Briana Grande
Orlando
Summary
Well-rounded professional backed by medical billing, administrative assistant, medical front desk receptionist, and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Accounts Receivable Specialist
MedSrv (Remote)
11.2024 - Current
- Managed billing processes to ensure accurate and timely submission of claims.
- Implemented process improvements that enhanced workflow efficiency in accounts receivable operations.
- Utilized industry best practices and innovative techniques to enhance the overall efficiency and effectiveness of the accounts receivable department.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the accounts receivable process.
- Implemented effective communication strategies between various departments, facilitating seamless coordination in the billing process.
- Collaborated with insurance companies to ensure accurate reimbursements for physician billing services rendered.
Homemaker
Stay-at-Home Parent
02.2017 - 11.2024
- Ensure household duties are completed in a timely manner and manage household budget.
- Coordinate medical care, meals, and social activities.
- Remain deadline-oriented and reliable while adjusting priorities and managing time wisely.
Medical Billing
Florida Medical Reimbursement Services
02.2016 - 02.2017
- Handle inbound and outbound telephone calls and assist patients with account questions.
- Post charges and payments, verify insurance eligibility, and prepare and submit claims for insurance billing.
- ICD-10, HCPCS, CPT.
- Process denials and appeals, and handle collections for outstanding balances.
- Respond to patients via outbound calls to follow-up on inquiries.
Administrative Assistant / Secretary
JNR Adjustments Company
07.2015 - 11.2015
- Provided customer service and processed claims.
- Entered data for car rental damage or accident claims.
- Processed weekly reports for claim management.
Managed Care Coordinator
UFCW Local 1546 Health and Welfare Fund
12.2007 - 09.2014
- Issued referrals for patients for specialties, testing, and outpatient procedures.
- Completed prescriptions authorizations, precertification for hospitalizations, and inpatient procedures.
- Handled verification of insurance and benefits and Explanation of benefits for patients and hospitals.
- Conducted authorizations and explanations for how to utilize durable medical equipment.
- Checked patient in and out, scheduled appointments, pulled and prepared charts for upcoming appointments.
- Prior employment includes work at Union Medical Center as a Medical Front Desk Receptionist in Chicago, IL for 4+ years
Education
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
Tampa, FL09-2024
Skills
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Medical Office Procedures
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR) (Epic)
- Managed Care (HMO, PPO, POS)
- Scheduling
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third-Party Payers
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Workers Compensation
- Front Office Operations
- Medical Terminology
- Anatomy & Physiology
Certification
- Bilingual – Fluent in English and Spanish.
- Academic Honors Recognition – Dean’s List | Honor Roll.
- Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
- Regarded as a natural people person with strong interpersonal communication skills.
- Show sound judgment and good decision making when dealing with problems.
- Adapt to new challenges and ideas and able to develop relationships with diverse populations.
- Communication Platforms – Zoom and MS Teams.
- Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint | Type 38 WPM.
Languages
Spanish
Native or Bilingual
Timeline
Accounts Receivable Specialist
MedSrv (Remote)
11.2024 - Current
Homemaker
Stay-at-Home Parent
02.2017 - 11.2024
Medical Billing
Florida Medical Reimbursement Services
02.2016 - 02.2017
Administrative Assistant / Secretary
JNR Adjustments Company
07.2015 - 11.2015
Managed Care Coordinator
UFCW Local 1546 Health and Welfare Fund
12.2007 - 09.2014
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
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