Medical Billing Specialist

Tashona Anthony

* ** * **** ** st Dr. Sugarl and, TX 77 49 8

Ce ll : 83 2.6 70 .68 29

tashonaanthony1 4@gmai l.c om

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Summary De monstrated ac hie ve me nts wi th knowle dge i n me dic al bi ll ing, c oll ec tions,

busi ne ss manage ment, and admi nistration.

• Strong manage ment and supe rvisory e xpe rie nce i n Pati ent Ac c ess, Pati ent Ac c ounts, Customer

Se rvic e, and Reve nue Cyc le .

• Ski l le d at l earni ng ne w c once pts quic kl y, working we ll under pre ssure, and c ommunic ati ng i deas

c l earl y and e ffe c ti vel y.

• Exte nsi ve ski l ls i n c omputer software to i ncl ude Word, Exc e l, Ac c ess, PowerPoi nt, 10 -Key Touc h,

FSS/DDE, Internet, Typi ng, EPIC, Me di Soft, Me di tec h, E-Cl i nic al s, CUBS, Epi c, Prac tic e Fusi on, Carame dic,

Bri ghtre e, Ze rMe d, ICD-9, CPT c oding.

• Enthusiasti c and e xpe rie nce d i n hospital, c l inic, physi ci an offi c e, and third party c oll ec tion

age nc ies.

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Educ ation B.S De gree i n Busi ness Admi nistration

Te xas Southe rn Uni versi ty

Conce ntrati on i n Busi ness Manage me nt and Admi nistration 2 00 1

• Ce rti fi cate i n Me di cal Coding

U.S. Care er Institute 2 01 4

• Di pl oma 19 92

Kempner Hi gh Sc hool

Care er Hi story & Ac c ompl ishme nts

Te mporary Positi ons Houston, TX 3/ 20 08 to 9 /20 10

AIG Trave l Assi st, Pati ent Ac c ounti ng Se rvic e Ce nte r, Vanguard Ge riatric s, Xam Busi ness Se rvic es,

• Hospi tal, c l inic, physi ci an bi ll ing and c oll ec tions. Me di cal bi ll ing/c oll ec tion prac tic es.

• Me di care, Me di cai d, Manage d Care, Commerc ial, L i ens, Workers Comp, and Se l f-pay.

• Appe al s, re submi ssi ons, Me di care c ost re porting, and RTP. Pe rform vari ous c oll ec tion ac ti ons

i ncl udi ng c ontac ting patie nts by phone, c orrec ti ng and re submi tti ng c l aims to third party paye rs.

• ICD-9, CPT, me dic al c oding and third-party operati ng proce dure s and prac tic es.

Bil l ing Coordi nator, Bri ghte r Day He al th Houston, TX 04 /2 01 4 to c urrent

• Supe rvi se d offi c e supporti ve staff.

• Eff e c ti ve operati ng of me dic al offi c e, Ac c ounts Payabl e, Ac c ounts Rec e i vable, ICD-9, CPT c oding.

• Me di care, Me di cai d, HMO, Commerc ial bi ll ing /c oll ec tions, Age d re ports, month e nd re ports,

and Cost re porting.

• Psyc hiatri c Bil l ing and Col le ctions for se ve ral Psyc hiatri sts and The rapists for c l inic s.

Bil l ing Spe ci al ist, Me di cal Manage me nt Profe ssi onal s Houston, TX 0 3/2 0 13 to 0 1/2 01 4

• Bil l ing on-l ine, re je c ti on re port and c oll ec tions, third party paye rs, and HMO. Di rec t Data Entry to

Me di cai d

• Age d Reporting, ICD-9, CPT-c oding, RTP, Appe al s, MSP, Cl ai ms, and L ate Charge Reports.

• Ac ted as te am l ead to e duc ate staff and e nsure produc tion and monthl y c ash goal s are me t.

Rei mburseme nt Spe ci al ist, Brown Hand Ce nte r Houston, TX 1 0/2 0 11 to 0 3/2 01 3

• Hospi tal, c l inic, physi ci an and c oll ec tions. Me di cal bi ll ing/c oll ec tion prac tic es.

• Me di care, and Manage d Care, Commerc ial, L i ens, Workers Comp, and Se l f-pay.

