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TONYA Y. BRIGGS-DANIELS, MA-CMA, MAA-CMRS, CPC-A
60 Downing St., Buffalo, NY 14220 (716)-908-1731 ybdaniels@live.com
Objective:
Heath care professional utilizing education, skills and realworld experiences assist with administrative
billing, coding and clinical settings. Offer continuing education and advancement of all credentials.
Education:
Bryant & Stratton College Orchard Park,NY 14127
Associates Degree of Applied Science for Medical Administrative Assistant April 2012
Associates Degree of Applied Science for Medical Assistant January 2012
Professional Certifications & Memberships:
Certified Medical Reimbursement Specialist May 2012
Certified Medical Assistant December 2012
AAPC-WNY Chapter June 2013
American Medical Billing Association May 2012
West New York Chapter for MAA January 2012
American Association Medical Assistants November 2010
Bryant and Stratton College Allied Heath January 2010
Qualifications & Skills:
 Medical Assistant-CMA  MOSS/MEDENT/MEDI-SOFT
 Medical Admin Assistant-CMRS/Billing  Electronic Medical/Health Records
 MAA-Coder/CPC-A  HEALTHENET/EPACES
 HIPAA/CPR  Medical Terminology
 Mandate Reporter/Child Abuse  Medical Office Setting
 Medical Transcription/Documentation  MS Professional Series 2010
 Medical Laboratory  Clinical Procedures
 Phlebotomy  EKG’s/X-ray
 Medical Claims Analysis  Insurance Benefits Consultant
 Registration/ Ins. Verification  Scheduling/ Admissions
 ICD-9, CPT,HCPCS
 Mesta/Am net/Vista/CPRS/EDIS/Bio-Point
 Claims Adjustments/Processing
 NPI Pecos Credentialing
Work Experience:
Dept. of Veterans Affairs-Emergency Department 12/2014-4/2015
34495 Bailey Ave. Buffalo, NY 14215
Medical Support Assistant
 Triage greeter and appointment scheduler using VISTA, CPRS, EDIS and BIO-POINT
 Main desk insurance verification secretary, demographics, update income status, marital
status during the registration process.
 Submitted orders for doctors, nurses, residents and pharmacy pickups.
 Transported patients to various clinics and units, vital signs, answer multi-phone lines with
daily hospital interaction using customer service etiquette.
 Operated federal government applications utilizing both pc computers and hub-around
medical computers when handling bedside registration.
 Patient education, medical records, along with email responses within a 30 minutes window
between provider and staff.
 Admissions within the VA hospital and Transfers between other VA facilities as well the
private sector.
American Home Patient 3/2014-7/2014
3556 Lakeshore Rd. Hamburg, NY 14219
Supporting Doc/Billing Specialist
 Enter Patient Demographics while submitting daily Charge Entry for DME devices and
supplies with Billing and Coding.
 Insurance/Patient Payment Posting~~Post EOB’s and ERA’s, Balancing Insurance Logs and
Reconciliations’ along with NPI Pecos credentialing checks/posts.
 Responsible for Aging Report being kept under 60 days.
 Claims Management~~Print/Mail or Fax paper claims, Submit Electronic claims, Level 1-2
Reports Rejections, Appeals and Resubmission through Clearinghouse, Hold Revenue
adjustments.
 Mandatory email response within 24 hours between client/provider and office staff.
 Bi-weekly reports of all outstanding claims and Month End reports all incoming
revenue/inventory stats.
Selective Staffing Agency-Roswell Park Cancer Institute
1775 Wherle Dr. Amherst, NY 14226 10/2013-1/2014
Patient Access Representative
 Daily hospital experience interaction with excellent phone/patient etiquette.
 Responsible for registering patients, updating demographic backgrounds, insurance
verifications along with referral requests and admissions scheduling.
 Organizing files and entering orders into EMR software with Billing and Coding
 Preparing patient packets for follow ups, consults and admissions
 Customer Service and handling miscellaneous clerical duties
 Proficient in Microsoft Office 2010 – Word, Excel and OUTLOOK.
 Detail oriented, multi-tasking abilities and strong organizational skills
Rose International Inc.-Aetna, Amherst, NY 6/2013-7/2013
3225 W. Truman Blvd. Jefferson City, MO 65109
CSR-Claims/benefits
 CSI software access provider/member accounts, PHI with HIPAA SECURITY,consultation
 Claims analysis, benefit inquiries, transcription, claim status,insurance verification, pre-
determinations
 Pre-certification, medical terminology, medical office setting/ call center,billing, SELF-FUNDING.
INTERNSHIPS/ VOLUNTEER:
R Joys & Services 4/2011-present
Lackawanna, NY 14218
Medical Administrative Assistant
 Handle the billing and coding for the business office while assisting with patient care.
 Conduct interviews for potential interns.
 Patient scheduling, medical records and collections.
 Insurance verification of HMO’s and self-funding policies.
