Brenda Muniz
Somerville,ME
Summary
Detail-oriented worker with experience in medical billing, claims processing, and patient account management. Adept at resolving denied claims, ensuring timely submission, and maintaining compliance with HIPAA regulations. Strong skills in insurance verification, payment posting, and customer service, bringing proactive solutions to streamline billing operations. I am an organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
24
24
years of professional experience
Work History
Billing Specialist
Regional Medical Center
08.2014 - 04.2022
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
Medical Receptionist
University of South Carolina Pediatric Cardiology
09.2005 - 08.2014
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Managed multi-line phone system and pleasantly greeted patients.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Maintained current and accurate medical records for patients.
- Developed strong relationships with patients, fostering loyalty and trust in the practice''s services.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Streamlined appointment scheduling for improved patient flow and reduced wait times.
- Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
Donations Manager
Bob Jones University
01.2000 - 06.2005
- Provided exceptional stewardship to donors through regular updates on program impact, cultivating long-term relationships that led to increased giving levels.
- Managed donor database, ensuring accurate record-keeping and timely reporting of key metrics.
- Supervised team duties related to decision support and business intelligence for business users.
Medical Receptionist
Center of Environmental Medicine
06.1999 - 01.2000
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Developed strong relationships with patients, fostering loyalty and trust in the practice''s services.
- Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
Business Office Specialist
Bob Jones University
05.1998 - 05.1999
- Developed correspondence letters, memos, and emails.
- Performed clerical duties by typing, filing, copying, faxing and completing and submitting forms.
- Maintained accurate records of all business transactions to ensure compliance with financial regulations and company policies.
- Maintained organized records, facilitating efficient retrieval of information for audits and regulatory examinations.
- Processed loan payments and prepared deposits.
Secretary
Girl Scouts of America - Ohio
01.1998 - 04.1998
- Prepared professional correspondence, including memos, letters, and emails, ensuring accuracy and timeliness.
- Scheduled appointments and conducted follow-up calls to clients.
- Entered data into system and updated customer contacts with information to keep records current.
- Contributed to a positive work environment by providing support to colleagues when needed in various tasks or projects.
- Assisted in event planning and execution for company functions such as conferences, workshops, or social gatherings.
Education
High School Diploma -
Maysville High School
Zanesville, OH05.1976
No Degree - Bible Studies
Appalachian Bible College
Mount Hope, WVSkills
- Billing systems and software
- Insurance Verification
- Invoice Processing
- Claims Processing
- Data entry proficiency
- HIPAA Compliance
- Claim submission
- Denial Management
- Medical coding knowledge
- Payment posting
- Customer Engagement
- Month-end closing procedures
- Medical Billing Expertise
- Patient account management
- Research and due diligence
- Microsoft Office
- Customer service support
- Account updating
- Payment Processing
- Administrative Support
- Deadline Adherence
- Customer Contact
- 10-Key Data Entry
- Customer Relations
- Word Processing
- Year-end reporting
- Accounting Support
- Bookkeeping
- Account Posting
- Financial report creation
- Sheet balancing
Timeline
Billing Specialist
Regional Medical Center
08.2014 - 04.2022
Medical Receptionist
University of South Carolina Pediatric Cardiology
09.2005 - 08.2014
Donations Manager
Bob Jones University
01.2000 - 06.2005
Medical Receptionist
Center of Environmental Medicine
06.1999 - 01.2000
Business Office Specialist
Bob Jones University
05.1998 - 05.1999
Secretary
Girl Scouts of America - Ohio
01.1998 - 04.1998
High School Diploma -
Maysville High School
No Degree - Bible Studies
Appalachian Bible College
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