Brenda Worsley
Knightdale,NC
Summary
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
Inomancy Home Care
01.2023 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Collected payments and applied to patient accounts.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Filed and updated patient information and medical records.
Administrative Assistant
Optima Healthcare Solutions Inc.
04.2017 - 09.2022
- Executed record filing system to improve document organization and management.
- Created and maintained databases to track and record customer data.
- Developed and updated spreadsheets and databases to track, analyze, and report on performance and sales data.
- Maintained and updated patient records for accurate, current medical histories.
- Answered incoming calls, routed messages and resolved patient inquiries within target timeframes.
- Conducted insurance verification and pre-authorizations and managed patient charts.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Generated reports and logged patient information for reliable records.
Billing Coordinator/Medical Coding and Billing Specialist
OneCare Behavioral Health System
10.2006 - 08.2016
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Provided excellent customer service, developing and maintaining client relationships.
- Monitored customer accounts to identify and rectify billing issues.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Prepared and submitted monthly billing reports to management for financial overview.
- Used data entry skills to accurately document and input statements.
Education
No Degree - Medical Administrative Assistant
Everest Business College
Chesapeake, VA08.2005
High School Diploma -
Oscar Smith Frommel High School
Chesapeake, VA06.1992
Skills
- Insurance Claim Requirements
- Billing Codes
- Encrypted Data Management
- Claims Review
- Prepare Statements
- Data Entry
- HIPAA Compliance
- ICD-9
- Account Management
- ICD-10 Coding
Timeline
Medical Billing Specialist
Inomancy Home Care
01.2023 - Current
Administrative Assistant
Optima Healthcare Solutions Inc.
04.2017 - 09.2022
Billing Coordinator/Medical Coding and Billing Specialist
OneCare Behavioral Health System
10.2006 - 08.2016
No Degree - Medical Administrative Assistant
Everest Business College
High School Diploma -
Oscar Smith Frommel High School
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