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TONYA R. BAIRD
Mountain City, TN 37683
christonyaplus2@centurylink.net
Objective
To assume a position where my knowledge, skills and abilities can be achieved. I recently completed my certification in professional coding and I would like attain a position where my skills could be industrious.
Experience
Aug.1996-Dec.1998 Johnson County Hospital Mountain City, TN
Admissions Representative
Responsible for entering all demographic information related to a patients care.
Answered all incoming phone calls.
Entered charges for all services.
Dec. 1998-Aug. 2004 Johnson County Health Center Mountain City, TN
Sr. Access Specialist
Responsible for entering all demographic information related to a patients care.
Entered charges for all services
Assisted patients to their destination within the facility.
I worked in several different departments within the facility, including medical records, which required that I file records, fulfill requests for records, and interact with different provider’s requests.
I worked for two doctors’ offices, making appointments, entering charges, and accepting payments for statements.
Knowledge of ICD-9 codes and CPT codes.
Knowledge of medical terminology.
Verified eligibility and benefits of insurance for patients.
I also worked with the Emergency Room, which was a very fast paced, demanding, department.
I Trained new employees and supported them during their transition.
Assisted my supervisor with issues within the department and covered any call-in situations with other employees for sick days, LOA’s and time off.
Aug. 2004-June 2008 Clinicient Billing Services Mountain City, TN
Sr. Patient Account Representative
I began in the follow-up department calling insurance companies and checking on payments of claims.
Assisted patients with questions about their statements interacting with providers and insurances globally.
Posted payments from insurance companies and patient payments.
Knowledge of Medicare, Medicaid, TN Care, and most any insurance provider.
Worked in the Billing Department, posting charges and filing insurance electronically. I also worked claims in the electronic clearing house.
Managed denials, which required that I investigate what the issues are with denied claims processing, resolve the issues, and ensure prompt payment of those claims.
I file any appeals necessary to insure payment of claims.
Train all new hires in the follow up and receipt posting department and assisted them with their transition.
Serve as a support system for all departments resolving issues and questions within the departments.
____________________________________________________________________________________
July 2008-August 2011 Appalachian Regional Healthcare System Boone, NC
Medicare Account Representative
I am the lead Medicare representative.
I am responsible for Medicare denials and additional information requests from Medicare.
I work all ‘return to provider’ claims in the fiscal intermediary system.
I post payments from both Cigna Medicare and Palmetto GBA.
I also work on special projects that require that I am involved with other insurance carriers as needed.
I assist patients with Medicare inquiries when specialized attention is needed.
________________________________________________________________________________________
August 2011-present Mountain City Care & Rehab Center Mountain City, TN
Assistant Business Office Manager
• Assist with management duties including, but not limited to, hiring, training and developing, coaching and counseling, and terminating department staff as deemed necessary.
• May perform or assist with the performance of payroll input and hours calculation, answer telephones, ancillary input, receipt of resident account deposits and payments, typing.
• Work with or support Business Office Manager and consultants in planning all aspects of Business Office functions to include interface with all other disciplines and departments.
• May assist the Business Office Manager to monitor day-to-day operation of the Business Office and to establish priorities and manage records, budgets or supplies.
• Fill in as Business Office Manager as needed with limited or full authority, as needed.
• Support and assist Business Office Manager with State, Federal and Company standards, to include alerting management to potential non-compliance issues and the preparation of correction plans.
• Make bank deposits, as requested.
• Receive and receipt private, resident portions and Medicaid payments on residents’ bills.
• Assist with end of month packet procedures such as: charge journals, cash receipts including Resident Accounts, bank reconciliation, and preparation of Resident Trust Fund Accounts for closing and allocation of interest to the proper accounts.
• Maintain accuracy and efficiency in all work performed.
• Prepare disbursement checks for payment of expenditures approved by Administrator, maintaining and updating daily, the facility’s check register.
• Other special projects and duties, as assigned
Summary of Qualifications
Great typing skills.
Deep knowledge of medical terminology, and the various medical specialties as required in areas of responsibility.
• Excellent communication skills (both verbal and written) necessary to perform the essential functions of the position
• Ability to work and communicate in a positive and cooperative manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel and patients and their families when providing information and services, seeking assistance and clarification and resolving problems.
• Knowledge of numerous medical system programs.
• Knowledge of Microsoft Word, Microsoft Excel, Microsoft Outlook
• Latest accomplishment was a special project working on Tricare accounts receivable where I was able to clear up over $200K in aged A/R.
• I am a very swift apprentice and strive to increase my skills and knowledge.