• Appe al s, re submi ssi ons, Me di care c ost re porting, and RTP. Pe rform vari ous c oll ec tion ac ti ons

i ncl udi ng c ontac ting patie nts by phone, c orrec ti ng and re submi tti ng c l aims to third party paye rs.

• ICD-9, CPT, me dic al c oding and third-party operati ng proce dure s and prac tic es.

Bil l ing Coordi nator, Vanguard Ge riatric s Houston, TX 04 /20 1 1 to 1 0/ 20 11

• Supe rvi se d offi c e supporti ve staff.

• Eff e c ti ve operati ng of me dic al offi c e, Ac c ounts Payabl e, Ac c ounts Rec e i vable, ICD-9, CPT c oding.

• Me di care, Me di cai d, HMO, Commerc ial bi ll ing /c oll ec tions, Age d re ports, month e nd re ports,

and Cost re porting.

• Psyc hiatri c Bil l ing and Col le ctions for se ve ral Psyc hiatri sts and The rapists for c l inic s.

Col le ctions Spe ci al ist, Xam Busi ness Se rvic es Houston, TX 10 /20 1 0 to 0 3 /20 11

• Hospi tal, c l inic, physi ci an bi ll ing and c oll ec tions. Me di cal bi ll ing/c oll ec tion prac tic es.

• Me di care, Me di cai d, Manage d Care, Commerc ial, L i ens, Workers Comp, and Se l f-pay.

• Appe al s, re submi ssi ons, Me di care c ost re porting, and RTP. Pe rform vari ous c oll ec tion ac ti ons

i ncl udi ng c ontac ting patie nts by phone, c orrec ti ng and re submi tti ng c l aims to third party paye rs.

• ICD-9, CPT, me dic al c oding and third-party operati ng proce dure s and prac tic es.

Me di care Bil l ing Spe ci al ist, Pati ent Ac c ounti ng Se rvic e Ce nte r Houston, TX 0 9/ 20 09 to 0 3/2 0 10

• Me di care onli ne bi ll ing w/ i ntermedi ari es BC/BS (FSS) and Mutual of Omaha, bi ll ing and

c oll ec tions, third party paye rs, and HMO. Di rec t Data Entry to Me di care .

• Age d Reporting, ICD-9, CPT-c oding, RTP, Appe al s, MSP, Cl ai ms, and L ate Charge Reports.

• Ac ted as te am l ead to e duc ate staff and e nsure produc tion and monthl y c ash goal s are me t.

AIG Trave l Assi st De pt., Me di cal Cl ai ms Rep. Houston, TX 3/ 20 08 to 3 /20 09

Fac i li tate d transac tions for i nternati onal c l ie nts outside the U.S., Answe ri ng i ncoming trave le r

c al ls and assi sti ng wi th me dic al staff for c l ie nt hospital c ases

Proce ssi ng me dic al c l aim ac c ounts to c orrec t c ases, Revi e wing me dic al re cords and e xpl anations

of be ne fi ts for c ustome r’di agnosis

s

Proce ssi ng c ustome r c harge s to savi ngs c ompany for di sc ount be ne fi t, appl ying di sc ounted

c harge s to c ustome r c ases, Adj udic ating payme nts to ac c ounts

Revi e wing i nsurance portal to proce ss i ncoming provider c l aims, E-mai l updates of the portal

status to appropri ate re pre se ntative

Customer c al ls for c l aim status updates, al so trai n ne w e mployee s on the phone syste m to

answe r i ncoming c l aims c al ls.

Ac c ount Repre sentati ve, Harri s County Hospi tal Di stri c t Houston, TX 07 /2 00 2 to 03 /20 0 8

• Promotion to Te am L e ad wi thi n a ye ar from hi re date.

• Hospi tal, c l inic, and c oll ec tions. Me di cal bi ll ing/c oll ec tion prac tic es.

• Me di cai d and Manage d Care Pl ans

• Appe al s, re submi ssi ons, Me di care c ost re porting, and RTP. Pe rform vari ous c oll ec tion ac ti ons

i ncl udi ng c ontac ting patie nts by phone, c orrec ti ng and re submi tti ng c l aims to third party paye rs.

• ICD-9, CPT, me dic al c oding and third-party operati ng proce dure s and prac tic es.

Refe re nc es Avai l abl e Upon Reque st

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