Brendalee Bailey
Manchester,CT
Summary
Experienced with medical billing systems, coding, and insurance claims. Utilizes effective communication and problem-solving to resolve billing discrepancies. Knowledge of regulatory requirements and payer policies, ensuring compliance and accuracy in billing processes.
Overview
11
11
years of professional experience
Work History
Billing Specialist
ComfortCare Medical Equipment
03.2023 - 02.2024
- Successfully followed up on 100+ claims with commercial, Medicare, and Medicaid insurance companies
- Researched and resolved billing discrepancies to enable accurate billing.
- Achieved a 90% success rate in resolving payment issues and appealing denials
- Proactively contacted customers to reorder compression garments, resulting in a 95% reorder rate and increased customer satisfaction
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
Dental Insurance Billing Specialist
John Printup, DDS
01.2022 - 12.2023
- Electronically submit claims via Softdent software, resulting in a 30% decrease in claim processing time
- Reconcile accounts to identify and rectify billing discrepancies, ensuring accurate financial records
- Provide exceptional customer service to assist patients with insurance inquiries, improving patient satisfaction by 25%
- Efficiently track and correct errors, leading to a 20% reduction in claim rejections
- Obtain pre-estimates and review authorizations through CDPHP, ensuring proper coverage verification
- Demonstrate proficiency in HCPC, ICD9, and ICD10 codes for accurate coding and billing
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Billing Specialist
First Choice Health Centers
10.2015 - 12.2021
- Employ collection efforts to reduce outstanding patient balances, resulting in a 40% decrease in overdue payments
- Receive multiple company awards and commendations for providing professional customer service
- Efficiently post insurance and patient payments, reconcile balances, and process refunds, maintaining accurate financial records
- Coordinate with patients, insurance companies, and third-party payers to file payments and claims, ensuring timely reimbursement
- Improved cash flow through timely follow-up on outstanding accounts, negotiating payment plans, and collecting overdue payments.
- Process claims electronically using ECW software and Windows 10, enhancing billing efficiency
- Researched and resolved billing discrepancies to enable accurate billing.
Patient Accounts Representative
Community Health Center
01.2013 - 12.2014
- Successfully reduced outstanding patient balances by 60% through effective collection efforts
- Provide extensive customer service to resolve patient and provider inquiries, enhancing satisfaction levels
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Coordinate with stakeholders to file payments and claims, ensuring timely reimbursement and maintaining patient confidentiality
- Posted patient payments and processed refunds.
- Worked with outside entities to resolve issues with billing, claims, and payments.
Education
Associate of Business Administration -
University of The West Indies
Skills
- Billing systems and software
- Insurance verification
- Invoice processing
- Customer service
- Claim submission
- Revenue cycle management
- Payment processing
- Medical billing and collections
- Billing software proficiency
- Insurance confirmation
- Billing dispute resolution
- Problem-solving
Timeline
Billing Specialist
ComfortCare Medical Equipment
03.2023 - 02.2024
Dental Insurance Billing Specialist
John Printup, DDS
01.2022 - 12.2023
Billing Specialist
First Choice Health Centers
10.2015 - 12.2021
Patient Accounts Representative
Community Health Center
01.2013 - 12.2014
Associate of Business Administration -
University of The West Indies
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