Tina Floyd
Thomasville,NC
Summary
Dedicated professional with strong communication, leadership, customer service, office support, and management skills. Extensive background in supervisory roles across front/back office medical and general business settings. Known for exceptional multitasking and organizational abilities. Collaborative team member adept at engaging effectively with individuals at all organizational levels. Proficient in various software platforms including Windows, MS Office, medical terminology, and a range of healthcare management systems.
Overview
21
21
years of professional experience
Work History
Lead Referral Specialist
Clay Platte Family Medicine Clinic
10.2022 - 06.2025
- Lead a team of Remote Referral Specialists, assisted with continuous education, and addressed any questions or concerns.
- Processed insurance pre-authorization for specialty services, prior to sending out referrals.
- Resolved pre-authorization and case related issues.
- Documented referrals, communications, actions, and other data.
- Served as liaison between patient, hospitals, clinical staff, health plans, and providers to process orders and referrals.
Accounts Receivable Representative
OrthoCarolina
08.2021 - 06.2022
- Maintained AR queues at a reasonable age-base date as defined by management.
- Responsible for reviewing and appealing denied medical claims for bundling and medical coding-related issues.
- Responsible for timely follow-up on all appeal submissions.
- Processed corrected claims and assisted with timely turnaround for medical documentation requests.
- Provided follow-up and feedback to management regarding assignments.
Account Resolution Representative II
Wellstar Health System
05.2020 - 04.2021
- Assisted with planning and coordinating HB Accounts Resolution follow up activities for an account receivable portfolio of ~ approximately $375M-$500M.
- Assisted with the development of strategies for establishing a continuous improvement work environment.
- Ensured eligible accounts were reviewed, appealed, escalated or adjusted within the designated payer time frames and were documented appropriately in the patient accounting system.
- Ensured that accounts were brought to final resolution through reimbursement for services and to mitigate final losses through solid operational execution, development and conformity to defined Policies and Procedures.
Insurance Verifier
Northside Hospital
03.2019 - 05.2020
- Verified patients’ medical insurance benefits with insurance payers.
- Contacted medical insurance payers and doctors offices to obtain authorization information for scheduled procedures.
Referral Coordinator/ Pre-Registration/Insurance Verification Specialist
Children’s Healthcare of Atlanta/Express Employment
03.2015 - 02.2019
- Contacted parents of patients, doctor’s offices, and insurance payers to initiate or obtain insurance information.
- Entered verified insurance information in Epic in a timely manner prior to expected time of service.
- Obtained demographic and medical insurance information to complete pre-registration.
- Contacted guarantors to discuss co-pays and deductible information, prior to scheduled appointment.
Intake Coordinator
Brookdale Home Health
11.2012 - 10.2014
- Scheduled patients for Home Health nursing and therapy visits.
- Verified new referral’s insurance information and entered new referral’s information into the system.
- Contacted doctor offices to obtain signed doctor orders and other important information.
- Assisted with some payroll functions.
Clerical Assistant
Staffmark
12.2011 - 06.2012
- Reviewed legal documents to make sure all documents have been scanned and saved.
- Assisted with scanning, packing and shipping of legal documents.
Front Office Supervisor/Patient Access & Insurance Verification /CNAI
Novant Health
07.2004 - 09.2011
- Provided office management and supervision of non-clinical employees.
- Provided backup support for all administrative positions.
- Served as administrative and patient financial resource person.
- Collected payments as appropriate.
- Processed payroll.
- Pre-registered patients for upcoming surgeries by gathering and entering patient demographic and insurance.
- Admitted patients into hospital by activating their accounts and assigning them to a room.
- Answered phones and directed calls to appropriate personnel when necessary.
- Utilized web-based software and placed calls to verify patient’s insurance benefits.
- Obtained pre-authorization information for hospital stays and procedures (inpatient and outpatient).
- Collected insurance information and filed insurance in the system.
- Assisted patients with activities of daily living, such as, bathing, dressing, and meals.
Education
Some College (No Degree) - Psychology
East Carolina University
Greenville, NCBusiness Administration, concentration Management
University of Phoenix
Charlotte, NCBusiness Administration
High Point University
Winston-Salem, NCCertificate of Technical Studies - Medical Unit Secretary
Forsyth Technical Community College
Winston-Salem, NCSkills
- Leadership
- Customer service
- Office support
- Management
- Multi-tasking
- Organization
- MS Office
- Medical terminology
- HDX
- IDX
- OAS
- DaVinci
- Apollo
- HCHB
- RIS/VISTEK
- Epic
- STAR
- One Content
- Cerner
- Centricity
Timeline
Lead Referral Specialist
Clay Platte Family Medicine Clinic
10.2022 - 06.2025
Accounts Receivable Representative
OrthoCarolina
08.2021 - 06.2022
Account Resolution Representative II
Wellstar Health System
05.2020 - 04.2021
Insurance Verifier
Northside Hospital
03.2019 - 05.2020
Referral Coordinator/ Pre-Registration/Insurance Verification Specialist
Children’s Healthcare of Atlanta/Express Employment
03.2015 - 02.2019
Intake Coordinator
Brookdale Home Health
11.2012 - 10.2014
Clerical Assistant
Staffmark
12.2011 - 06.2012
Front Office Supervisor/Patient Access & Insurance Verification /CNAI
Novant Health
07.2004 - 09.2011
Business Administration
High Point University
Some College (No Degree) - Psychology
East Carolina University
Business Administration, concentration Management
University of Phoenix
Certificate of Technical Studies - Medical Unit Secretary
Forsyth Technical Community College
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