Brandi Linger
Buckhannon,WV
Summary
Adept at medical coding and fostering positive patient experiences, I significantly enhanced workflow efficiency and reduced patient wait times at WVU Medicine. My expertise in insurance verification and exceptional customer service skills led to a decrease in claim denials, showcasing my ability to navigate complex healthcare environments with a results-driven approach.
Overview
12
12
years of professional experience
1
1
Certification
Work History
CMA/Insurance Specialist
WVU Medicine
01.2019 - Current
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Called and faxed pharmacies to submit prescriptions and refills.
- Provided compassionate care for patients, addressing their concerns and ensuring a positive experience.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Collected and documented patient medical information such as blood pressure and weight.
- Reduced wait times for patients by maintaining an organized schedule and swiftly preparing examination rooms.
- Educated patients on pre-surgery requirements, such as fasting protocols or medication adjustments, resulting in fewer complications on the day of the procedure.
- Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Maintained strict confidentiality in handling sensitive patient information, adhering to HIPAA guidelines and clinic policies.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Demonstrated adaptability in managing last-minute schedule changes while minimizing disruption to overall workflow.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Coordinated surgical team schedules for seamless procedure planning and execution.
- Updated patient records to reflect upcoming surgeries and medical histories.
- Maintained compliance with industry regulations by staying updated on coding changes and guidelines.
- Reduced claim denials by verifying patient eligibility and coverage details prior to submission.
- Provided exceptional customer service, assisting patients in understanding their insurance benefits and financial responsibilities.
CMA
Community Care of WV
09.2017 - 01.2019
- Called and faxed pharmacies to submit prescriptions and refills.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Assisted physicians with various procedures, ensuring comfort and accuracy for optimal patient outcomes.
- Facilitated continuity of care through proper scheduling of follow-up appointments based on physician recommendations.
- Performed diagnostic tests accurately, contributing to swift diagnosis and appropriate treatment options.
- Obtained client medical history, medication information, symptoms, and allergies.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Completed EKGs and other tests based on patient presentation in office.
CMA/Medical Insurance Specialist
WVU Medicine
09.2012 - 09.2017
- Contributed to positive relationships with insurance companies through consistent follow-up and prompt issue resolution.
- Created sources for continuous client referrals within community and with businesses using extensive networking skills.
- Monitored customer feedback and identified areas of improvement.
- Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
- Followed up on denied claims to verify timely patient payment and resolution.
Education
Associate of Science - Medical Coding
West Virginia Junior College - Morgantown
Morgantown, WV12.2024
Associate of Science - Medical Assisting
West Virginia Junior College - Morgantown
Morgantown, WV08.2012
Skills
- Insurance Verification
- Anatomy knowledge
- Medical Coding
- Private Insurance Policies
- Customer Service
- Medical record review
- Quality assurance checks
- Medical terms and procedure knowledge
- Medical Terminology
- Critical Decision-Making
- Telephone Etiquette
- Problem-Solving
- Time Management
Certification
- CMA - Certified Medical Assistant
Timeline
CMA/Insurance Specialist
WVU Medicine
01.2019 - Current
CMA
Community Care of WV
09.2017 - 01.2019
CMA/Medical Insurance Specialist
WVU Medicine
09.2012 - 09.2017
Associate of Science - Medical Coding
West Virginia Junior College - Morgantown
Associate of Science - Medical Assisting
West Virginia Junior College - Morgantown
Similar Profiles
Sara AbelSara Abel
Office Manager at WVU Medicine, Community WVU MedicineOffice Manager at WVU Medicine, Community WVU Medicine
Timothy FieldsTimothy Fields
Lead Operations Pharmacy Technician at WVU Medicine/ WVU HospitalsLead Operations Pharmacy Technician at WVU Medicine/ WVU Hospitals
Sheyanne WestSheyanne West
Registration Specialist at WVU Medicine Wetzel Family MedicineRegistration Specialist at WVU Medicine Wetzel Family Medicine
Sherry Saunders RNSherry Saunders RN
Clinical Registered Nurse at WVU Medicine Wheeling Hospital Family Medicine CenClinical Registered Nurse at WVU Medicine Wheeling Hospital Family Medicine Cen
Martha ShawMartha Shaw
CCA at UBCCCA at UBC