TONYA N ALEXANDER

TONYA N ALEXANDER has been a healthcare professional with more than 19 years of Third Party Billing experience. Hardworking, motivated, dedicated, and a professional individual who is able to serve clients in a conscientious and pleasant manner. Proficient in Medical Insurance Billing, Medical Terminology and CPT-4 coding and ICD-9 coding. Disciplined, detail oriented with a strong ability to multitask and organize. Able to work well as a team member or independently. Able to complete assignments in a timely manner. 

Skills:
Microsoft Word and Excel, Athena, IDX, MediTech, NextGen                                     

Experience:

PRACTITIONER RATES ANALYST

• Perform standard reimbursement /data analyses. Collaborate with Network
• Development to analyze and report on the impact of practitioner negotiations.
• Coordinate fee schedule approval process. Implement all approved fee schedules.
• Perform industry and systems research to troubleshoot/resolve contractual rate issues.

BILLING COORDINATOR

• Resolution of all billing inquires and collections. Payment posting, claim adjustments,
• and follow-up of insurance remittance. Submitted weekly statements and set up Budget
• plans. Set up of Electronic Remittance Advice of all insurance

BILLING SUPERVISOR

• Supervised billing department staff. Acted as liaison between nurse case manager and
• adjusters to negotiate workers comp fees. Submitted claims appeals, distributed refunds
• as needed, and made claims adjustments. Trained entire staff on billing systems (Clinical
• Works and Athena net). Obtained physician insurance provider numbers

THIRD PARTY BILLING
Audited physician charts insuring correct level coding

MANAGED CARE SUPERVISOR
Supervised a staff of six Managed Care coordinators. Worked directly with the Practice
Manager to develop and implement policies and procedures. Scheduled OB/GYN
surgeries

THIRD PARTY ANALYST
TEAM LEADER/ THIRD PARTY BILLING

Accomplishments:
Recognized for outstanding team leadership and was awarded a certificate of Appreciation entitled “The Team Leader on a Mission” in December 2002. Received a House of Representatives citation 8/86 for a 6 weeks internship. Worked in multiple healthcare services skincare, orthopedic, gyn and infertility. Completed medical terminology course at Mass General Hospital May/1999. Trained in HIPAA policies and procedures.

Education:
Bachelor of Science, Business Administration Concentration Health Care
Management, Minor: Healthcare administration, GPA: 3.76
Magna cum laude
Dean list

Associate, Medical Billing and Coding, GPA: 3.76
Billing and coding highest honors

Associate, Computer Information Systems
Computer programming