Summary
Overview
Work History
Education
Skills
Timeline
Generic
Belinda Stuart

Belinda Stuart

Medical Claims Analysts
Kathleen,GA

Summary

Multi-faceted extensive experience in medical, clinical, claim management. I am grateful for the opportunity to interview with The Hartford, and given the position, I will support the team 110%. As a highly dedicated employee, I am a dependable and a quick learner, focused on organizational goals.

Dynamic and precise driven leader, successful at delivering key clinical support to internal and external customers, providing an efficiently paced office environment between multiple departments and staff members ranging from physicians to medical assistants and medical claims analysts, while maintaining personnel schedules, facility maintenance, and training.

Overview

34
34
years of professional experience

Work History

Lead Medical Office Analysts

The Ent Center of Central Georgia
Warner Robins , GA
06.2023 - Current

Facilitates efficient patient flow and optimal use of physicians' time, communicating changes to clinical staff; rapidly transferring patients through the appointment process. Maximize quality during capture/collection/accounting for billing accuracy with over 15 insurance companies, Medicaid and Medicare/replacements, supplements to support the treatment plans while meeting productivity expectations in multiple systems simultaneously.

  • Provide practice Account/Receivable goals by collecting all charges for which the patient is responsible, based on insurance benefits
  • Protect PHI privacy and security by maintaining confidentiality of medical and financial data received
  • Analyze medical and financial information to determine eligibility for benefits
  • Financial control inputs, providing receipts for all payments including co-pays, deductibles, outstanding balances and partial payment invoices
  • Enhanced office efficiency using Nextgen software, managing schedules, organizing files, and maintaining a methodical/orderly workspace
  • Obtain information from the claimant, employer, and medical provider(s) to make claim decisions
  • Manage financial tasks including invoicing, payments, expense tracking, and budget preparation to ensure accurate financial reporting
  • Developed and implemented comprehensive training aids sharing task knowledge for comprehensive documentation, outlining standard operating procedures for complex tasks

Co-owner/Office Manager

Media Brokers International
Alpharetta, GA
08.1999 - 06.2023
  • Led advertising sales team while providing clerical organization, phone sales, media planning and purchasing for all brands of merchandise
  • Office manager, ensuring proficiency through supply stock inventory, skilled in maintaining office supplies, incorporating fiscal responsibilities for maximum availability at minimal cost
  • Developed and maintained strong relationships with clients, resulting in repeat business and constant referrals
  • Streamlined operational processes to improve efficiency utilizing comprehensive software analysis for effective restructuring of business operations
  • Negotiated price and service with customers and vendors to decrease expenses and increase profit margins

Claims Analysts

Blue Cross Blue Shield of GA
Atlanta GA
03.1992 - 12.2001

BCBS liaison for Georgia State Health benefits coordinating efforts to ensure year to year contracts sustained.

  • Demonstrated a high level of accuracy and attention to detail in reviewing claims documentation for approval or denial decisions
  • Managed high-volume caseloads, prioritizing tasks to ensure timely completion of medical claims
  • Interacted with state purchasing officials and employees, cultivating positive working relationships
  • Enhanced customer satisfaction by resolving complex claims issues in a timely manner
  • Team lead for kidney transplant specialist team for authorizations, denials and appeals for both kidney recipient and donor

Education

High School Graduate -

Southwest High School
Macon, GA
05-1988

Skills

  • Facilitates treatment protocols, compliant with all insurance and medical regulations
  • Proficient in CPT, ICD-9, and HCPCS coding
  • Competent in Microsoft Edge to improve productivity and clarity
  • Time management expert, prioritizing tasks to ensure both corporate and patient requirements are punctual
  • Experienced in OneNote organization and planning
  • Performed in-depth analytical research for claims
  • Specialist with telephone and Teams customer interaction for insurance prior-auths, sales and collections
  • Analytical problem-solving for process improvement in efficiency and conflict resolution including claims denials and patients' understanding of benefits
  • Proficient in EHR, EMR and ModMed systems
  • Microsoft Outlook programs for scheduling and maintaining patients' appointments and medical charts

Timeline

Lead Medical Office Analysts

The Ent Center of Central Georgia
06.2023 - Current

Co-owner/Office Manager

Media Brokers International
08.1999 - 06.2023

Claims Analysts

Blue Cross Blue Shield of GA
03.1992 - 12.2001

High School Graduate -

Southwest High School
Belinda StuartMedical Claims Analysts