Summary
Overview
Work History
Education
Skills
Timeline
Honors
Additional Experience
Generic

Bretanny Charles

Houston,TX

Summary

Motivated and detail-oriented professional with 15+ years of experience addressing incoming inquiries, verifying insurance coverage, and managing data entry functions, backed by strong time management and multi-tasking skills. Proven ability to handle the patient intake process, including coordinating pre-authorizations and maintaining accurate, compliant records in accordance with HIPAA and ICD-10 standards. Skilled in performing front and back office activities, including scheduling, coding, and accounting-related tasks, with a strong focus on accuracy and process efficiency.

Overview

17
17
years of professional experience

Work History

Patient Care Coordinator

Cencora
Conshohocken, PA
05.2024 - Current
  • Managed confidential documentation and maintain accurate case records in compliance with regulatory standards.
  • Served as liaison between individuals providers, and internal teams to ensure clear communication of requirements and next steps
  • Addressed payer-related or documentation discrepancies and escalate complex matters appropriately
  • Monitored drug compliance ans systematically reported adverse events to support effective pharmacy care management
  • Participate in the administration of pharmacy care plans for patients while addressing any payer-related issues and facilitating continuous improvements by identifying areas of opportunity
  • Exercised sound judgement when handling confidential personnel and medical information
  • Recognized for strong performance and quick learning abilities, earning a promotion to learn about 10+ medications
  • Managed scheduling and logistics for patient appointments and follow-up procedures.
  • Coordinated patient care plans with healthcare providers to ensure continuity of services.

Case Management Associate

CVS Health
Hartford, CT
08.2021 - 10.2023

Managed high-volume inbound and outbound communications while maintaining confidentiality and regulatory compliance

  • Reviewed documentation and assessed eligibility requirements to ensure accurate case processing
  • Interacted telephonically with members and ensured information confidentiality while maintaining accurate and complete records as per regulatory accreditation requirements
  • Managed sensitive and confidential documentation in compliance with HIPAA and regulatory requirements
  • Exercised sound judgement when handling confidential personnel and medical information
  • Supported cross-functional teams by researching and resolving documentation discrepancies

Patient Care Coordinator, Medical Records

National Capital Neurosurgery
Rockville, MD
05.2019 - 08.2021
  • Provided proactive intake support, including preparing patient charts, obtaining insurance information, explaining service costs, and processing incoming payments
  • Processed insurance claims and verified coverage to ensure accurate reimbursement
  • Maintained and updated confidential records, ensuring accuracy and regulatory compliance
  • Maintained and updated system records with high accuracy while ensuring confidentiality
  • Experience working within structured system databases to maintain accurate employee or patient records
  • Managed patient records using electronic health record systems, ensuring accuracy and compliance.
  • Served as a liason between stakeholders to ensure clear communication . policy adherence, and timely resolution of documentation requirements
  • Managed sensitive and confidential documentation in compliance with HIPAA and regulatory requirementd

Physical Therapy Aide

Advanced Orthopedics
Germantown, MD
01.2019 - 05.2019
  • Assisted the Physical Therapist by observing approximately 50 patients per shift to report treatment progress and concerns
  • Helped patients with modalities, treatment, and therapeutic exercises in accordance with unique care plans
  • Prepared treatment areas before sessions by setting up, cleaning, and disinfecting the equipment before every use

Physical Therapy Aide

Therapy Works
St. Thomas, VI
03.2016 - 03.2017
  • Prepared 30 - 50 patients for therapy sessions by setting up modalities, exercise equipment, and treatment areas
  • Monitored patients during therapy activities and reported changes in condition, tolerance, or response to treatment
  • Restocked supplies, refilled containers, and organized therapy carts to ensure efficient clinical operations
  • Maintained organized and compliant documentation within a structured clinical environment
  • Monitored and reported case updates to ensure continuity and accuracy
  • Assisted in maintaining accurate treatment documentation and organized case files
  • Supported operational efficiency through detailed record maintenance

Sales Lead

White House Black Market
St. Thomas, VI
11.2013 - 02.2017
  • Headed a team of 10 Sales Associates, including handling rotations while promoting the use of customer book, rewards programs, and customer capture sign-ups to drive higher repeat business
  • Enriched customer experiences through efficient cash register services by staying current on policies regarding payments, coupons, returns, and exchanges
  • Supervised receipt and dispatch processes , coordinating daily replenishment of merchandise and conducting thorough physical inventory checks
  • Led sales team to exceed quarterly goals through effective training and performance management.
  • Developed and implemented strategic sales initiatives to enhance customer engagement and retention.

Sales Associate

OfficeMax
St. Thomas, Virgin Islands
08.2009 - 01.2013
  • Enhanced customer satisfaction through personalized service and product knowledge.
  • Managed inventory levels, ensuring optimal stock availability and accuracy.
  • Trained over 5 new sales associates on company policies and effective sales techniques.
  • Analyzed customer feedback to identify trends and improve service offerings.
  • Supervised team operations while ensuring adherence to company policies and procedures
  • Managed scheduling and administrative documentation for team members
  • Exercised discretion when handling personnel-related matters

Education

No Degree - Biology

Auburn University
Auburn, Alabama, AL
09-2026

No Degree - Biology

University of The Virgin Islands
Brewers Bay, St. Thomas

Skills

  • Data Entry & Records Maintenance, Insurance Verification, HIPAA & Regulatory Compliance, Patient Intake, Multitasking
  • Case Management Support, Medical Scheduling, Customer Service, Medical Coding & Billing, Adaptability & Flexibility
  • Microsoft Office Suite: Word, Excel, PowerPoint, Outlook, SharePoint
  • Proficient in EHR/EMR and medical billing systems including athenahealth, QNXT,Prime, and REMS portal
  • Experiencing in navigating payer databases and insurance portals
  • Medical Coding: ICD-9, ICD-10, CPT Coding
  • Detail-oriented medical billing and patient care professional with 3 years of experience in insurance verification , coding (ICD-10, CPT), claims processing, and payer compliance
  • HIPAA compliance
  • Documentation & Eligibility Review
  • Leave of Absence (LOA) Adminstration
  • FMLA & ADA Awareness
  • Understanding of federal and state employment compliance
  • standards
  • Intermittent Leave Tracking
  • Policy Interpretation
  • Strong ability to learn HRIS and timekeeping systems quickly

Timeline

Patient Care Coordinator

Cencora
05.2024 - Current

Case Management Associate

CVS Health
08.2021 - 10.2023

Patient Care Coordinator, Medical Records

National Capital Neurosurgery
05.2019 - 08.2021

Physical Therapy Aide

Advanced Orthopedics
01.2019 - 05.2019

Physical Therapy Aide

Therapy Works
03.2016 - 03.2017

Sales Lead

White House Black Market
11.2013 - 02.2017

Sales Associate

OfficeMax
08.2009 - 01.2013

No Degree - Biology

University of The Virgin Islands

No Degree - Biology

Auburn University

Honors

First Place, Laws of Life Essay Contest | St. Croix Central High School

Additional Experience

OfficeMax | Sales Associate