1. TIFFANIE CHOSA
3701 White Bud Court • Flower Mound, TX 75028 • 404-713-3031 • tiffchosa@yahoo.com
PROFESSIONAL PROFILE
Productive and accountable professional with diverse work history, hands-on medical skill sets and highly developed
customer service skills. Strong academic and employment success illustrates level of skill, competence, and value.
§ High Academic Honors Recognition / Dean’s List.
§ Process appeals, reconcile denials, posts payments, and work with Aprima EMR software.
§ Well-organized, with strong communication skills and management experience.
§ Proficient with Macintosh OS X, Microsoft Word, Excel, PowerPoint, Outlook, and Open Office.
KEY QUALIFICATIONS
Medical Billing & Coding ▪ ICD-9-CM ▪ HCPCS ▪ CPT ▪ ICD-10-CM ▪ Credentialing ▪ Co-Payments & Deductibles ▪
Greenway Prime SUITE ▪ Aprima ▪ EHR/EMR ▪ Practice Management Software ▪ Practice Incite Software
Insurance Billing Procedures ▪ Insurance Verification ▪ Medical Records Management
Anatomy & Physiology ▪ Medical Terminology ▪ Disease Process ▪ HIPAA
Medicare, Medicaid, TRICARE ▪ CMS 1500, CMS 1450 (UB-04) ▪ EOBs ▪ Managed Care (HMO, PPO, and POS)
Insurance Claim Processing ▪ Electronic Payment Posting ▪ Appointment Scheduling ▪ Paper Payment Posting
Government & Third-Party Payers ▪ Office Management ▪ Data Entry ▪ 10-Key Skills ▪ Type 52 WPM
EDUCATION&CERTIFICATION
Ultimate Medical Academy
Medical Billing & Coding, 2015
EOA Digital, Atlanta, GA
Equivalent of Audio Engineer, Producer, Song Writer, Singer, Studio Management, Specialized Vocal Analyst,
2007 – 2013
■ PURSUING NATIONAL CPC-A CERTIFICATION ■
MEDICAL PROFESSIONAL EXPERIENCE
Aprima Health Care Strategies, Richardson, TX 2015 – Present
Medical Billing Specialist
§ Resolve denied claims, scrub claims to ensure correct information is entered such as amounts due, DX and CPT
codes, referring, providing and billing physician, types of insurance, verify dates of insurance coverage with dates
of services performed, and verify that all LCD/NCD guidelines are correct.
§ Contact physician offices to confirm possible DX changes and CPT code discrepancies, and resubmit corrected
claims.
§ Provider credentialing and renewal of credentialing.
§ Verify patient demographic information, enter electronic remittance advice payments, and post deductible/copay/
coinsurance payments into patient account utilizing Aprima EHR software.
§ Print CMS-1500 claim forms and fill out UM-04 electronic forms to submit to insurance carrier for billing purposes.
§ Collect, scan and enter paper payments and EOBs, and balance and reconcile allocations at end-of-month.
§ Create and process patient statements monthly, prepare and print all monthly reports for closing at end-of-month.
The Morledge Eye Clinic, Billings, MT 1999 – 2001
Pre/Post OP Assistant / Optical Assistant
§ Took patient vital signs, verified procedure, and explained treatment process.
§ Ensured all forms were signed by patient including intake and after care procedures.
§ Measured, cut, fitted and ordered optical glasses.
Billings West Internal Medicine, Billings, MT 1992 – 1993
Medical Office Assistant
§ Filed patient charts and created well cards for patients.
§ Directly assisted office manager with office management tasks.
2. TIFFANIE CHOSA
3701 White Bud Court • Flower Mound, TX 75028 • 404-713-3031 • tiffchosa@yahoo.com
ADDITIONAL PROFESSIONAL EXPERIENCE
EOA Digital, Atlanta, GA – First Engineer / Personalized Trainee 2007 – 2013
First Engineer / Personalized Trainee
§ Recorded live musical compositions, produced EPs, albums, and records for various artists in various genres.
§ Recognized by artists and record labels for achievements – billboard placements and various song nominations.
Hillside Vista, Kennesaw, GA – Leasing / Marketing Specialist 2011 – 2012
Leasing / Marketing Specialist
§ Created detailed marketing strategies, handled sales, and provided top-notch customer service.
Apartment Management, Billings, MT 2001 – 2003
Manager / Customer Service
§ Interacted directly with prospective and current residents to accomplish maximum occupancy.
PROFESSIONAL REFERENCES
Paul Gasparro Alicia Smith
Chief Engineer Law Enforcement
(404) 713-3239 (503) 686-0502