Tiffany Smith

Enrollment Specialist

Durham, NC *7713

ac0cuj@r.postjobfree.com - 704-***-****

Customer service oriented professional, backed by 5+ years of value-added healthcare industry experience. Provides

timely and accurate data to ensure reimbursement for patient services. Follows policies, procedures and guidelines

to assure consistent quality. Maintains and ensures patient privacy and confidentiality.

* Understands the patient treatment process; accustomed to working in fast-paced hospital environments.

* Active State of North Carolina Certified Nurse Aide / CNA (#370759).

* Certified in CPR / BLS, NCA I / II, and Med Aide.

* Experienced with Microsoft Word, Excel, Power Point, and Outlook; Type 30 WPM. Medical Billing * Medical Office * Medical Administrative * Patient Registration Insurance Verification * Medical Basics and Healthcare Claim Cycle * Medical Charts * Medical Terminology Introduction to CPT * Introduction to ICD-9/ ICD-10 Coding * Greenway PrimeSUITE * EHR/EMR Managed Care (HMO, PPO, POS) * Government Payers * Third Party Payers HIPAA Compliance * Reimbursement Systems * Basic Anatomy and Physiology * Healthcare Settings Computer Systems and Software Applications for the Medical Office Healthcare Payers * Records Management for the Billing Specialist * Medical Practice Management Systems WORK EXPERIENCE

Enrollment Specialist

RandStaff - Durham, NC - 2017-01 - 2017-05

Enrolling Physicians in hospitals across the U.S.

● Credentialing providers into Medicare, Medicaid, Tricare and other insurance companies state to state

● A/R making sure providers physicians were compensated in each state that were credential within theirs means of place of service

● Revalidation and Rejections for providers and physicians groups Scheduler

RandStaff - Raleigh, NC - 2016-11 - 2017-01

Scheduling potential patients for MAMMO, CT, MRI/MRA, DEXA BONE, US AND X-RAY'S

● Input and retrieve Right Faxes

● Taking Inbound/Outbound calls from patients and doctors facilities

● Insurance verification and authorization

IT Specialist (Temporary)

Account Principals Staffing - Raleigh, NC - 2016-10 - 2016-11 Installing and Troubleshooting PC

● Adding software, uploading phone software services Medical Biller and Coder/ A/R SPECIALIST

FastMed Urgent Care - Clayton, NC - 2015-07 - 2016-10 Cigna Healthcare/ Humana Representative for the following states NC, AZ, TX.

● Retrieving and posting payments while correcting procedure and diagnosis code.

● Reimbursement and Workers Comp claims

● Inbound/ Outbound Calls to potential commercial insurance for benefit verification and eligibility. Home Health Aide (HHA)

Humana Healthcare - Charlotte, NC - 2014-11 - 2015-07

* Took vital signs and administered medication.

* Assisted with activities of daily living - personal hygiene, ambulation, range of motion, and feeding. Cashier / Customer Service Associate

The Limited Store - Charlotte, NC - 2014-11 - 2015-07

* Act as direct point of contact for customers.

* Process transactions while utilizing point of sale computer system. Nurse Finder

Charlotte, NC - 2014-02 - 2014-06

Certified Nurse Aide (CNA)

* Assisted client with classroom / schoolwork and to stay focused on activities within a school setting. Certified Nurse Aide (CNA) - Oncology

Duke University Hospital - Durham, NC - 2010-10 - 2014-02

* Cared for patients PRE/POST Transplant within a sterile ABMT (Adult Bone Marrow Transplant) unit.

* Assisted with basic patient care activities and with procedures ordered by physician and supervised by a registered nurse (RN).

* Charted vital signs, blood sugars, and assisted with catheter care. Customer Service Representative

Cigna Healthcare PPO - Charlotte, NC - 1999-07 - 2000-02

* Assisted customers with PPO claims, resubmitted claims, and verified codes.

* Served as Team Lead for the OnStar Emergency Response Team; supervised 5 team members. EDUCATION

Medical Office and Billing

Ultimate Medical Academy

2015-04

Nursing

Central Piedmont Community College - Charlotte, NC 2007-09

AWARDS

Charlotte Science Award

1998-03

West Charlotte High school awared

CERTIFICATIONS/LICENSES

CNA I/II

2016-10

BLS/CPR

2014-10 - 2016-11

Billing and Coding Specialist

2015-03 - Present

GROUPS

Order of Eastern Star

2006-06 - Present

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