Education
1996 Graduate Johnson County High School Mountain City, TN
2011 AAPC Certified Professional Coder
References:
Lori Davis (423) 471-1505
Dawn Tester (423) 727-4048
Anita Atwood (423) 727-5718
Mountain City, TN 37683
christonyaplus2@centurylink.net
Objective
To assume a position where my knowledge, skills and abilities can be achieved. I recently completed my certification in professional coding and I would like attain a position where my skills could be industrious.
Experience
Aug.1996-Dec.1998 Johnson County Hospital Mountain City, TN
Admissions Representative
Responsible for entering all demographic information related to a patients care.
Answered all incoming phone calls.
Entered charges for all services.
Dec. 1998-Aug. 2004 Johnson County Health Center Mountain City, TN
Sr. Access Specialist
Responsible for entering all demographic information related to a patients care.
Entered charges for all services
Assisted patients to their destination within the facility.
I worked in several different departments within the facility, including medical records, which required that I file records, fulfill requests for records, and interact with different provider’s requests.
I worked for two doctors’ offices, making appointments, entering charges, and accepting payments for statements.
Knowledge of ICD-9 codes and CPT codes.
Knowledge of medical terminology.
Verified eligibility and benefits of insurance for patients.
I also worked with the Emergency Room, which was a very fast paced, demanding, department.
I Trained new employees and supported them during their transition.
Assisted my supervisor with issues within the department and covered any call-in situations with other employees for sick days, LOA’s and time off.
Aug. 2004-June 2008 Clinicient Billing Services Mountain City, TN
Sr. Patient Account Representative
I began in the follow-up department calling insurance companies and checking on payments of claims.
Assisted patients with questions about their statements interacting with providers and insurances globally.
Posted payments from insurance companies and patient payments.
Knowledge of Medicare, Medicaid, TN Care, and most any insurance provider.
Worked in the Billing Department, posting charges and filing insurance electronically. I also worked claims in the electronic clearing house.
Managed denials, which required that I investigate what the issues are with denied claims processing, resolve the issues, and ensure prompt payment of those claims.
I file any appeals necessary to insure payment of claims.
Train all new hires in the follow up and receipt posting department and assisted them with their transition.
Serve as a support system for all departments resolving issues and questions within the departments.
____________________________________________________________________________________
July 2008-August 2011 Appalachian Regional Healthcare System Boone, NC
Medicare Account Representative
I am the lead Medicare representative.
I am responsible for Medicare denials and additional information requests from Medicare.
I work all ‘return to provider’ claims in the fiscal intermediary system.
I post payments from both Cigna Medicare and Palmetto GBA.
I also work on special projects that require that I am involved with other insurance carriers as needed.
I assist patients with Medicare inquiries when specialized attention is needed.
________________________________________________________________________________________
August 2011-present Mountain City Care & Rehab Center Mountain City, TN
Assistant Business Office Manager
• Assist with management duties including, but not limited to, hiring, training and developing, coaching and counseling, and terminating department staff as deemed necessary.
• May perform or assist with the performance of payroll input and hours calculation, answer telephones, ancillary input, receipt of resident account deposits and payments, typing.
• Work with or support Business Office Manager and consultants in planning all aspects of Business Office functions to include interface with all other disciplines and departments.
• May assist the Business Office Manager to monitor day-to-day operation of the Business Office and to establish priorities and manage records, budgets or supplies.
• Fill in as Business Office Manager as needed with limited or full authority, as needed.
• Support and assist Business Office Manager with State, Federal and Company standards, to include alerting management to potential non-compliance issues and the preparation of correction plans.
• Make bank deposits, as requested.
• Receive and receipt private, resident portions and Medicaid payments on residents’ bills.
• Assist with end of month packet procedures such as: charge journals, cash receipts including Resident Accounts, bank reconciliation, and preparation of Resident Trust Fund Accounts for closing and allocation of interest to the proper accounts.
• Maintain accuracy and efficiency in all work performed.
• Prepare disbursement checks for payment of expenditures approved by Administrator, maintaining and updating daily, the facility’s check register.
• Other special projects and duties, as assigned
Summary of Qualifications
Great typing skills.
Deep knowledge of medical terminology, and the various medical specialties as required in areas of responsibility.
• Excellent communication skills (both verbal and written) necessary to perform the essential functions of the position
• Ability to work and communicate in a positive and cooperative manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel and patients and their families when providing information and services, seeking assistance and clarification and resolving problems.
• Knowledge of numerous medical system programs.
• Knowledge of Microsoft Word, Microsoft Excel, Microsoft Outlook
• Latest accomplishment was a special project working on Tricare accounts receivable where I was able to clear up over $200K in aged A/R.
• I am a very swift apprentice and strive to increase my skills and knowledge.
Education
1996 Graduate Johnson County High School Mountain City, TN
2011 AAPC Certified Professional Coder
References:
Lori Davis (423) 471-1505
Dawn Tester (423) 727-4048
Anita Atwood (423) 727-5718