Summary
Overview
Work History
Education
Skills
Timeline
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Brenda Buck

Brenda Buck

Tacoma,WA

Summary

Seasoned insurance billing and posting resolution specialist with over two decades of dedicated service in the healthcare sector, recognized for a proven track record in managing multiple projects and priorities simultaneously within fast-paced environments. Expertise in enhancing the payment posting department through meticulous accuracy, unwavering dedication, and a strong commitment to regulatory compliance. Adept at leading teams to achieve excellence in revenue cycle management, fostering a culture of continuous improvement and operational efficiency. Eager to leverage extensive experience to drive financial integrity and contribute to the success of a dynamic organization.

Overview

26
26
years of professional experience

Work History

Financial Aid Assistant

GetixHealth
01.2017 - Current
  • Streamlined financial aid processes, enhancing guarantor support and inter-departmental collaboration.
  • Managed hospital accounts seeking financial assistance.
  • Assisted guarantors in completing all the necessary paperwork for financial aid.
  • Collaborated with other departments to ensure accurate processing of financial aid.
  • Responded to inquiries regarding financial aid eligibility and requirements.
  • Reviewed and verified financial aid documents for completeness and accuracy.


Government Insurance Follow-up Specialist

GetixHealth
12.2012 - 12.2016
  • Resolved complex claim discrepancies, ensuring timely payment processing.
  • Demonstrated strong communication skills in explaining insurance coverage and resolving customer inquiries.
  • Maintained detailed records of insurance claim processing and follow-up activities for audit purposes.
  • Handled insurance-related concerns effectively, providing professional and prompt solutions.
  • Boosted revenue recovery by identifying and resolving errors in billing and coding practices.
  • Assisted management in implementing new policies and procedures for streamlining the insurance follow-up process, increasing departmental productivity levels.
  • Collaborated with insurance companies to expedite claim processing, improving cash flow management.

Office Manager

Doug Kim, M.D.
10.2011 - 12.2012
  • Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
  • Increased accuracy of patient account balances by diligently applying payments according to insurance guidelines.
  • Responsible for the end-to-end credit card process from presentment to settlement,including declined transactions, dispute, refund, and chargeback research and resolution.
  • Responsible for consistently meeting production and quality assurance standards
  • Maintain compliance with internal and external financial policies and procedures such as Payment Card Industry (PCI) standards for credit card processing.
  • Assisting with process improvement projects.
  • Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
  • Insurance Follow-up
  • Mailing patient statements
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
  • Streamlined office operations by implementing efficient filing systems and organizational strategies.
  • Managed large volumes of data efficiently and with great care on daily basis.
  • Stayed informed of industry changes and updates by participating in relevant training sessions, utilizing new knowledge to enhance job performance.
  • Supported audits by providing detailed records of all posted payments and adjustments upon request.
  • Accurately posted payments and adjustments both electronically and manually.
  • Took money and cards from customers to handle payment processing.

Insurance Follow-up Lead

Xerox (formerly ACS, originally PASC)
02.2005 - 11.2012
  • Led insurance follow-up training, improving team productivity and accuracy.
  • Assisted in interviewing new staff for insurance follow-up positions.
  • Assisted the supervisor with yearly employee reviews.
  • Recorded staff attendance, production, and quality assurance scores.
  • Implemented training programs for new hires on insurance follow-up processes.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Demonstrated respect, friendliness and willingness to help wherever needed.

Insurance Follow-up Specialist

Xerox (formerly ACS, originally PASC)
02.2000 - 02.2005
  • Managed insurance claims, including verification, submission, and follow-up for accuracy and timely reimbursement.
  • Resolved insurance denials and discrepancies by investigating issues and initiating appeals as needed.
  • Collaborated with insurance companies, patients, and healthcare providers to ensure proper processing of claims.
  • Performed reconciliation of insurance payments and identified any underpayments or overpayments for resolution.
  • Provided excellent customer service to assist patients with insurance inquiries and concerns.
  • Contributed to team success by meeting or exceeding monthly collection goals while maintaining high standards of accuracy and professionalism.
  • Enhanced claim resolution rates by diligently reviewing and analyzing outstanding insurance claims.
  • Stayed current on industry regulations and trends to ensure compliance and optimize insurance follow-up strategies.

Education

Certificate - Medical Office Management

Renton Technical College
Renton, WA

Skills

  • Revenue cycle optimization
  • Third-party communication follow-up
  • Proficient in Medicare and Medicaid programs
  • Analytical problem-solving
  • Verification of insurance coverage
  • Experienced with Microsoft Office applications
  • Employee training
  • Proficient in Epic
  • Familiarity with Artiva platform
  • Healthcare reimbursement expertise
  • HIPAA regulations knowledge
  • Electronic record management
  • Accurate payment posting
  • Problem-solving skills
  • Experience with appeals processes
  • Financial account reconciliation
  • Effective verbal and written communication
  • Proficient in claims management
  • Goal-oriented self-drive
  • Simultaneous task management
  • Meticulous attention to detail
  • Experienced in ICD-10 coding practices
  • Skilled in medical billing processes
  • Understanding managed care principles
  • Skilled in critical thinking
  • Understanding of insurance compliance

Timeline

Financial Aid Assistant

GetixHealth
01.2017 - Current

Government Insurance Follow-up Specialist

GetixHealth
12.2012 - 12.2016

Office Manager

Doug Kim, M.D.
10.2011 - 12.2012

Insurance Follow-up Lead

Xerox (formerly ACS, originally PASC)
02.2005 - 11.2012

Insurance Follow-up Specialist

Xerox (formerly ACS, originally PASC)
02.2000 - 02.2005

Certificate - Medical Office Management

Renton Technical College