Tiyana Blades
WakeMed Health & Hospitals
Raleigh
12
years of professional experience
Experienced Healthcare Revenue Cycle and Patient Financial Services Professional with over 15 years in healthcare finance and patient accounts. Specializes in reconciling financial transactions, resolving billing issues, and ensuring HIPAA compliance. Demonstrates strong analytical skills and attention to detail in fast-paced environments.
Work History
Patient Financial Representative
1 Year 8 Months- Post and reconcile patient and non-patient financial transactions while ensuring accuracy and compliance with organizational policies.
- Researched accounts and resolved billing discrepancies by reviewing financial and patient account records thoroughly.
- Manage specialized collections activities and follow up on outstanding account balances to support revenue cycle objectives.
- Reconcile patient accounts and general ledger transactions, identifying and resolving variances in a timely manner.
- Supported Patient Account Representatives by addressing complex account issues and acting as a departmental resource.
- Maintain accurate documentation of account activity while safeguarding confidential financial and patient information in accordance with HIPAA regulations.
- Collaborated with internal departments to efficiently resolve payment, billing, and account reconciliation issues.
- Consistently manage high-volume workloads while maintaining exceptional attention to detail, productivity, and customer service.
Patient Access Representative (Remote)
1 Year 7 Months- Manage high-volume inbound and outbound patient communications regarding insurance verification, authorizations, billing inquiries, and account status.
- Research patient accounts to resolve insurance, eligibility, authorization, and billing discrepancies.
- Document account activity accurately within the electronic medical record.
- Collaborate with clinical and financial departments to facilitate timely account resolution.
- Maintain strict HIPAA compliance while handling confidential financial and medical information.
- Deliver exceptional customer service while assisting patients with diverse medical, behavioral health, and complex healthcare needs.
Mortgage Funder
1 Year 11 Months- Closed and funded conventional and government mortgage loans while consistently ranking among the Top 5 producers, processing more than 120 loans monthly.
- Reviewed and reconciled funding documentation to ensure financial accuracy before loan disbursement.
- Verified lien payoffs, financial transactions, mortgage recordings, and closing documentation.
- Coordinated with settlement agents, attorneys, lenders, and real estate professionals to resolve funding discrepancies.
- Managed a high-volume pipeline while consistently meeting productivity and quality standards.
Clinical Outpatient Representative
5 Years- Assisted patients with insurance billing questions, payment processing, and account resolution.
- Performed patient account research to resolve billing discrepancies and insurance issues.
- Documented patient account activity and financial information within the electronic medical record.
- Managed more than 100 patient interactions daily while consistently meeting departmental quality metrics.
- Protected confidential patient and financial information in accordance with HIPAA regulations.
- Maintained customer satisfaction scores exceeding 90% through effective communication and problem resolution.
Patient Collections Specialist
11 Months- Investigated patient billing discrepancies and collaborated with insurance carriers to resolve outstanding balances.
- Requested supporting documentation and facilitated timely reimbursement by coordinating with third-party payers.
- Assisted in reducing financial losses by identifying billing issues early and expediting claim resolution.
- Maintained positive relationships with patients, providers, and insurance representatives.
Education
Bachelor of Arts - Public Administration
Skills
Patient Account Management
Revenue Cycle Operations
Account analysis
Account Research
Account Research
Billing Processing
Financial Transaction Processing
Payment Posting
Collections
Medical Billing Support
Electronic Medical Records (EMR)
Healthcare Revenue Cycle Systems
Insurance Verification Platforms
HIPAA Compliance
Account Documentation
Microsoft Office Suite
Relationship management
Microsoft Word
Microsoft Outlook
Data Entry
Problem Resolution
Quality Assurance
Team Collaboration
Relationship Building
Customer Service
HIPAA standards
Timeline
Patient Financial Representative
WakeMed Health & Hospitals
11.2024 - CurrentRead More
Patient Access Representative (Remote)
Boston Medical Center
01.2023 - 08.2024Read More
Mortgage Funder
Wells Fargo (Randstad Staffing)
01.2021 - 12.2022Read More
Clinical Outpatient Representative
WakeMed Health & Hospitals
01.2016 - 01.2021Read More
Patient Collections Specialist
FastMed Urgent Care
01.2015 - 12.2015Read More
North Carolina Central University
Bachelor of Arts from Public Administration
Read More