Abigail Brown
Dayton,OH
Summary
Hardworking and dependable candidate with 2 years of experience in health insurance appeals seeking to further my professional development and gain new skills. I love making a difference and improving productivity and revenue!
Overview
6
6
years of professional experience
1
1
Certification
Work History
Denials Specialist
Kettering Health Network
09.2022 - Current
- Analyzing complex denials from government and commercial insurance payers to pursue accurate and timely recovery.
- Utilizing a variety of platforms in order to obtain retro authorization, appeal arguing medical necessity, send corrected claims with coding changes, and verify eligibility.
- Identifying trending issues and determining best practices to prevent further delay in payment.
- Staying up to date with ever-changing federal guidelines and individual payer policies to ensure efficient and up-to-date workflow.
Social Work Intern
Ohio Hospital For Psychiatry
08.2021 - 05.2022
- Conducted psychosocial assessment of all new patients.
- Facilitated and documented group therapy sessions.
- Planned patient discharges including scheduling follow up appointments, coordinating transportation, and making housing arrangements if needed.
- Collaborated with a multidisciplinary treatment team to ensure a whole person approach to care.
Certified Trainer
Raising Cane's
03.2020 - 08.2021
- Developed and implemented training programs that increased productivity and product quality.
- Completed progress assessments for new and current employees to help them reach their performance goals.
- Ensured employee compliance with corporate standard operating procedures.
Sales Associate
Justice Retail
03.2019 - 08.2019
- Efficiently handled cash and credit transactions through a point of sale system.
- Managed returns, exchanges and refunds in accordance with store policy.
- Provided training to new staff on sales techniques and store procedures, ensuring consistent customer service experience.
Busser
Chappy's Social House
04.2018 - 02.2019
- Ensured customer satisfaction by maintaining a clean and organized dining area.
- Provided exceptional customer service while assisting servers with carrying trays, delivering beverages, or attending to special requests from guests.
- Collaborated with other dining room and bar staff to facilitate efficient service.
Education
Bachelor of Science - Social Work
The Ohio State University
Columbus05.2022
High School Diploma -
West Carrollton High School
West Carrollton, OH05.2019
Skills
HIPAA Compliance
Customer Service
Attention to Detail
Microsoft Office
Computer Proficiency
CPT, HCPCS, and ICD-10 Coding
Certification
Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association
Timeline
Denials Specialist
Kettering Health Network
09.2022 - Current
Social Work Intern
Ohio Hospital For Psychiatry
08.2021 - 05.2022
Certified Trainer
Raising Cane's
03.2020 - 08.2021
Sales Associate
Justice Retail
03.2019 - 08.2019
Busser
Chappy's Social House
04.2018 - 02.2019
Bachelor of Science - Social Work
The Ohio State University
High School Diploma -
West Carrollton High School