TAMIQUE HYLTON Fort Lauderdale, FL ***** C: 954-***-**** ad0z1p@r.postjobfree.com

Professional Profile

Performance-driven professional with extensive experience in consumer and healthcare finance such as AR, billing, customer relations and healthcare verifications. Experienced in healthcare contracts, billing, collections, payment analysis and reconciliations. Proven success in collecting on extremely past due balances and maintaining the most current portfolios. Outstanding communication skills and work ethic of delivering top performance results with persistence and creating strong, compelling, and persuasive documentation.

Skills

Relationship Management Revenue Cycle Operations Claims Analysis Process Guides Provider Relationships Billing Operations Claims Resolution Customer Expectations Organizational & Research Skills Issues Resolution Contract Implementation

Experience

Revenue Cycle Operations Analyst October 2021 – Present

HHAeXchange – Miami, FL

Apart of tier 3 team of specialists and analysts that focus on trends and potential software related issues for our healthcare professionals.

Identify 1EDI claim rejection causes, resolved and advised agencies of issues.

Maintained a SME on the software application, configurations, TA, 999, 227 and analysis of 837 Claim Files and 835 Remittance Files.

Provided exceptional client services training assistance to Managed Care Organizations and Home Healthcare Provider Network to mitigate software and claims related issues.

Efficiently organized, investigated, and resolved assigned tasks via Jira-Atlassian within a 5 day SLA timeframe.

Collaborate with product management and development teams to identify and rectify product fault, performance and areas for improvement.

Lead Non-CBO Account Revenue Analyst January 2019 – October 2021

Team Health - Tamarac, FL

Monitor and maintain current balances of Southeast, Northeast and West Regions portfolio of 338 accounts.

Identify and amend billing discrepancies of problematic invoices.

Analyze and reconcile outstanding balances.

Run weekly and month end aging reports for upper management meetings.

Correspond with senior accountants, billing and cash departments, VPOs, CPMs and contracts department on resolving billing, collections and contractual issues.

Collections Analyst June 2017 - January 2019 Cross Country Healthcare - Boca Raton, FL

Oversee application of check and ACH payment remittances.

Maintain collection production standards for high profile portfolio of healthcare facilities totaling 4 million dollars via phone and email correspondence within 120 days.

Provide reports and portfolio reviews weekly on large AR balance accounts.

Process, prepare and analyze special account items such as account adjustments, credit balance. reconciliation, refund requests, misapplied & unapplied balances, third-party reconciliation.

Decrease bad debt reserve by corresponding with other departments to resolve issues internally & externally.

Credit & Collections Accountant June 2016 - May 2017

Aldora Aluminum & Glass – Coral Springs, FL

Reconcile A/R balances of overpayments and short payments.

Research, assess and oversee the application of unapplied credits and payments.

Correspond with sales team to resolve order discrepancies & credits.

Contact customers daily regarding delinquent invoices.

Post and process daily bank deposits.

Processed NTO’s with the state for delinquent customers.

Lead Credit Specialist June 2015 - June 2016

Chiquita Brands- Fort Lauderdale, FL

Built high volume credit portfolio of 160 accounts while approving credit request up to $15,000.

Functioned as an intermediary between customers and sales team regarding delinquent A/R invoices and required documentation needed.

Expertly conducted background check of prospective customers by obtaining verification from banking institutions and all 3 major credit bureaus. Verified information with D&B and Lexis Nexis.

Facilitated communication with internal/external merchants to resolve billing, shipment and payment issues.

Verifications Specialist Team Supervisor Oct 2013 - May 2015

Business Financial Services – Coral Springs, FL

Created relationship with financial institutions via phone, email or fax to verify banking information of potential lenders.

Verified merchant's trade references and UCC filings to determine loan eligibility.

Interacting closely with sales and underwriting departments to evaluate funding risks or eligibility of loans.

Addressed ISO’s inquiries and concerns.

Accurately reconciled merchant processing and financial statements.

Conducted extensive research using various tools and websites to validation business and property ownership.

Underwriting Verifier/Finance Administrator Feb 2012 - Oct 2013 Southern Auto Finance Company - Sunrise, FL

Expertly completed weekly cash balance and rejected payment reports.

Compiled reports of outstanding accounts that were 60-90 days delinquent.

Processed & maintained logs for unqualified contracts.

Gathered & verified information needed to process loans.

Member Service Representative Aug 2007 - Oct 2010

Life Extension Foundation - Fort Lauderdale, FL

Implemented 'red carpet' customer service to members of the foundation regarding their accounts, orders and memberships.

Administered health information and resolved discrepancies with member tests and supplements.

Qualitative Accomplishments: 3X Top Producer for monthly sales conversions, mentor for new

employee during orientation process.

Education

Florida Atlantic University - Boca Raton, FL

Bachelor in Health Science with a Minor in Healthcare Information Systems

Databases

Various Healthcare portals, Jira, Excel, Core FTP, People Soft, Lawson, LexisNexis, Sage, D & B, Billtrust, Accurint

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