examiner with emphasis of claims payment and processing, Medical and dental claims processing, customer service, life insurance claims, customer service, medical billing & coding, medical terminology, claims adjuster.
Claims Examiner
The Epoch Group LLC
04.2008 - 04.2010
- Claims Processing, Medical, Dental and Medicare Supplement Claims Processing For Self-Funded And Self-insured plans
- Medicare claim processing - Coordination of benefits as secondary to Medicare to apply benefits and limitations according to the plan description and Medicare allowable Maintain consistent production and quality to reduce turnaround time, Input of data gathered from the universal claim forms from various physician offices and hospitals
- Calculating and applying proper allowable for coverage of benefits and verifying correct remit for reimbursement
- Maintain high standards of quality to reduce over-payments and collection cost.
Medical Biller
Comprehensive Professional Resources Medix Staffing
02.2008 - 12.2008
- Charge entry, payment posting, AR/AP customer service, collections denials.
Claim Examiner/Processing
The Epoch Group LLC
05.2002 - 11.2006
- This was a promotion position; In this position I was responsible for a daily quota in claim processing that would allow me gain knowledge of operation of how claims were paid and gain a great understanding of how to apply the policy holder’s benefits and limitations outlined in their plan description for medical, dental, mental & nervous and substance abuse coverage.
Customer Service Representative
The Epoch Group LLC
01.2000 - 05.2002
- Took incoming calls on claim status from physician offices policy holders and Company contacts
- In this position I was responsible for providing medical benefits and eligibility of claim status according to plan limitations that were outlined in the self-funded plans that The Epoch Group administered
- Eligibility verification medical coding, provider maintenance and credentialing.
Education
Johnson County Community College
Overland Park, KSUniversity Of Phoenix
Overland Park, KSGeneral Education -
Kansas City Kansas Community College
KCK, KSPenn Valley Community College
KCMO, MOBusiness Management courses -
Penn Valley Community College
Kansas City, MOHS Diploma -
Wyandotte High School
KCK, KS01.1992
Skills
- Computer Programs
- Medical Manager
- Facets
- Rims
- Data Entry
- Customer Service
- Claims Processing
- Insurance Claims
- Medical Billing
- Insurance Billing
- Electronic Claims
- HIPAA Compliance
- Insurance Verification
- Billing and Collection Procedures
Timeline
Check Specialist
GEHA
01.2021 - Current
Policy Support Representative
Americo Financial
11.2019 - 03.2020
Check Specialist
GEHA
02.2014 - 06.2019
Contract worker
IOS Staffing
01.2011 - 01.2013
Claims Examiner
The Epoch Group LLC
04.2008 - 04.2010
Medical Biller
Comprehensive Professional Resources Medix Staffing
02.2008 - 12.2008
Claim Examiner/Processing
The Epoch Group LLC
05.2002 - 11.2006
Customer Service Representative
The Epoch Group LLC
01.2000 - 05.2002
Johnson County Community College
University Of Phoenix
General Education -
Kansas City Kansas Community College
Penn Valley Community College
Business Management courses -
Penn Valley Community College
HS Diploma -
Wyandotte High School
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