Tyanda Howard

* ******* ** *****, ********, NJ **873

732-***-**** Home) Cell 908-***-****)

Summary of Qualifications:

Medical Billing and Administrative Services Professional with more than ten years of significant experience in the planning, execution, and coordination of diversified office, administrative, and support services, emphasizing credentialing, coding, billing, reimbursement, and other administrative functions for hospital-based, group medical practices. An effective, highly productive communicator, organizer, and facilitator with a strong patient services orientation and the capacity to utilize and integrate diverse resources in achieving clinical, financial, information management, and operating objectives.

Employment Capabilities:

Background highlighted by experience, training, and/or achievement in the following areas:

Medical Billing

Considerable experience in organizing, executing, and administering procedures to maximize reimbursement of health services providers from patients and third-party payers.

Reviewed patient and claim information to determine nature of reimbursement issues, communicating and cooperating with physicians, medical office staffs, patients, and representatives of third-party reimburses...

Applied knowledge of ICD-9 and CPT-4 procedure codes and modifiers in reviewing diagnoses and actions of third-party payers under provisions of Medicare, Medicaid, Health Maintenance Organizations (HMO’s), Point-of-Service Plans (POS’s), Preferred Provider Organizations (PPO’s), and Traditional Indemnity Plans ...

Investigated claim denials, resolved sources of difficulty, and re-billed rejected accounts/claims, securing recovery from third-party payers...

Contacted and collected delinquent medical bills from self-paying patients...

Provided financial counseling to patients, ascertaining needs and offering referrals to appropriate resources to ensure optimal recovery...

Applied computer literacy and knowledge of proprietary and commercial software applications including Infinity and Health Quest...

Administrative Services

Significant background in applying diversified planning, coordination, facilitation, and leadership skills to the organization and administration of operations within commercial and healthcare environments.

Ensured compliance of asset/receivables recovery operations with established performance, quality, and related standards...

Initiated entry of information into computerized information management systems...

Administered systematic procedures for retention, protection, retrieval, transfer, and disposal of records, both manual and computerized...

Researched and responded to inquiries from a broad range of patients, associates, and physicians

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Experience:

MCKESSON INFORMATION, Somerset, New Jersey

10/1997-Present

Sr. Account Receivable Medical Biller

Objectives:

To provide knowledge and experience utilizing, my skills as a Physician Medical Biller also to provide quality customer service in a professional office setting

Duties:

Daily follow up on accounts that were submitted, to the Insurance carriers in regards, to HMO, PPO, Pos, Managed Care, Commercial, Medicaid, Medicare, Self Pay, Worker Comp, and No-Fault claims for the Physicians. Obtaining Pre-Certification and credentialing for most patients, Posting payments applying Co-Pays and credit cards using RMS Payment Portal System submitting, paper and electronic claims with the correct Payer Id. Make collection calls for the following departments, Orthopedics, Anesthesia, Pathology, OB/GYN and Pediatrics. Receive 40-50 incoming calls from patients in regards to solving, issues with their account Scan Medical Records for new patients, faxing, Filing, and scheduling appointments

Other Skills

Microsoft, Excel, Microsoft, Word Practice Complete, CareTracker, Infinity, Igenix Healthcare System

Experience:

Bryant Corporation

8/1993-10/1997

Front Desk Receptionist

Education:

South Plainfield High School, South Plainfield, NJ

High School Diploma1986

The cittone Insitute, Edison, NJ

Business 1990-1992

Somerset Christian College 9/2010-present

Major-Business Administration- B/A Degree-2014

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