Brandi Hoover
Farmington,NM
Summary
Well rounded professional backed by an Associates Degree and a full year of experience in medical coding and billing, insurance verification, and personal and polite communication with supervising managers, providers, 3rd party payers, and patients using policies, procedures, and guidelines to ensure reimbursement. Maintain compliant with HIPPA policies and procedures.
Overview
3
3
years of professional experience
Work History
Medical Billing Specialist
Pinon Family Practice
Farmington, NM
04.2025 - Current
- Processed medical claims using billing software such as Athena and AdvancedMD.
- Novitassphere (Medicare), YESNM (Medicaid), and commercial insurances such as Blue Cross Blue Shield, Presbyterian, United Healthcare (Commercial and Advantage/Supplement Plans) and many third party payers for timely submission and reimbursement.
- Reviewed patient accounts to ensure accurate coding and billing procedures for a fast pace Family Practice with more that a dozen providers and a functioning lab including patient portal visits and payments.
- Resolved discrepancies in billing statements through effective communication with insurance providers and patients with a friendly, non confrontational attitude to resolve issues.
- Assisted in maintaining compliance with healthcare regulations and billing guidelines. MedTrainer certified in HIPPA, OSHA, Fraud and Waste, and OIG Rules and Regulations.
- Analyze complex Explanation of Benefits forms to verify correct billing of insurance carriers and to explain to patients/insurance of their individual plans financial responsibility.
- Verified insurance of patients to determine eligibility.
Head Cook
NurtriMeals
Farmington, NM
10.2023 - 04.2025
- Cooked in bulk for a healthy food prep service.
- Responsible for cleaning, stocking, and maintenance of a full functioning food truck.
- Responsible for grilling, baking, and preparation of individual ready to eat healthy calorie reduced meals made fresh daily.
- Worked independently and also collaborated with other team members to have well prepared meals for individual sales and catering larger events.
Education
Associate of Science - Medical Coding And Billing
Ultimate Medical Academy
Tampa02-2025
Skills
- Medical Billing, ICD-10/HCPCS, CPT, Medicare/Medicaid
- Collections, EOB's, Posting Payments, Third Party Payers
- Co-pay, EHR, EMR, HMO, PPO
- Deductibles, Medical Terminology, Medical Office Procedures/Equipment
- Primary/Secondary Insurance, Commercial Insurances
Timeline
Medical Billing Specialist
Pinon Family Practice
04.2025 - Current
Head Cook
NurtriMeals
10.2023 - 04.2025
Associate of Science - Medical Coding And Billing
Ultimate Medical Academy