Adriane Brown
Blue Springs,MO
Summary
Experienced Medical Customer Service, Billing, Insurance Verification, and Data Entry professional with excellent listening, oral, and written communication skills. Comfortable interacting with colleagues and clients while working in a team environment or independently. Excellent problem solving and analytical skills as well as attention to detail. Able to make decisions independently and quickly with minimal escalations.
Overview
6
6
years of professional experience
Work History
Owner, Chef
Fit Foodie Meal Prep and Fitness LLC
10.2018 - Current
- Maintain records and awareness of unique dietary restrictions or allergies of personnel, accommodating needs in meal preparation.
- Develop and maintain strong relationships with clients, resulting in repeat business and referrals.
- Complete all hot and cold food assignments to meet deadlines for meal preparation.
- Manage financial aspects of business, including budgeting, financial reporting, and tax preparation
- Sanitize meal preparation areas and washed hands frequently to promote hygienic and sanitary practices.
Billing Specialist
Wound Care Plus
08.2022 - 02.2024
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding. Increased overall efficiency of billing department by regularly auditing internal procedures and suggesting improvements.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Reimbursement Case Manager
Aerotek-Trial Card
10.2020 - 09.2021
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
Patient Care Representative
Ciox Health
02.2018 - 10.2018
- Improved patient care by maintaining accurate and up-to-date medical records.
- Reviewed charts and flagged incomplete or inaccurate information.
- Managed secure transfer of medical records between facilities, ensuring proper adherence to privacy regulations and patient confidentiality guidelines sing EMR systems.
- Maintained compliance with HIPAA regulations through thorough staff training and continuous monitoring of security protocols surrounding patient data management.
- Provided outstanding customer service to patients requesting copies of their medical records or seeking assistance with related inquiries.
- Coordinated responses to subpoenas and other legal requests for medical records, working closely with legal counsel as necessary to protect patient privacy rights.
- Processed medical records requests from outside providers according to facility, state, and federal law.
Education
Certification - Medical Billing And Coding
Anthem College
Kansas City, MO02.2011
Skills
- Medicare and Medicaid
- Medical Records Maintenance
- Telephone Etiquette
- Medical billing and coding
- Insurance Verification
- Health Information Systems
- Analytical Thinking
- Data Entry and Review
- HIPAA Compliance
- Medical Terminology
- Customer Service
- Proficient in Microsoft Office
Timeline
Billing Specialist
Wound Care Plus
08.2022 - 02.2024
Reimbursement Case Manager
Aerotek-Trial Card
10.2020 - 09.2021
Owner, Chef
Fit Foodie Meal Prep and Fitness LLC
10.2018 - Current
Patient Care Representative
Ciox Health
02.2018 - 10.2018
Certification - Medical Billing And Coding
Anthem College
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