Tasha Squires
Jackson
Summary
I have a solid background in medical billing, collections, customer service, payment posting, and data entry. I successfully submit appeals and reconsideration to denied claims. I also update patient's COB to bill claims out correctly. I also move balance to patient's responsibility according to EOB or request adjustments. I resolve claims and bring in payments from commercial insurance companies, medicaid, medicare, worker's comp, self-funded programs and from patients.
Overview
13
13
years of professional experience
Work History
Medical Follow Up/Collection Specialists
DaVita
07.2021 - 12.2024
- Responsible for Nephrology billing, processing claims, drafting appeals for denied claims, and sending them out to insurance companies, calling insurance companies, working on special projects to get claims paid, correcting charges in the system
- Process claims on Medicare, Medicaid, United Healthcare, Cigna, Aetna, Blue Cross Blue Shield, Availity, Navinet, One Health Port, and Wellcare web portal
- I also worked with Athena, GAMMIS, and Epic
Medical/Billing /Collection Specialist
Pruitt Health
06.2018 - 07.2021
- Review incoming correspondence, take appropriate action
- Respond promptly to inquiries
- Analyzes accounts for errors, adjustments and credits
- Issuing corrected entries when necessary
- Appeal or file reconsiderations paper and online for claim underpaid or denied
- Correct RTP claims in FISS/DDE Medicare system for accuracy
- Update account information accordingly, rebill through the SSI data system
- Document communications accurately and completely Ensure payment is received in a timely fashion without loss of proper reimbursement
- Correspond with Medicare, Medicaid, Commercial Insurance Companies and Workers Compensation cases to obtain correct Insurance information
- Monitor all assigned accounts to ensure maximum of collection dollars are collected and paid on these accounts
- Transfer remaining balance to the secondary payer/payee if there is co/pay or co-ins due
- Correct claims in RTP status in either CCMS or DDE per Medicare guidelines
- Rebill corrected claims out of SSI, Meditech, FACS, EPIC system, IBAX, etc
Medical Biller
Hollis Cobb
12.2015 - 06.2018
- Research and Analyze account issues
- Collect balance owed from third party payers in accordance with State and Federal laws governing collection practices
- Collect outstanding balances owed to facility or Physician
- Validate claims to ensure they are being paid according to their contract and or payment methodology guidelines
- Obtain all necessary documentation for appeal of denied or underpaid claims
- Initiate Redetermination, reopening and/or Reconsiderations needed
- Verify and Correct billed insurance information
- Correct claims in RTP status in either CCMS or DDE per Medicare guidelines
- Update follow up on claims (post money, adjustments, call, payer, obtain medical records, additional info need to rebill a corrected claim
Accounts Payable
RICOH
09.2013 - 12.2015
- Responsible for accurate and timely customer billing utilizing knowledge of company products, processes and internal resources
- Provides a high level of customer service to internal and external customers by demonstrating prompt and thorough attention to issues and requests
- Interacts with other members of the CCC, as required, in support of the customers of Ricoh
- Interacts with Lease Portfolio Team/IOSC and interfaces with IRONICS
- Creates additional invoice support for customers as required and is adept in providing customer specific attention
- May receive and place service and/ or supply calls for specified customers
- Handle collections on unpaid accounts
- Manage the facility Accounts receivable report
Customer Service Rep
Ashley Furniture
04.2012 - 05.2014
- Providing exceptional customer service
- Acknowledging and engaging customers that approach the customer service desk
- Managing customer purchase paperwork
- Entering sales transactions into the computer system accuracy
- Handling cash, credit card, check, and other financial transactions
- Processing credit applications while maintaining confidentiality of customer records
- Effectively explaining financing plans and other terms or sale to the customers and terms for customer pickup or delivery
- Conducting customer follow-up phone calls
- Working with employees to attain company goals
- Participating in focus group, safety, and other location meetings
- Interacting with customers and coworkers in an upbeat, friendly manner
- Reporting violations of company policies and the misappropriation of company assets
Education
Medical Billing And Coding - Medical Billing And Coding
Sanford Brown
Atlanta, GA07-2010
Skills
- Data entry proficiency
- Strong negotiation skills
- Collections
- Customer Service
- Experience in systems like EPIC, Availity, McKesson, UHC, Cigna, Aetna, BCBS, Athena One, EMR, OnePort, etc
- Payment posting
- Submitting appeal/ reconsiderations
- Pulling medical records
- Correcting COB
- Submitting Adjustments/ write-offs
- Resubmitting claims
- Resolving claim's denials
Timeline
Medical Follow Up/Collection Specialists
DaVita
07.2021 - 12.2024
Medical/Billing /Collection Specialist
Pruitt Health
06.2018 - 07.2021
Medical Biller
Hollis Cobb
12.2015 - 06.2018
Accounts Payable
RICOH
09.2013 - 12.2015
Customer Service Rep
Ashley Furniture
04.2012 - 05.2014
Medical Billing And Coding - Medical Billing And Coding
Sanford Brown
Similar Profiles
Tricarrion CohenTricarrion Cohen
Patient Care Technician at DaVitaPatient Care Technician at DaVita
Jessica NwokochaJessica Nwokocha
Registered Nurse at DaVitaRegistered Nurse at DaVita
Raedele BourassaRaedele Bourassa
Provider Engagement Manager at DaVitaProvider Engagement Manager at DaVita