Tiffany Braxton

Financial Authorization Associate | New York, New York, United States

Professional Overview

Tiffany Braxton is a seasoned healthcare finance professional with over 12 years of experience in medical billing, claims processing, and client services. As a Financial Authorization Associate at Mount Sinai Health System, she plays a crucial role in ensuring the accurate and timely authorization of patient financial services, contributing to the organization's revenue cycle management. Additionally, Tiffany serves as a Billing Team Lead at Revex Healthcare, where she oversees a team of medical billers and specialists, driving process improvements and enhancing operational efficiency.

Experience Summary

Current Roles

Financial Authorization Associate, Mount Sinai Health System (2022-10-01 to Present)

• Responsible for processing and authorizing financial services for patients, ensuring compliance with payer guidelines and regulations

• Collaborates with cross-functional teams to resolve complex billing issues and optimize the revenue cycle

• Provides training and guidance to support staff, fostering a culture of continuous improvement

Billing Team Lead, Revex Healthcare (2020-08-01 to Present)

• Manages a team of medical billers and specialists, overseeing daily operations and driving process optimization

• Implements strategies to improve billing accuracy, reduce denials, and enhance revenue recovery

• Serves as a subject matter expert, providing technical guidance and mentoring to team members

Career Progression

Medical Biller and Denials Specialist, Revex Healthcare (2019-09-01 to 2020-08-01)

• Expertly analyzed and resolved complex medical billing issues, reducing the denial rate by 12% in the first year

• Collaborated with insurance providers to appeal denied claims, successfully overturning 30% of denials

Billing Coordinator, ORTHOSERVE LIMITED (2019-03-01 to 2019-09-01)

• Streamlined billing processes, resulting in a 20% reduction in billing cycle time

• Trained and mentored new team members, contributing to their professional development

DME Biller and Collection Specialist, INFUSION OPTIONS, INC. (2018-03-01 to 2019-03-01)

• Specialized in durable medical equipment (DME) billing, improving first-pass claim approval rates by 18%

• Proactively managed the collection process, reducing the company's accounts receivable by 15%

Academic Background

Tiffany holds an Associate's degree in Business Administration from New York City College of Technology, where she graduated with honors.

Areas of Expertise

• Medical billing and claims processing

• Revenue cycle management

• Payer policy and regulations

• Denials management and appeals

• Team leadership and training

• Process optimization and improvement

Professional Impact

• Developed and implemented a new billing workflow that increased first-pass claim approval rates by 22%

• Spearheaded a cross-functional initiative to streamline the authorization process, reducing turnaround time by 30%

• Recognized as a subject matter expert, providing valuable insights and recommendations to improve the organization's revenue cycle performance

Conclusion

With her extensive experience, industry expertise, and proven track record of success, Tiffany Braxton is a highly valuable asset to the healthcare finance industry. Committed to continuous improvement and client-centric service, she is poised to make a significant impact in her current and future roles, driving operational excellence and contributing to the financial well-being of healthcare organizations.