 Claims processing while handling the Medical Transcription on a part time basis, along with
providing patient education.
 Revenue reports with Aging, and Reconciliations.
PHYMEDCO 1/2012-4/2012
North Tonawanda, NY
Medical Administrative Assistant/ Billing & Coding Internship
 MEDENT overview/training, medical charge entry, manual/Auto payment posting, workers
compensation provider collection, charge adjustments, AR follow-up appeals, claims status utilizing
internet, collections of unpaid claims, medical transcription and EOB scanning, demographic data
entry and insurance entry, billing statements and coding with participation.
Drs.’ Anthony and Joseph Divencentis-Podiatry 9/2011-12/2011
Buffalo, NY; Orchard Park,NY
Medical Assistant/Administrative & Clinical Internship
Drs.’ Robert and Jennifer Erickson-Family Practice 9/2011-12/2011
Orchard Park,NY 14127
Medical Assistant/Administrative & Clinical Internship
 Patient care,answer phones, filing, assist with surgical procedures,x-rays, scheduling, billing and
coding, lab work, patient check in/out, co-payments and insurance verification/authorizations.
 Progress notes, EHR/ EMR triage, spirometer testing, EKG’S, observation ear irrigations, vital signs,
patient history, patient education, patient check in/out, telephone triage.
Past-WORK EXPERIENCE:
2005-10: Administration Assistant/Reception
General Auto Sales & Service
1510-b Orchard Park Rd. West Seneca, NY 14224
*Filing, AP/AR, collections, vehicle registrations, test-driving vehicles, bank
deposits, insurance verification/claims, reconciliations, bookkeeping.
2004-05: Receptionist
Benderson Development Company Inc.
570 Delaware Ave. Buffalo, NY 14202
*Answering phones, Ups shipment, mailroom services, filing, greeting clients.
2000-02 Certified Nursing Assistant
Erie County Home
11580 Walden Ave. Alden, NY 14004
* Daily activity, feeding, bathing, vital signs, answering phones, HIPPA.
1997-2000 Funds Transfer Operators
Kelly Services, Inc. (Temporary Agency)
500 Corporate Pkwy., Amherst, NY 14226
* Wire transfers, logistics, Customer service, scheduling, recruiting, AP/AR, call-
center multi-phone lines.
1993-1997 CNA/HHA/DDSD/PCA
Staff Builders, 51 Huron St. Buffalo, NY 14202
Nurse finders, 255 Delaware Ave. Buffalo, NY 14202
*Residential care and facility care, vital signs, charting and filing, bathing,
feeding, In-home care.

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Resume2014med-10-2015

  • 1. TONYA Y. BRIGGS-DANIELS, MA-CMA, MAA-CMRS, CPC-A 60 Downing St., Buffalo, NY 14220 (716)-908-1731 ybdaniels@live.com Objective: Heath care professional utilizing education, skills and realworld experiences assist with administrative billing, coding and clinical settings. Offer continuing education and advancement of all credentials. Education: Bryant & Stratton College Orchard Park,NY 14127 Associates Degree of Applied Science for Medical Administrative Assistant April 2012 Associates Degree of Applied Science for Medical Assistant January 2012 Professional Certifications & Memberships: Certified Medical Reimbursement Specialist May 2012 Certified Medical Assistant December 2012 AAPC-WNY Chapter June 2013 American Medical Billing Association May 2012 West New York Chapter for MAA January 2012 American Association Medical Assistants November 2010 Bryant and Stratton College Allied Heath January 2010 Qualifications & Skills:  Medical Assistant-CMA  MOSS/MEDENT/MEDI-SOFT  Medical Admin Assistant-CMRS/Billing  Electronic Medical/Health Records  MAA-Coder/CPC-A  HEALTHENET/EPACES  HIPAA/CPR  Medical Terminology  Mandate Reporter/Child Abuse  Medical Office Setting  Medical Transcription/Documentation  MS Professional Series 2010  Medical Laboratory  Clinical Procedures  Phlebotomy  EKG’s/X-ray  Medical Claims Analysis  Insurance Benefits Consultant  Registration/ Ins. Verification  Scheduling/ Admissions  ICD-9, CPT,HCPCS  Mesta/Am net/Vista/CPRS/EDIS/Bio-Point  Claims Adjustments/Processing  NPI Pecos Credentialing Work Experience: Dept. of Veterans Affairs-Emergency Department 12/2014-4/2015 34495 Bailey Ave. Buffalo, NY 14215 Medical Support Assistant  Triage greeter and appointment scheduler using VISTA, CPRS, EDIS and BIO-POINT  Main desk insurance verification secretary, demographics, update income status, marital status during the registration process.  Submitted orders for doctors, nurses, residents and pharmacy pickups.  Transported patients to various clinics and units, vital signs, answer multi-phone lines with daily hospital interaction using customer service etiquette.  Operated federal government applications utilizing both pc computers and hub-around medical computers when handling bedside registration.  Patient education, medical records, along with email responses within a 30 minutes window between provider and staff.  Admissions within the VA hospital and Transfers between other VA facilities as well the private sector.
