Tiffany Jackson

• Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
• Resourcefully used various coding books, procedure manuals, and insurance clinical guidelines to bill for maximum reimbursement.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Correcting clearinghouse rejections for claims.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Updated patient records with accurate, current insurance policy information.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Analyzed/submitted medical records and other documents needed to request prior authorizations for procedures.
• Electronically and manually posted patient and insurance payments when needed.
• Identified trends in payer denials and collaborated with other departments to resolve recurring issues proactively.
• Contributed to improved patient satisfaction by promptly addressing inquiries related to their payments or account balances.
• Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
• Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.

Compliance officer for 2 years-ensuring clean claims before being sent out as well as auditing employees to make sure there were no errors. If errors were found, reporting back to supervisor and action plan was given.

Worked through the full revenue cycle including helping in patient call center,collections, patient aging, denial resolution, sending electronic and paper claims on HCFA 1500 forms.

Used as a "floater' when positions were open waiting to be filled.

Verifying insurance eligibility using online portals and calling insurance companies.

Posting payments electronically as well as manually.

Handled prior authorizations for non emergency accounts.

Responsible for insurance and patient refunds.