Hardworking, Fast-Learning Medical Billing Professional

Tiffany Winward

Las Vegas, NV Phone: 808-***-**** Email: *******.*********@*****.***

PROFESSIONAL SUMMARY

Medical billing professional with five years of customer support experience and a genuine commitment to helping patients and clients navigate billing with clarity and care. Experienced in EOB review, payment posting, collections, and accounts receivable follow-ups, with a detail-oriented approach to resolving claims accurately and efficiently. Known for clear communication, reliability, and strict HIPAA compliance. Self-motivated and seeking a remote medical billing position where strong organization, accountability, and customer-focused service are valued.

EDUCATION

● Certified Medical Billing & Coding Specialist Northwest Career College — Las Vegas, NV June 2023

● Diploma in Clinical Medical Assisting Everest College — Salt Lake City, UT April 2012

● Massage Therapist Certificate Hawaii Healing Arts College — Honolulu, HI May 2007

● Diploma in Esthetician International School of Beauty and Esthetique — Honolulu, HI August 2005 PROFESSIONAL EXPERIENCE

Claims Associate

United Healthcare— Las Vegas, NV February 2025 - January 2026

● Analyzed and processed a high volume of insurance claims with a focus on accuracy, timeliness, and adherence to policy guidelines.

● Investigated complex claims by gathering and verifying supporting documentation from claimants, providers, and third parties.

● Collaborated with underwriters, adjusters, and legal teams to resolve disputes and ensure fair claim settlements.

● Identified and flagged potential fraudulent or suspicious claims, contributing to cost savings and compliance efforts.

● Delivered clear, professional communication to policyholders, explaining claim decisions and coverage details. Certified Medical Biller and Coder (Remote)

Las Vegas Dermatology — Las Vegas, NV September 2023 – September 2024

● Overseen the entire revenue cycle, managing all stages of the billing process, from claim submission to final payment, ensuring timely and accurate processing of patient claims. Maintain accurate financial records, including detailed reporting for practice management.

● Posted payments from insurance companies accurately, ensuring that patient accounts are up to date. Reconcile discrepancies between payments and outstanding claims to maintain accurate financial records.

● Handled insurance denials by investigating the causes, submitting appeals when necessary, and communicating with insurance providers to ensure claims are processed correctly and resolved in a timely manner.

● Managed hard collections by contacting patients for payment of overdue balances, ensuring adherence to compliance regulations, and maintaining professional communication to secure payments. Medical Biller & Coder Internship

Bone & Joint Specialists — Las Vegas, NV May 2023 – June 2023

● Accurately input precise billing information into Nextech and Intergy EMR systems, as well as accounting software, ensuring that all claims were filed on time and without errors, resulting in an improvement in first-pass acceptance rates.

● Adhered strictly to HIPAA requirements by securely maintaining personal patient data throughout the billing and coding process, reducing the risk of data breaches and assuring compliance.

● Collaborated with insurance carriers to handle complicated billing issues, investigate rejected claims, and ensure timely payments, therefore boosting overall cash flow and lowering outstanding amounts.

● Payments for patient accounts and insurance claims were processed and posted in the Nextech and Intergy EMR systems, resulting in real-time updates and precise financial monitoring for practice management and reporting.

● Conducted monthly reconciliations of all accounts, checking payments against invoices and correcting anomalies to ensure accurate and error-free financial records.

Career Break

Las Vegas, NV March 2020 –January 2023

● Full-time family care responsibilities

Beverage Server:

Golden Nugget — Las Vegas, NV November 2018 – March 2020

● In a high-volume, fast-paced setting, welcomed visitors warmly and took drink orders quickly, resulting in smooth service and maximum client satisfaction.

● Consistently followed corporate rules and local requirements for responsible alcohol serving practices, guaranteeing compliance and guest safety.

● Cultivated great communication skills by dealing with a broad customer, processing orders quickly and correctly, and providing individualized service under pressure.

● Accurately processed cash and card transactions, consistently balanced cash drawers, and minimized errors, to ensure financial accuracy and accountability

● Maintained a clean and orderly eating room while adhering to all health and safety rules, resulting in a great guest experience and a safe work environment.

Beauty Sales Associate:

CVS — Honolulu, HI March 2016–October 2018

● Delivered friendly, personalized customer service to assist shoppers with beauty, skincare, and personal care product selection

● Engaged customers to understand needs and recommend appropriate products, promotions, and loyalty offers

● Supported store sales goals by maintaining product availability and highlighting featured items

● Stocked, faced, and organized beauty merchandise to maintain visually appealing displays

● Ensured cleanliness and organization of beauty aisles in compliance with store standards

● Assisted with inventory restocking, seasonal setups, and promotional displays Skills

● Customer Support & Client Communication

● Medical Billing & Claims Processing

● Electronic Health Records (EHR) Systems

● HIPAA Compliance & Confidential Data

Handling

● Insurance Verification & Payment Posting

● Problem Resolution & Account Follow-Up

● Microsoft Office (Word, Excel, Outlook)

● Data Entry & Record Accuracy

● Spreadsheet Management & Basic

Reporting

● Time Management & Multitasking

● Attention to Detail & Organization

● Remote Work & Independent Task

Management

CERTIFICATIONS:

● Certified Medical Billing and Coding Specialist (NHA)

● Tam card certified

● Health card certified

References upon request

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