  • 2. American Home Patient 3/2014-7/2014 3556 Lakeshore Rd. Hamburg, NY 14219 Supporting Doc/Billing Specialist  Enter Patient Demographics while submitting daily Charge Entry for DME devices and supplies with Billing and Coding.  Insurance/Patient Payment Posting~~Post EOB’s and ERA’s, Balancing Insurance Logs and Reconciliations’ along with NPI Pecos credentialing checks/posts.  Responsible for Aging Report being kept under 60 days.  Claims Management~~Print/Mail or Fax paper claims, Submit Electronic claims, Level 1-2 Reports Rejections, Appeals and Resubmission through Clearinghouse, Hold Revenue adjustments.  Mandatory email response within 24 hours between client/provider and office staff.  Bi-weekly reports of all outstanding claims and Month End reports all incoming revenue/inventory stats. Selective Staffing Agency-Roswell Park Cancer Institute 1775 Wherle Dr. Amherst, NY 14226 10/2013-1/2014 Patient Access Representative  Daily hospital experience interaction with excellent phone/patient etiquette.  Responsible for registering patients, updating demographic backgrounds, insurance verifications along with referral requests and admissions scheduling.  Organizing files and entering orders into EMR software with Billing and Coding  Preparing patient packets for follow ups, consults and admissions  Customer Service and handling miscellaneous clerical duties  Proficient in Microsoft Office 2010 – Word, Excel and OUTLOOK.  Detail oriented, multi-tasking abilities and strong organizational skills Rose International Inc.-Aetna, Amherst, NY 6/2013-7/2013 3225 W. Truman Blvd. Jefferson City, MO 65109 CSR-Claims/benefits  CSI software access provider/member accounts, PHI with HIPAA SECURITY,consultation  Claims analysis, benefit inquiries, transcription, claim status,insurance verification, pre- determinations  Pre-certification, medical terminology, medical office setting/ call center,billing, SELF-FUNDING. INTERNSHIPS/ VOLUNTEER: R Joys & Services 4/2011-present Lackawanna, NY 14218 Medical Administrative Assistant  Handle the billing and coding for the business office while assisting with patient care.  Conduct interviews for potential interns.  Patient scheduling, medical records and collections.  Insurance verification of HMO’s and self-funding policies.  Claims processing while handling the Medical Transcription on a part time basis, along with providing patient education.  Revenue reports with Aging, and Reconciliations.
  • 3. PHYMEDCO 1/2012-4/2012 North Tonawanda, NY Medical Administrative Assistant/ Billing & Coding Internship  MEDENT overview/training, medical charge entry, manual/Auto payment posting, workers compensation provider collection, charge adjustments, AR follow-up appeals, claims status utilizing internet, collections of unpaid claims, medical transcription and EOB scanning, demographic data entry and insurance entry, billing statements and coding with participation. Drs.’ Anthony and Joseph Divencentis-Podiatry 9/2011-12/2011 Buffalo, NY; Orchard Park,NY Medical Assistant/Administrative & Clinical Internship Drs.’ Robert and Jennifer Erickson-Family Practice 9/2011-12/2011 Orchard Park,NY 14127 Medical Assistant/Administrative & Clinical Internship  Patient care,answer phones, filing, assist with surgical procedures,x-rays, scheduling, billing and coding, lab work, patient check in/out, co-payments and insurance verification/authorizations.  Progress notes, EHR/ EMR triage, spirometer testing, EKG’S, observation ear irrigations, vital signs, patient history, patient education, patient check in/out, telephone triage. Past-WORK EXPERIENCE: 2005-10: Administration Assistant/Reception General Auto Sales & Service 1510-b Orchard Park Rd. West Seneca, NY 14224 *Filing, AP/AR, collections, vehicle registrations, test-driving vehicles, bank deposits, insurance verification/claims, reconciliations, bookkeeping. 2004-05: Receptionist Benderson Development Company Inc. 570 Delaware Ave. Buffalo, NY 14202 *Answering phones, Ups shipment, mailroom services, filing, greeting clients. 2000-02 Certified Nursing Assistant Erie County Home 11580 Walden Ave. Alden, NY 14004 * Daily activity, feeding, bathing, vital signs, answering phones, HIPPA. 1997-2000 Funds Transfer Operators Kelly Services, Inc. (Temporary Agency) 500 Corporate Pkwy., Amherst, NY 14226 * Wire transfers, logistics, Customer service, scheduling, recruiting, AP/AR, call- center multi-phone lines. 1993-1997 CNA/HHA/DDSD/PCA Staff Builders, 51 Huron St. Buffalo, NY 14202 Nurse finders, 255 Delaware Ave. Buffalo, NY 14202 *Residential care and facility care, vital signs, charting and filing, bathing, feeding, In-home care.