Account Manager Billing Specialist

Tiffany Arnold

**** ******** ****** **.

Loudon, TN 865-***-****

*.********@*****.***

A D D I T I O N A L S K I L L S

●Familiar with Microsoft Outlook, Microsoft Excel and Microsoft Word.

●Proficient with e-Medsys program

●Enjoy working in a fast paced environment

●Proficient with the Centricity program and DMS

W O R K E X P E R I E N C E

SPECTRUM ABA BILLING

Billing Specialist, January 23,2023 - April 2024

Work claims to completion by billing out claims, working denials, generating corrected claims and following up on no response claims.

Contacting insurance companies via portals or telephone to discuss claim status.

Update Central Reach with proper notes and outcome of claims per company standard

File appeals per company standard and follow-up

Submit weekly billing to clearing house or portal bill claims for Medicaid

ABA THERAPY BILLING AND INSURANCE SERVICES

AR Denials Specialist, October 4, 2021 – January 2023

●Work denials to completion by generating corrected claims, routing rebill

projects or billing errors to billing team, following up on no response claims and contacting insurance companies via portals or telephone for research or provider relations.

●Update Practice Management Software with status and notes per ABAB standard

●Update agency project/resolution file and prepare information for Account Manager to present to agency for updates

●Assess AR for adjustments or refunds. Accurately identify true credits resulting in refund due and write off adjustments

●Update agency adjustment/refund file. Prepare information for account manager to present to agency for approval and route approved adjustments and refunds to payment team to post

●File appeals per ABAB standard and follow-up

●Maintain Account Knowledge Master with denial trends and agency specific information

●Contribute to updates and maintenance of Resource Library

●Provide internal reporting to team on status and issues

THE ALLERGY, ASTHMA AND SINUS CENTER, Knoxville, TN

Customer Service Representative, April 13, 2020- September 2021

●Greet and check in patients as they arrive for their appointment

●Assist with check out procedure after appointment, including scheduling follow ups and taking payments

●Manage patient charts, update demographics, input notes for clinical staff and post payments to their accounts

●Take incoming calls, assess caller's needs, and route calls to necessary department

●Schedule new and existing patient appointments

●Balance daily ledger and run end of day report

●Assist physicians with chart preparation for each appointment

●Maintain working relationships with various pharmaceutical company representatives

●Completes tasks accurately maintaining quality standards and productivity standards.

●Adheres to the HIPAA PHI guidelines.

●Able to handle multiple tasks and prioritize.

●Followed up telephonically with customers regarding delinquent payments

●Performed home visits/field calls to develop effective plan for collection of delinquent payments

E D U C A T I O N

Loudon High School, Loudon TN 2002-2006

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