Summary
Overview
Work History
Education
Skills
Websites
Work Availability
Timeline
Hi, I’m

BRENDA BRANDT

Colorado Springs,CO
It is never too late to be what you might have been.
George Eliot
BRENDA BRANDT

Summary

I am an ambitious, dependable, detailed-oriented team player with applicable experience in numerous areas of expertise, derived from positions held in multiple areas of business. Successful at managing multiple priorities with a positive attitude. To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Strong, motivated, organized candidate with skills that allow me to adapt to all roles or tasks regardless of the position. I have a proven history in team leadership, training, and development initiatives. Known to encourage the development of cross-departmental collaboration to achieve company goals and provide excellent customer and patient services. Willingness to take on added responsibilities to meet team goals and readiness to help team achieve company goals.

Overview

5
years of professional experience

Work History

Retina Consultants of Southern Colorado
Colorado Springs

Authorizations • Collections • Medical Billing
12.2022 - Current

Job overview

  • Coding, billing, review delinquent accounts for collections, explanation of benefits (EOB) and explanation of payments (EOP), process and post payments, initiate refunds, and investigate denied claims
  • Reprocess claim denials from insurance carriers via portal and Practice+
  • Maintenance of files, enter patient information into computer databases while complying with federal legislation mandating the use of electronic medical records, e-clinical archived records, and research patients' records
  • Identify and generate information and data that is needed by doctors, hospital administrators, and other health professionals
  • Scheduling and cancelling appointments, and updating insurance
  • Verifying insurance eligibility and verifying & processing authorizations(pre-auth).
  • Compiled and tracked outstanding balances owed to medical facilities.
  • Processed billing calls and answered questions from patients and third-party carriers.
  • Processed online and paper appeal submissions and refund requests.
  • Corrected, completed and processed claims for multiple payer codes.
  • Used data entry skills to accurately document and input statements.
  • Responded to customer concerns and questions on daily basis.
  • Audited and corrected billing and posting documents for accuracy.
  • Handled account payments and provided information regarding outstanding balances.
  • Monitored outstanding invoices and performed collections duties.
  • Collaborated with customers to resolve disputes.
  • Maintained accurate records of customer payments.
  • Utilized various software programs to process customer payments.
  • Generated monthly billing and posting reports for management review.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Reconciled accounts receivable to general ledger.
  • Logged charges and payments within Practice+.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft
  • Created improved filing system to maintain secure client data.
  • Identified discrepancies and carrier issues regarding billing and reimbursements.
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
  • Protected medical office operations and integrity by keeping patient information confidential.

Colorado Springs Neurological Associates
Colorado Springs

Health Information Management Clerk (Medical Records)
03.2021 - 11.2022

Job overview

  • Upheld HIPAA regulations and standards for protecting patient information. includes symptoms, diagnoses, medical histories, test results, and procedures
  • Secured confidential patient information from unauthorized access.
  • Retrieve, research, organize, oversee and protect patients' data, organize digital & paper records that is received from diagnostic labs, doctors or patient forms, create patient admission and discharge documents
  • Manage & secure all written and electronic data within a facility's medical records department, and ensure the information contained in each record is complete, accurate, timely and secure
  • Process public/patient and payer requests concerning medical records
  • Scheduling, insurance verification & eligibility, route incoming faxes to proper departments.
  • Retrieved medical data for physicians and patients.
  • Generated medical reports on patient admissions, treatment and discharge for disbursement to various departments.
  • Performed regular quality and validation assessments on patient data to verify accuracy.
  • Conducted quality improvement and customer satisfaction surveys to evaluate patient care.
  • Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
  • Studied and researched various medical terms as well as software and coding systems.
  • Self-motivated, with a strong sense of personal responsibility.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Worked well in a team setting, providing support and guidance.
  • Excellent communication skills, both verbal and written.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Passionate about learning and committed to continual improvement.
  • Organized and detail-oriented with a strong work ethic.
  • Strengthened communication skills through regular interactions with others.
  • Proved successful working within tight deadlines and a fast-paced environment.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Paid attention to detail while completing assignments.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Developed and maintained courteous and effective working relationships.
  • Identified issues, analyzed information and provided solutions to problems.
  • Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  • Catalogued patient data in clinical databases and registries according to regulatory practices.
  • Worked effectively in fast-paced environments.

