Summary
Overview
Work History
Education
Skills
Experience
Timeline
Generic

Brandi M Basua

Port Hueneme,CA

Summary

Seeking a role that challenges and provides career advancement.

Experienced with patient care coordination, including assessment and planning of individualized care. Utilizes effective communication and organizational skills to ensure continuity of care. Track record of supporting patient needs and improving care processes through teamwork and problem-solving.

Overview

28
28
years of professional experience

Work History

Contact Center Care Coordinator

Gold Coast Health Plan
01.2024 - Current
  • Duties, Customer Service and support to members, caregivers and healthcare professionals
  • Proficient and familiar with GCHP EHR and CRM Software
  • Provide information about eligibility, benefits, authorization status and claim status to serve members and healthcare professionals in a professional manner.
  • Ability to multitask, prioritize tasks, work in fast paced environment
  • Strong communication skills, both verbal and written, with the ability to convey information clearly, document member interactions and maintain accurate records in the systems database.
  • Experience with Medi-Cal guidelines and health insurance rules and regulations

Revenue Integrity Analyst

Dignity Health- St John’s Regional Medical Center
01.2010 - 01.2023
  • Duties, Accomplishments and Related Skills: Revenue Analyst for Interventional Cardiovascular, Radiology and Neuro-vascular departments with 15+ years’ experience in the areas of Imaging. Skilled in charge capture in areas related to CPT/HCPCS/ DRG hospital coding and reimbursement for inpatient/outpatient billing.
  • Maintain constant communication with staff, internal management, medical professionals and outside client vendors in order to comply with hospital policies.
  • Annotated coding for medical procedures and mandatory supply charge codes required.
  • Competent in the processes of coding guidelines and coding techniques (ICD-9, CPT-4, and HCPCS.
  • Compiled data for timekeeping, staff evaluations, daily productivity, maintaining inventory of supplies and products.
  • Compiling, analyzing and researching issues on revenue data.
  • Performed reviews in verifying, compiling and adjusting charges.
  • Prepared reports relating to gross revenue, charge audit status, department charge entry reconciliations and coordinates data requests for financial reporting and statistical tracking.
  • Oversaw maintenance of the Chargemaster, including additions, changes and deletions.
  • Performed reviews and analysis of RVU recommendations, changes and identified improvements.
  • Monitored the charge capture process for multiple departments.
  • Reviewed revenue reconciliation reports, DFNB reports, NCCI edits, identify late charge trends and make required corrections.
  • Served as primary resource for all CPT coding and billing and charge entries acted as the liaison with finance team, physician billing companies and hospital admitting coordinators.
  • Assisted in internal investigations related to billing compliance issues as identified.
  • Assisted with creation of new service lines with development of charge master CDM pricing standards and the development of charge capture processes and order entry into EHR systems.
  • Assisted in preparing meeting minutes and correspondence.
  • Interacted with employees, outside regulatory agencies, physicians, and DH counterpart colleagues.
  • Organized team building events, Medical Grand Rounds CME, Steering Committee
  • Administrative coordinator to director of diagnostic imaging.
  • Regularly attended yearly CPT seminars for updates.
  • Provided statistical data related to physician credentials.
  • Acted as a liaison when converting to a new EHR System for billing, scheduling and order entry in (Cerner) RadNet, CareNet, PowerChart.
  • Skilled in Multiple computer applications.
  • Served as department administrative assistant scheduling medical procedures answering phones, performing other duties as assigned.

Medical Office Secretary

Cardiology Associates Medical Grp
01.2002 - 01.2007
  • Duties, Accomplishments and Related Skills:
  • Appointment scheduling in a high volume multi group setting.
  • Maintained contact with physician’s and management concerning scheduling conflicts, meetings and seminars basic office practices.
  • Developed customer relations with clients, vendors and medical professionals.
  • Abroad knowledge regarding office practices.
  • Coordinated patient plan of care to include examining of medical charts to subsequently determine visits, diagnostic testing and follow up.
  • Communicated with various health plans to determine eligibility status. Coordinate of staff meetings, in-services, luncheons.

Medical Office Receptionist

Cabrillo Cardiology Medical Group
01.1997 - 01.2001
  • Duties, Accomplishments and Related Skills:
  • Answering, placing and receiving calls.
  • Patient intake and registration.
  • Scheduling medical procedure appointments.
  • Verify patient insurance.
  • Message dissemination.
  • Knowledge of insurance company’s processes and procedures.
  • Logging and tracking of dictation.
  • Filing of correspondence.
  • Maintaining inventory of medical and office supplies.
  • Purchasing of medical and office supplies.
  • Coordinating and scheduling meetings and events.

Education

Certified Professional Coder CPC, Certified Professional Biller CPB - Medical Coding and Billing Certification

AAPC

General Education - Child Development Certificate

Oxnard Community College
Oxnard, Ca
01.1994

Diploma -

Oxnard High School
Oxnard, Ca
06.1993

Skills

  • Computer Literacy: In-depth knowledge and ability to use computers and related technology efficiently with skill Proficient in MS Word, MS Excel, SharePoint, Cerner, Meditech, Epic and other medical EHR AND CRM software systems
  • Communication (Oral/Written): Excellent interpersonal skills Demonstrated ability to collaborate with others Treat others with courtesy, compassion, sensitivity, and respect Consider and respond appropriately to the needs and feelings of different people in different situations Ability to write and communicate in a clear, concise, organized manner
  • Problem Solving: Demonstrated ability to identify and analyze problems; weigh relevance and accuracy of information using critical thinking skills; generate and evaluate alternative solutions and make recommendations
  • Customer Service: Provide excellent support to a myriad of medical professionals and outside entities by answering customer questions through in-person, phone, email, chat, and social interactions

Experience

  • A demonstrated history of working in the medical field as a Revenue Analyst, Billing/claims processing.
  • Skilled in billing and charge entry for cardiovascular and radiological coding to annotate coding of diagnostic and Interventional imaging service lines and medical supply charges. In depth knowledge and familiarity with medical terminology, anatomy & physiology. Strong background in planning, leading and managing billing processes with staff.
  • Skilled in assessing and implementing long term strategic goals and development of metrics. Demonstrated integrity, honesty, accountability and ability to remain flexible, learn, read, reason, self-manage, and promote teamwork in a high stress, rapidly moving environment.

Timeline

Contact Center Care Coordinator

Gold Coast Health Plan
01.2024 - Current

Revenue Integrity Analyst

Dignity Health- St John’s Regional Medical Center
01.2010 - 01.2023

Medical Office Secretary

Cardiology Associates Medical Grp
01.2002 - 01.2007

Medical Office Receptionist

Cabrillo Cardiology Medical Group
01.1997 - 01.2001

General Education - Child Development Certificate

Oxnard Community College

Certified Professional Coder CPC, Certified Professional Biller CPB - Medical Coding and Billing Certification

AAPC

Diploma -

Oxnard High School

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