Summary
Overview
Work History
Education
Skills
References
Timeline
Receptionist
BRANDILYN RED

BRANDILYN RED

Benton,AR

Summary

Seek employment within an organization that will utilize my background and experience to their advantage. I am quick to learn, decisive, motivated, resourceful, competitive but team oriented with an amiable personality.

Overview

29
29
years of professional experience

Work History

Store Manager in Training

CIRCLE K
Benton , AR
02.2021 - Current
  • Managed the day-to-day operations of the store, including customer service, inventory management and staff scheduling.
  • Supervised a team of employees and provided ongoing training to ensure high levels of customer satisfaction.
  • Maintained accurate records of all transactions, stock levels and employee performance metrics.
  • Resolved customer complaints in a timely manner and addressed any issues that may arise during store hours.
  • Oversaw daily cash handling procedures, reconciling discrepancies as necessary.
  • Assisted in recruiting efforts by interviewing candidates for open positions in the store.
  • Answered customer questions and addressed problems and complaints in person and via phone.
  • Completed frequent walk-throughs and directed team members to correct issues impacting store appearance or professionalism.
  • Handled scheduling for store shifts to achieve adequate staffing.
  • Maintained inventory by checking merchandise to determine levels.
  • Oversaw aspects of maintenance, inventory and daily activity management.
  • Interviewed and vetted job applicants to make effective hiring decisions and fill vacancies with strong team members.

Medical Office Manager

BRYANT PSYCHOLOGY
Bryant, AR
03.2015 - 05.2017
  • In less than two years more than doubled clinic profits
  • Suggested, Implemented, and Set up new billing system that ensured fewer rejected claims and higher rate of return
  • Ordered supplies and equipment to maintain adequate inventory levels.
  • Coded and entered daily invoices with in-house accounting software.
  • Coordinated with insurance companies to verify coverage of services rendered.
  • Managed accounts receivable for the practice, ensuring timely payments from insurance companies and patients.
  • Handled telephone inquiries from patients regarding appointment scheduling or general questions about the practice's services.
  • Oversaw day-to-day operations of the front desk area to ensure efficient flow of patients through check-in and checkout processes.
  • Supervised patient billing, collection and financial counseling and assisted with cash posting.
  • Maintained and managed filing, chart keeping and organizational systems for practice.

Bookkeeping Administrative Assistant

EXPRESS READY AUTO
Benton, AR
03.2007 - 03.2015
  • Maintained accurate filing systems for all accounting records, including invoices, receipts and payments.
  • Processed customer payments accurately and timely according to company policies.
  • Verified accuracy of billing data and revised any errors prior to issuing invoices to customers.
  • Performed daily cash transactions such as deposits, withdrawals, transfers, ensuring accuracy of all records maintained in the general ledger system.
  • Managed vendor relations by responding promptly to inquiries regarding payment status or account balances.
  • Performed administrative tasks related to bookkeeping activities such as filing paperwork or updating databases.
  • Reviewed purchase documents and company receipts for reconciliation with statements.
  • Maintain sales records with payment details and invoices

Medical Billing and Collections Specialist

TEAGUE VISION CENTER
Little Rock, AR
05.2006 - 03.2007
  • Followed up on unpaid or denied claims in a timely manner.
  • Resolved billing discrepancies with insurance companies and patients.
  • Reviewed, coded, and submitted claims to insurance companies and government payers.
  • Verified patient insurance eligibility and coverage for medical services rendered.
  • Communicated with patients regarding payment plans, overdue balances, and collections issues.
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
  • Managed all payments processing, invoicing and collections tasks.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.

Medical Receptionist/Medical Billing Specialist

PLEASANT VALLEY OPTHALMOLOGY,
, AR
11.2004 - 05.2006
  • Greeted and checked in patients, updating patient information in computer system.
  • Verified insurance coverage for appointments and collected co-payments as required.
  • Answered incoming calls, responding to inquiries from patients and other medical offices.
  • Processed referrals for specialist care when requested by physicians or patients.
  • Checked patients in and out for appointments and collected co-payments.
  • Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files..
  • Protected patients by observing strict HIPAA guidelines.
  • Maintained patient accounts by obtaining, recording and updating personal and financial information.
  • Applied knowledge of medical terminology and insurance processes to support office administration productivity.
  • Gathered, transcribed and typed medical information into charts.