Connect for Health Colorado

Health Mail Clerk • Document Verifications
10.2018 - 03.2021

Job overview

  • Appropriate safeguards to protect medical records and sensitive personal information throughout the entire lifespan of the document—including proper disposal, PII, PHI and HIPAA violation prevention by performing an organization-wide risk analysis to identify risks to the confidentiality, integrity, and availability of protected health information
  • Research and verify participants through CBMS Health First Medicaid case numbers, Connect for Health, and other insurance providers via account numbers, policy numbers, Medicaid case identification numbers, scan, copy, upload, imaging, data entry and index received documents to participants accounts, corrected, re-indexed and/or delete misfiled uploaded imaged documents from/to participants accounts while maintaining client records and confidentiality
  • Maintained organized work area by cleaning and removing hazards.
  • Met production targets and tight deadlines by collaborating closely with team members.
  • Used problem-solving and issue-resolution skills to promptly and successfully address production problems.
  • Trained new production staff members on safe and efficient production procedures and proper machine operations.
  • Examined incoming materials and compared to documentation for accuracy and quality.
  • Manually create, correct, and reprint 1095-A Health Insurance Forms
  • Organize and route incoming mail/packages, date/time stamp documents in a clear and concise manner, inventory, ordering, and handled extra projects
  • Handling clerical duties of a mailroom and back office, maintaining records, alphabetical & numerical filing, archiving, and filing necessary records and reserving backup copies
  • Experienced in working with operating label machines, computes charges using weight scale and rate chart and operate any office tool or machine
  • HR executive support, partnered with HR with tasks related to potential employees', outbound calls, answering new hire questions, invitations to new hire hiring events, created/verified and participated in interviews, I-9 requirement advisements for new employees, onboarding and collect, verify, and route new hire direct deposit forms and applications to the correct recipient.
  • Operated postal machines, including postage meters, mail-processing, labeling machines, processed and organized incoming mail for distribution to appropriate departments.
  • Maintained accurate records of incoming and outgoing mail for reliable reference.
  • Weighed letters and packages and calculated costs based on classification, weight, and destination.
  • Released registered and special delivery letters and packages to designated recipients and obtained signatures for release.
  • Updated mailing lists with current addresses and contact information for smooth customer communications.
  • Maintained mailroom supply inventories, purchase orders and vendor supplies.
  • Skilled at working independently and collaboratively in a team environment.
  • Self-motivated, with a strong sense of personal responsibility.
  • Proven ability to learn quickly and adapt to new situations.
  • Worked well in a team setting, providing support and guidance.
  • Worked effectively in fast-paced environments.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Excellent communication skills, both verbal and written.
  • Passionate about learning and committed to continual improvement.
  • Proved successful working within tight deadlines and a fast-paced environment.
  • Strengthened communication skills through regular interactions with others.
  • Organized and detail-oriented with a strong work ethic.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Paid attention to detail while completing assignments.
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Assisted patients with understanding personalized insurance coverage and benefits.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Achieved insurance pre-authorizations to enable timely patient procedures.
  • Updated patient records with accurate, current insurance policy information.
  • Answered email to offer office information, encrypted international correspondence with Medicaid/Medicare recipients and healthcare providers, prepare outgoing letters and disclosures
  • Established and maintained relationships with insurance providers for productive communications.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Registered and verified patient records before triage with most up-to-date information.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Placed new supply orders, managed inventory and restocked clerical spaces.
  • Maintained accurate records to enable processor activity and performance monitoring.

