Brenda J. Hines
MBA
Milwaukee,WI
Summary
Valuable Auditor offering strong research and problem-solving skills. Adept at performing risk assessment procedures on key business activities and processes. Knowledgeable of business and financial language.
Overview
15
15
years of professional experience
2
2
years of post-secondary education
Work History
Audit & Reimburse Analyst
WELL POINT- NATIONAL GOVERNMENT SERVICES
11.2012 - Current
- Analyze expense reports to calculate prospective payment rates and allowable cost for health care institutions to be reimbursed to insure compliance with governmental and other health care industries reimbursement policies and practices.
- Planned audits and audit activities to allocate necessary resources and determine consistency of plans with audit objectives
- Communicated with auditee staff to obtain necessary information for audits
- Interviewed auditees to gather data needed to conduct audits
- Interpreted state and federal laws, accepted auditing principles and procedures and program standards to audited materials and data to detect non-compliance and facilitate recommendations
MRI
06.2012 - 11.2012
- Responsible for performing a variety of routine office function according to established procedures and detailed instruction which includes: reception, preparing charts, medical records, scheduling, billing and admitting patients in a clinic setting where patients, physicians, and office staff interact on a daily basis.
- Used coordination and planning skills to achieve results according to schedule
- Delivered services to customer locations within specific timeframes
- Improved operations through consistent hard work and dedication
- Conducted research, gathered information from multiple sources and presented results
Clinical Office Assistant/ Medical Assistant
Aurora Sinai Medical Center, Cardiac Services, Cath Lab and Electrophysiology Lab
05.2006 - 06.2011
- Organized and maintained patient chart filing system to promote quick data finding for staff
- Obtained payments from patients and scanned identification and insurance cards
- Managed office bookkeeping with insurance billing and patient payments
- Managed mail sorting, filing and photocopying
- Retrieved and entered data into medical records system
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts
- Greeted visitors and initiated triage processes for clients to streamline patient flow
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls
- Received and routed messages or documents such as laboratory results to appropriate staff
- Determined source of payment by verifying program eligibility in government or insurance plans
- Collected payment for services rendered, operated cash register and maintained accurate till
Education
MBA -
Capella University
Minneapolis, MN 08.2016 - 01.2017
Associate of Applied Science - Medical Assisting
Bryant And Stratton College
Milwaukee, WI 08.2014 - 06.2016
Skills
Capable of multitasking and working well under pressureundefined
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
MBA -
Capella University
08.2016 - 01.2017
Associate of Applied Science - Medical Assisting
Bryant And Stratton College
08.2014 - 06.2016
Audit & Reimburse Analyst
WELL POINT- NATIONAL GOVERNMENT SERVICES
11.2012 - Current
MRI
06.2012 - 11.2012
Clinical Office Assistant/ Medical Assistant
Aurora Sinai Medical Center, Cardiac Services, Cath Lab and Electrophysiology Lab
05.2006 - 06.2011
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