Hospital Precerifticaton/ Insurance Verification

ST VINCENT HOSPITAL, INS VERIFICATION
Little Rock, AR
10.2003 - 05.2004
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Verified benefits and pre-certed tests and procedures for St Vincent, St Vincent Doctors, and St Vincent North ( for all patients with last names M-R)
  • Coordinated care thru out the hospitals
  • Maintained close relationships with providers as well as insurance companies
  • Remained in constant contact with patients regarding their coverage and care
  • Assisted with customer requests and answered questions to improve satisfaction.

Precertification Specialist/Insurance Verification Specialist

ORTHOARKANSAS
, AR
08.1995 - 03.2003
  • Reviewed patient medical records to determine medical necessity for requested services and procedures.
  • Verified insurance eligibility, coverage levels, and benefit parameters prior to submission of precertification requests.
  • Compiled and submitted precertification requests for review by payers in accordance with established timelines.
  • Developed and maintained relationships with payer contacts to resolve complex issues quickly.
  • Processed appeals when necessary following denial or rejection of claims due to lack of proper authorization.
  • Ensured compliance with all HIPAA regulations pertaining to protected health information.
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Scheduled and confirmed patient appointments and consultations.
  • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Arranged hospital admissions for patients as required.

Asst Workers Comp Adjustor

ESIS
Little Rock, AR
10.1995 - 03.2003
  • Coordinated activities between multiple departments within the company.
  • Documented date, parties involved and specific details about incidents.
  • Identified and collected evidence and determined value to specific claim to properly assess conditions.
  • Obtained necessary information to complete proper evaluation of injury claims.
  • Communicated with personnel and legal counsel on claims involving litigation.
  • Gathered information from various third parties to determine claim acceptability.

Education

High School Diploma -

Mcclellan Magnet High School
Little Rock, AR
05.1994

Some College (No Degree) -

Pulaski Technical College
North Little Rock, AR

Skills

  • Customer Service
  • Microsoft Office Suite
  • Quickbooks
  • Bookkeeping
  • 10-Key Data Entry
  • Data Security and Confidentiality
  • Insurance Terminology
  • Medical Terminology
  • Coverage and Authorizations
  • Coordination and Scheduling
  • Medicaid Knowledge
  • Medical Billing
  • Financial Counseling
  • Referral Coordination
  • EMR Software
  • HIPAA Compliance
  • Insurance Verification
  • Co-Payment Collection
  • Microsoft Office
  • Claims Processing
  • Medical Billing and Collections
  • Billing and Invoicing
  • Insurance Pre-Certifications
  • Checking in Patients
  • Data Entry
  • Medical Coding
  • Retail Operations
  • Inventory Control
  • Performance Evaluations
  • Google Drive
  • Shift Scheduling
  • Patient Scheduling
  • UB-92 Billing Forms
  • Office Management
  • EHR Software
  • Cash Handling
  • Supply Ordering
  • Employee Scheduling
  • Message and Report Transcription
  • Insurance Authorizations
  • Scheduling Tests and Procedures
  • Patient Health Information Access
  • Patient Referral
  • CPT Coding
  • Medical Records Maintenance
  • Medicaid Billing Procedures
  • Administrative Support
  • Patient Billing
  • Appointment Scheduling
  • Experience within several medical fields such as: Ophthalmology, Psychology, Orthopedics, as well as temping positions within the Dental and Cardiology fields

References

REFERENCES AVAILABLE UPON REQUEST

Timeline

Store Manager in Training

CIRCLE K
02.2021 - Current

Medical Office Manager

BRYANT PSYCHOLOGY
03.2015 - 05.2017

Bookkeeping Administrative Assistant

EXPRESS READY AUTO
03.2007 - 03.2015

Medical Billing and Collections Specialist

TEAGUE VISION CENTER
05.2006 - 03.2007

Medical Receptionist/Medical Billing Specialist

PLEASANT VALLEY OPTHALMOLOGY,
11.2004 - 05.2006

Hospital Precerifticaton/ Insurance Verification

ST VINCENT HOSPITAL, INS VERIFICATION
10.2003 - 05.2004

Asst Workers Comp Adjustor

ESIS
10.1995 - 03.2003

Precertification Specialist/Insurance Verification Specialist

ORTHOARKANSAS
08.1995 - 03.2003

High School Diploma -

Mcclellan Magnet High School

Some College (No Degree) -

Pulaski Technical College

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BRANDILYN RED