Brenda Newton

• Automated Account Review • Documentation and Recordkeeping
• Report Writing • Account Investigation
• Medical Terminology • ICD-10 coding
• ICD - 9 • CPT - 4
• EPIC Software • SAP Software
• Micro Soft • Outlook
• MicroSoft Teams • Payment Posting and adjustment
• Refunds review • Appeals and Grievances
• Denied Claims • Social Perception
• Investigative research • Organizational Skills
• Self Motivation • Cash application
• Basic Mathematics • Team Collaboration
• Administrative Support • Professional Demeanor
• Problem-solving abilities • Reliability
• Claim Edits
• Claim rejections

• Provided excellent customer service while resolving billing inquiries from both internal and external customers.
• Utilized problem-solving techniques to resolve complex billing issues quickly and efficiently.
• Communicated with insurance companies to check claim and payment statuses.
• Research denied or rejected claims in order to identify errors or omissions that may have caused the denial and rejection.
• Collaborated with various departments within the health care organization to ensure timely resolution of patient account issues.
• Responded to insurance claim denials by conducting appeals on patient behalf.
• Maintained a high level of accuracy when entering data into the electronic medical record system.
• Analyzed patient accounts for accuracy and completeness prior to submitting claims to insurance companies.
• Reviewed Explanation of Benefits from insurance companies for accuracy prior to posting payment information into the system.
• Proficient in using multiple software programs such as Microsoft Office Suite and Electronic Health Records.
• Updated payment and personal information in patient database to maintain accurate records.
• Streamlined patient database by removing inactive patients, updating information and organizing data.
• Assisted patients by creating appeal packages for submission to insurance companies.
• Reconciled accounts receivable ledgers against third party payer remittance statements.
• Checked on status of claims payments and wrote appeal letters for denial on claims.
Answered customer questions regarding problems with accounts

• Follow up on unpaid claims and appeal denials,ensuring timely and appropriate responses of UB04 and HCFA 1500.
• Evaluate and correct claim edits(errors) on patient demographic, insurance,coding and EOB payment information.
• Resubmit denied claims as needed.Enter
• Update SOP(s) to resolve issues and stay updated on policy changes and communicate as appropriate with staff and co-worker(s).
• Using several different software programs, to verify and enter/document patient and denial information on claim(s).

• Performed periodic audits on accounts receivable balances to identify any potential discrepancies or errors requiring correction prior to closing books each month end cycle.
• Proficient in utilizing various software programs to enter data into electronic medical records system.
• Demonstrated ability to accurately process patient accounts and maintain records of payments, adjustments, appeals/grievances and denials.
• Maintain thorough knowledge of the Healthcare billing systems, which includes working daily excel spreadsheets with backup lookups through Pivot Tables, VLOOKUP on special large Projects
• Performed thorough research on various third party payers' policies related to reimbursement rates and claim filing requirements.
• Developed strong knowledge of healthcare coding standards including ICD-10 and CPT-4 codes.
Accomplished in researching account issues using internal resources as well as external sources such as payer websites or contact cent

• Provided excellent customer service while resolving billing inquiries from both internal and external customers.
• Identified discrepancies between billed charges and payments received from insurance companies.
• Utilized problem-solving techniques to resolve complex billing issues quickly and efficiently.
• Researched denied or rejected claims in order to identify errors or omissions that may have caused the denial and rejection.
• Communicated with insurance companies to check claim and payment statuses.
• Collaborated with various departments within the health care organization to ensure timely resolution of patient account issues.
• Responded to insurance claim denials by conducting appeals on patient behalf.
• Analyzed patient accounts for accuracy and completeness prior to submitting claims to insurance companies.
• Reviewed Explanation of Benefits from insurance companies for accuracy prior to posting payment information into the system.
• Proficient in using multiple software programs such as Microsoft Office Suite and Electronic Health Records.
• Updated payment and personal information in patient database to maintain accurate records.
• Streamlined patient database by removing inactive patients, updating information and organizing data.
• Assisted patients by creating appeal packages for submission to insurance companies.
• Performed computer data entry and retrieval to keep track of patient information.
• Performed detailed reviews of patient financial records ensuring all documents are properly filed according to established procedures.
• Reconciled accounts receivable ledgers against third party payer remittance statements.
• Submitted claims to insurance companies for patients, assisting with medical bills.
• Processed credit card payments utilizing secure payment processing systems.
• Distributed invoices and sent paperwork through email for organizational maintenance.
• Reviewed documentation provided by patients for accuracy before submitting it for processing.