Rocky Mountain Health Care Services
Colorado Springs

Claims Adjudicator • Data Entry
07.2018 - 10.2018

Job overview

  • Processing medical claims, adjudicating, coding, accounts payables, batching
  • Prepares and disburses payment checks with explanation of benefits (EOB) and explanation of payments
  • Data entry for 1500 and UB-04 claim forms, researching duplicate claims
  • Contact vendors, provide policy information/W-9 vendor, and claim requests
  • Electronic Health Records (import/export/medical authorizations), process, and research claim.
  • Investigated high volume of insurance claims to determine validity and coverage eligibility.
  • Executed claims processing, while generating increased revenue.
  • Collaborated with team members and management to meet goals.
  • Communicated with clients to explain policy coverage and regulations.
  • Handled complaints and grievances using negotiating and problem-solving skills.
  • Finalized Medicare files for insurance claim payment release.
  • Used Epic systems to program, set up functions and enter data for claims.
  • Corrected ICD-9 codes to properly classify Medicare claims.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Examined claims forms and other records to determine insurance coverage.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Organized, planned and documented materials for $35,000+ claims.
  • Followed up with insured individuals regarding premium and deductibles payments.
  • Maintained claims data in Epic systems.
  • Verified accuracy of medical records to maintain accuracy of records database.
  • Paid and processed claims within designated authority level.
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
  • Handled and processed variety of claims, including Medicaid and Medicare.
  • Investigated questionable claims to determine payment authorization.
  • Entered claim transactions, payments, reserves and other documentation.
  • Reviewed claims to ensure accuracy, resulting in multiple claim reductions.
  • Established productive working relationships with public officials and law enforcement officers.
  • Processed claims paperwork efficiently with in-depth research and top-notch communication skills.
  • Electronic Health Records (import/export/medical authorizations), process, and research claim.

Education

Penn Foster

Sterile Processing Technician
11.2023

Alexandria Technical & Community College

AAS-Paralegal
05.2022

Phlebotomy Training Specialists

Certified Phlebotomist
12.2019

CO Nursing & Therapy Services

CNA/CPR/QMAP
07.2019

PIMA Medical Institute

Front/Back Office Medical Assistant
12.2003

CO Department of Education

GED

Skills

  • Epic
  • Practice
  • EHR
  • EMR
  • ICP
  • Image Right
  • Guidewire
  • 1095 Health Forms
  • 1099 Tax Forms
  • Acumatica
  • ACES
  • Atlas Systems
  • CBMS
  • CMS
  • DOTSON
  • E-clinicals System
  • Image View
  • Lotus Notes
  • Microsoft Office
  • Oracle VM
  • OnBase
  • Outlook
  • Physicians Fees
  • Penta
  • SPS Commerce
  • Task Master
  • Vista
  • VPN
  • Windows Systems
  • Accounting Support
  • Dispute Negotiation
  • Inquiry Handling
  • Debt Management
  • Payment Processing
  • Administrative Support
  • Quality Control
  • Discrepancy Resolution
  • Bank Statement Reconciliation
  • Correspondence Preparation
  • General Accounting
  • Customer Account Management
  • Invoice Generation
  • Management Accounting
  • Word Processing
  • Customer Service
  • Account Updating
  • Mail Sorting
  • General Ledger Entries
  • Regulatory Compliance
  • Inventory Management
  • Financial Transactions
  • Team Collaboration
  • Payment Transactions
  • Equipment Monitoring and Troubleshooting
  • Itemized Statement Preparation
  • Bill Payment
  • 10-Key Data Entry
  • Signature Verification
  • Billing and Invoicing
  • Statement Distribution
  • Account Posting
  • Purchase Orders
  • Account Collections
  • A/P and A/R Proficiency
  • Decision-Making
  • Office Equipment Operation
  • 14,000-20,000 Kph
  • Manual Processing
  • Payment Collection
  • Billing Statement Management
  • Billing Data Verification
  • Statement Preparation
  • Job Billing
  • Customer Relations
  • Relationship Building
  • Auditing Proficiency
  • Invoice Documentation Management
  • Medical billing
  • Medical billing experience
  • Medical billing knowledge
  • Medical billing code accuracy
  • Billing and collections
  • Medical billing and coding
  • Work authorizations
  • Collections knowledge
  • Medical history documenting
  • Medical terminology expert
  • Medical office support expertise
  • Proficiency in medical management systems
  • Insurance billing
  • Understanding of medical affairs
  • Billing resolutions
Availability
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Timeline

Authorizations • Collections • Medical Billing

Retina Consultants of Southern Colorado
12.2022 - Current

Health Information Management Clerk (Medical Records)

Colorado Springs Neurological Associates
03.2021 - 11.2022

Health Mail Clerk • Document Verifications

Connect for Health Colorado
10.2018 - 03.2021

Claims Adjudicator • Data Entry

Rocky Mountain Health Care Services
07.2018 - 10.2018

Penn Foster

Sterile Processing Technician

Alexandria Technical & Community College

AAS-Paralegal

Phlebotomy Training Specialists

Certified Phlebotomist

CO Nursing & Therapy Services

CNA/CPR/QMAP

PIMA Medical Institute

Front/Back Office Medical Assistant

CO Department of Education

GED

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