TIFFANIE MINNIS

TIFFANIE MINNIS is a professional Medical Billing Specialist currently seeking a rewarding and challenging position where I am able to utilize my expertise and skills and have the opportunity for advancement.

Skills:

• Allscripts PM and Clinical Module
• PCN
• Microsoft Office 2007
• Quick Books
• Paperport and Adobe E-file
• Familiar with Medisoft V12, Winsap 8.0, AS400, and PCN
• Windows Professional and XP
• Data entry, keyboarding 40 wpm
• Strong written and verbal communication skills
• Possess strong analytical and research skills
• Excellent interpersonal skills; obtain the ability to work effectively with all people

Experience:

Front Office Biller

• Responsible for hospital, nursing home and office billing for Internal Medicine physician
• Compile a weekly list for nursing home patients to be seen by the physician
• Post payments on accounts in PCN and Allscripts
• Answer incoming calls and schedule appointments for office visits and physicals
• Fax prescription refills via Allscripts Clinical Module

Billing Specialist

• Responsible for the overall operations in the billing department
• Took incoming calls regarding health benefit information and service authorization
• Verified eligibility for all patients
• Entered CPT and ICD codes into Medisoft for billing
• Used aging reports for follow up with all insurance companies on outstanding payments
• Billed private insurances, Medicaid,CMO'S and Babies Can't Wait weekly
• Worked all insurance EOB denials such as appeals, resubmission of corrected claims, and submission of medical records to insurance companies upon request
• Occasional diagnosis coding for PCP RX for services
• Posted payments into medisoft
• Entered patient's and therapist's demographics into medisoft
• Requested pre-authorization from CMO's for therapy services
• Refunded Babies Can't Wait and all other insurances for overpayments
• Sent Quick Books invoices to self pay and cost participation patients for monies owed

Medical Biller

• Responsible for pathology and ER billing for hospital based physicians
• Followed specific input procedures for each physician to assure proper billing and reimbursement
• Checked log reports for each physician at the end of the month for any missing patient that needed to be billed
• Cleaned up patient accounts that came through on tape (electronically) from the hospital so that clean claims were billed
• Printed out and checked all charges inputted for the day to assure no charges were missed
• Maintained a quota of 400-700 charges inputted each day for higher reimbursement ratio
• Requested demographics from hospitals for "Not Found" patients with charges to be billed

Precollection Representative

• Responsible for tracking the adjudication on all claims for HMO,PPO, and Commercial insurances
• Re-filed claims on paper with proper medical necessity information and/or authorization for claim payment
• Wrote off non-billable clinical charges
• Issued check tracers and stop payments on checks allocated to incorrect addresses
• Sent W-9 forms to all insurance companies to add or update physician information for billing and reimbursement purposes
• Made sure all paid claims were paid according to contracts
• Reviewed EOB's and worked patients accounts according to contract and non-contract specifics
• Worked NEIC (WEB MD) reports for claims sent and denied electronically

Education:
Associates of Arts in Business Administration
Medical Insurance Specialist
Real Estate Certificate

Certifications:
National Certified Insurance and Coding Specialist (NCICS)