Summary
Overview
Work History
Education
Skills
Timeline
Generic

Briana M. Robertson

Dover

Summary

Hard-working individual with a passion for healthcare who is self-motivated, organized with excellent customer service skills. Offering healthcare, billing and office administration experience.

Overview

12
12
years of professional experience

Work History

Sr Patient Finance Rep

Boston Children's Hospital
01.2021 - Current
  • Completed financial clearance for Heart center patients Verifying insurance coverage and ensures all insurance requirements are met
  • Obtained authorization for Heart Center Inpatient Admissions by contacting insurance companies and utilizing appropriate website portals to request necessary authorizations
  • Provided Third Party Payors with appropriate demographic information to complete authorizations/referrals
  • Coordinated with PCP office for necessary requirements for Out of network cases
  • Fixed any errors within patient’s accounts to ensure accuracy.
  • Completed follow up on all cases to ensure authorizations have been approved.
  • Initiated Denial escalation process as needed

Office Administrator

Vivant Solar
12.2019 - 01.2021
  • Coordinate and conduct training sessions based on staff and organizational learning needs
  • Provide reports on account status regarding permits, installation, approvals and hold
  • Compile and submit expense reports for office expenditures
  • Act as a liaison between managers, sales representatives, and utility companies

Patient Service Representative

Home Care Specialists Inc.
09.2017 - 12.2019
  • Verify and obtain patient specific insurance benefits
  • Initiate and complete authorization requirements for Durable Medical equipment and specialized services
  • Coordinate the delivery of all medical equipment and specialized services
  • Daily interactions with providers and other medical professionals to coordinate medical needs for mutual patients

Billing Clerk

Maddison Resource Funding
11.2013 - 09.2017
  • Organized records of financial transactions, charges, and payments made by clients
  • Update and maintain client based database
  • Reconciled bank statements for inconsistencies
  • Monitor and update account statuses

Education

Certified Nursing Assistant Certificate -

American Red Cross
Haverhill, MA

Business Management Certificate - undefined

Seacoast School of Technology
Exeter, NH

High School Diploma - undefined

Exeter High School
Exeter, NH

Skills

  • Team Oriented
  • Data Entry
  • Microsoft Office
  • Excel
  • Inventory management
  • Complaint Resolution
  • Experienced with Health New England, Tricare, BMC, Healthy Families, Always Health Partners, Tufts Health Plans,Blue Cross Blue Shield, UHC,Harvard Pilgrim,Cigna, Aetna

Timeline

Sr Patient Finance Rep

Boston Children's Hospital
01.2021 - Current

Office Administrator

Vivant Solar
12.2019 - 01.2021

Patient Service Representative

Home Care Specialists Inc.
09.2017 - 12.2019

Billing Clerk

Maddison Resource Funding
11.2013 - 09.2017

Business Management Certificate - undefined

Seacoast School of Technology

High School Diploma - undefined

Exeter High School

Certified Nursing Assistant Certificate -

American Red Cross
Briana M. Robertson