Tioni Summers Email & Phone Number

Denver, Colorado, United States

• Submit and review claims, ensuring accuracy and completeness; document debtor/insurance contacts.
• Research and correct claims, resubmitting within deadlines to prevent revenue loss.Initiate collections by contacting third-party payers/debtors; accurately process account transactions.
• Respond to insurance, patient, and departmental correspondence to resolve accounts efficiently.
• Utilize EPIC and eligibility software to ensure correct billing and patient account management

Tuscon, Arizona

• Navigate payer systems and resolve insurance denials, ensuring timely reimbursement.
• Review Accounts Receivable Aging reports to prioritize and address claims efficiently.
• Track and escalate payer trends impacting cash collection goals, ensuring optimal revenue.
• File appeals on denied or underpaid claims, securing additional payments.
• Communicate with payers and patients for claims follow-up, enhancing payment collection.
• Navigated healthcare revenue cycle using EPIC, METIS, and Availity. Resolved insurance denials, managed AR aging reports, and escalated payor trends impacting cash collection goals.

Grand Rapids, Michigan, United States

• Navigated healthcare revenue cycle systems, ensuring compliance with state laws and insurance guidelines.
• Supported EPIC implementation for call center, developing training materials and improving workflows.
• Maintained strong interdepartmental communication, achieving successful outcomes in complex scenarios.
• Executed medical billing for hospital and physician settings, enhancing accuracy and efficiency

Grand Rapids, Michigan, United States

• Investigated patient safety concerns and complaints, ensuring prompt resolution and customer satisfaction.
• Negotiated with providers and analyzed data to improve service delivery and operational efficiency.
• Assisted risk management projects, contributing to enhanced patient safety protocols.
• Specialized in Medicare Advantage and Medigap plans, providing expert knowledge on CMS quality processes.
• Trained new employees, facilitating smooth transitions and improving team competency.

Grand Rapids, Michigan, United States

• Resolved customer inquiries and issues via phone and in-store, ensuring high satisfaction rates.
• Processed invoices and payments efficiently, maintaining accurate records.
• Balanced cash drawer daily, ensuring financial accuracy at end of each shift.
• Coordinated merchandise availability and delivery schedules, enhancing customer experience.

Nail Technician/Specialist And Manicurist

High School Diploma

High School Diploma

High School Diploma