BOBBY BROWN
Youngstown,OH
Summary
I am an experienced, effective, and very motivated medical assistant with extensive clinical and administrative skills. With over 10 years of experience in the healthcare field I have built a strong understanding of medical office protocols, patient care, and patient documentation. Fierce believer in HIPAA compliance and patient privacy.
Overview
12
12
years of professional experience
Work History
Senior Reimbursement Specialist
Caremetx
Bethesda, Maryland
02.2024 - Current
- Maintained confidentiality and integrity of patient data.
- Provided training to new staff members on the reimbursement process and system operations.
- Assisted in developing strategies for improving operational efficiencies within the reimbursement department.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Maintained updated knowledge through continuing education and advanced training.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Drafted documents based on payer guidelines and submitted to necessary parties.
Reimbursement Case Manager
CareMetx
Bethesda, MD
08.2022 - 02.2024
- Maintained confidentiality and integrity of patient data.
- Researched rejections, investigating problems to appeal claims.
- Determined medical necessity, using individual insurance carrier regulations.
- Educated physicians, staff, patients and stakeholders on service documentation for procedures and coding requirements.
- Identified opportunities for coverage access to address reimbursement barriers.
- Verified clients insurance claims coverage by coordinating with providers.
- Adhered to corporate confidentiality guidelines and federal regulations in protecting patient data.
- Assisted with customer requests and answered questions to improve satisfaction.
- Coordinated support services and optimized communication between healthcare workers and patients.
Reimbursement Specialist
CareMetx
Bethesda, MD
11.2021 - 03.2022
- Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
- Organized charts, documents and supplies to maintain team productivity.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Verified technical reimbursement questions for providers, billing and coding staff.
- Drafted documents based on payer guidelines and submitted to necessary parties.
- Identified opportunities for coverage access to address reimbursement barriers.
- Attended seminars to remain up-to-date with coding guidelines and reimbursement requirements.
- Collected coinsurance and deductibles from patients for rendered services.
Call Center Sales Agent
Targeted Results
Gastonia, NC
05.2021 - 12.2021
- Answered inbound calls to provide information, answer questions or discuss payment options.
- Answered phones and took orders with enthusiasm and delivered information regarding items to customers.
- Identified consumer needs, clarified information and researched issues to provide alternative solutions.
- Completed paperwork within established guidelines to document consumer requests.
- Attended educational seminars and conferences to develop expertise and improve performance.
- Maintained accurate records of incoming calls in internal database.
Certified Medical Assistant
Pro Med Healthcare
Charlotte, NC
06.2013 - 12.2020
- Performed preliminary physical tests to accurately record results in patient history summary.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Organized charts, documents and supplies to maintain team productivity.
- Interviewed patients to verify information, record medical history and confirm purpose of visit.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Assessed, documented and monitored vital signs for patients within outpatient setting.
- Used medical software to process patient payments and update accounts.
- Collaborated with local pharmacies to resolve and clarify issues with patient medication.
- Efficiently performed insurance verification and pre-certification and pre-authorization functions.
- Scheduled appointments for patients via phone and in person.
- Educated patients about medications, procedures and physician's instructions.
Certified Medical Assistant
US HEALTHWORKS
Charlotte, NC
02.2015 - 06.2017
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Scheduled appointments for patients via phone and in person.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Educated patients about medications, procedures and physician's instructions.
- Organized charts, documents and supplies to maintain team productivity.
- Interviewed patients to verify information, record medical history and confirm purpose of visit.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
- Contributed to office operations by triaging patients by severity of medical complaint.
Certified Medical Assistant
Americare Health
Charlotte, NC
08.2012 - 06.2013
- Scheduled appointments for patients via phone and in person.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Educated patients about medications, procedures and physician's instructions.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
- Used medical software to process patient payments and update accounts.
Education
Bachelor of Science - Business Studies
Ohio University
Athens, OH01-2027
Certificate of Completion - Cybersecurity Specialist Program
MyComputerCareer.com
Raleigh, NC02.2021
Certification of Completion - Information Technology Security and Administration
MyComputerCareer
Charlotte, NC06.2020
Associates Degree - Applied Sciences and Medical
King’s College
Charlotte, NC10.2011
Some College (No Degree) - Criminology/Sociology
University of Akron
Akron, OHSkills
- HIPAA compliance
- Medical terminology
- Specimens collection and processing
- Patient scheduling
- Documentation procedures expert
- Advanced anatomy knowledge
- Understands medical procedures
- Charting expertise
- Data entry
- Venipuncture and phlebotomy
- Wound care and irrigation
- Clinical applications
- Script use
- Inbound and outbound calls
- Performance-driven
- Flexible
- Active listening
- People skills
- Clerical
- Medical data acquisition
- Critical decision-making skills
- CPR and First Aid
- Vital sign assessment
- Emergency management
- Defibrillation and resuscitation
- Troubleshooting
- Training delivery
- Strategic thinking
- Coaching and mentoring
- Resource management
- Work assignment delegation
- Relationship building
- Quality control
- Task delegation
Timeline
Senior Reimbursement Specialist
Caremetx
02.2024 - Current
Reimbursement Case Manager
CareMetx
08.2022 - 02.2024
Reimbursement Specialist
CareMetx
11.2021 - 03.2022
Call Center Sales Agent
Targeted Results
05.2021 - 12.2021
Certified Medical Assistant
US HEALTHWORKS
02.2015 - 06.2017
Certified Medical Assistant
Pro Med Healthcare
06.2013 - 12.2020
Certified Medical Assistant
Americare Health
08.2012 - 06.2013
Certificate of Completion - Cybersecurity Specialist Program
MyComputerCareer.com
Certification of Completion - Information Technology Security and Administration
MyComputerCareer
Associates Degree - Applied Sciences and Medical
King’s College
Some College (No Degree) - Criminology/Sociology
University of Akron
Bachelor of Science - Business Studies
Ohio University