• Ensured compliance with local regulations related to taxation requirements for invoicing customers.
• Prepared weekly reports summarizing accounts receivable activity for management review.
• Provided training in billing procedures to newly hired staff members.
• Financial data analyzed to identify discrepancies in payments received versus billed amounts.
• Reviewed documentation provided by vendors regarding discounts offered on services rendered.
• Maintained accurate records of customer accountancy activity, including invoice status and payment history.
• Advised management on best practices related to improving collections processes.
• Collaborated with other departments to ensure that customer orders are properly recorded in the system for billing purposes.
• Performed billing and reconciliation of accounts, utilizing Patient Management software with a high degree of accuracy.
• Organized and filed documents relating to accounts receivable transactions.
• Utilized Microsoft Excel spreadsheets to analyze complex financial data sets.
• Developed and maintained strong relationships with clients to ensure timely payment of invoices.
• Drafted correspondence with delinquent customers regarding past due balances owed.
• Researched and resolved any billing or customer service inquiries promptly and professionally.
• Generated monthly statements for all accounts receivable customers to keep them up-to-date on their balances owed.
• Verified accuracy of billing data and revised any errors.
• Keep records of invoices and support documents.

• pdated account information to maintain customer record
• Maintained customer satisfaction with forward-thinking
• strategies focused on addressing customer needs and resolving concerns. Responded to customer requests for products, services, and company information.
• Provided primary customer support to internal and external customers. Answered customer telephone calls promptly to avoid on-hold wait times
• Offered advice and assistance to customers, paying attention to special needs or wants. Handled customer inquiries and suggestions courteously and professionally.
• Participated in team meetings and training sessions to stay informed about product updates and changes. Utilized customer service software to manage interactions and track customer satisfaction. Investigated and resolved accounting,
• Posted payments and visit charges to patient accounts. Responded proactively and positively to rapid change.

• Assisted in the preparation of monthly reports to management on accounts receivable activity.
• Tracked collections progress on delinquent accounts using collection software.
• Handled daily cash receipts from customers and processed them into accounting system.
• Utilized effective problem-solving skills to resolve discrepancies between customer payments and invoices.
• Processed vendor payments according to established company policies and procedures.
• Analyzed customer account information to determine payment plans and credit terms.
• Maintained records of all accounts receivable activities in a timely manner.
• Resolved customer inquiries regarding past due balances or incorrect charges.
• Ensured accurate processing of payments, refunds, credits and other transactions related to accounts receivable.
• Managed customer accounts by reconciling invoices and billing statements.
• Communicated professionally with customers via phone, email, or face-to-face meetings.
• Served as primary point of contact for assigned clients to resolve issues or complaints and provide updates on new products or services.
• Established payment plans with customers, strictly following payment criteria policies and procedures.
• Improved and streamlined service to existing clients by maintaining positive, helpful approach.
• Monitored and analyzed customer metrics and KPIs, identifying trends and opportunities for improvement.
• Managed and maintained relationships with key accounts, serving as the primary point of contact for their inquiries, concerns, and feedback.
• Answered customer questions regarding problems with accounts.
• Received payments and post amounts paid to customer accounts.
• Responded promptly to customer inquiries regarding their accounts.
• Researched customer accounts to identify payment issues.
• Recorded information about financial status of customers and status of collection efforts.
• Assisted with training new employees on billing procedures, account management processes, and best practices.
• Located and notified customers of delinquent accounts by mail, telephone, and personal visits to solicit payment.
Checked on status of claims payments and wrote appeal letters for de