Brandon Day
Beloit,WI
Overview
14
14
years of professional experience
Work History
A/R Quality Specialist
CorroHealth
08.2020 - Current
- Review follow up on claims to ensure payment is pursued efficiently and urgently
- Track trends from errors to provide feedback on how to improve claims progression
- Assist in training new auditors and cross-training with other departments
- Identify issues with software for improvement of processes
Accounts Receivable Clerk
Rosecrance Health Network
02.2019 - 08.2020
- Collect on outstanding balances from public insurance and self pay
- Research open client balances by reviewing claim status/denials via payer website/phone reps
- Identify and track payer denial trends and partake in payer/provider calls to resolve outstanding issues
- Monitor self pay payment plans, adjust balance for discounts/patient assistance, and update patient accounts based on address changes/return mail
- Answer account questions/take payments from client/family via phone
Client Coordinator
Network Medical Review/Examworks
08.2018 - 11.2018
- Organize/route questions and medical records for peer review cases to reviewing physicians
Customer Service Rep
Cobalt MedPlans
04.2018 - 08.2018
- Provide details on member benefits requested via phone
Claims Examiner
Firstsource
03.2016 - 04.2018
- Process/adjudicate health insurance claims based on client guidelines
- Perform audits on processed claims and new examiner claims prior to release
- Assist other examiners in learning unfamiliar claim types
Quality Assurance Analyst
Data Dimensions
05.2013 - 03.2016
- Reviewed/corrected documents converted to digital format pre/post conversion
Customer Support
Practice Velocity
03.2010 - 05.2013
- Provided support and training to clients related to use of billing functions of software
- Worked with clearinghouse on issues regarding claim rejections/electronic remittance
Education
Bachelor's - Technical Management (Health Services Management)
DeVry University
Elgin, ILAssociate - IT Micro Programmer Specialist
Blackhawk Technical College
Janesville, WIAssociate - IT Network Specialist
Blackhawk Technical College
Janesville, WISkills
- MS Excel/Spreadsheets
- MS Outlook
- MS Word
- MS Teams
- Problem Solving
- Identifying Trends and Discrepancies
- Quality Control
- Training
- Analyze Data
Timeline
A/R Quality Specialist
CorroHealth
08.2020 - Current
Accounts Receivable Clerk
Rosecrance Health Network
02.2019 - 08.2020
Client Coordinator
Network Medical Review/Examworks
08.2018 - 11.2018
Customer Service Rep
Cobalt MedPlans
04.2018 - 08.2018
Claims Examiner
Firstsource
03.2016 - 04.2018
Quality Assurance Analyst
Data Dimensions
05.2013 - 03.2016
Customer Support
Practice Velocity
03.2010 - 05.2013
Bachelor's - Technical Management (Health Services Management)
DeVry University
Associate - IT Micro Programmer Specialist
Blackhawk Technical College
Associate - IT Network Specialist
Blackhawk Technical College
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