BRIANA RUTHERFORD
Nashville,TN
Summary
Previous Certified Nursing Assistant who has a passion for patient care and I’m also a
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Familiar with preparing and distributing customer statements, maintaining thorough and compliant records and resolving customer issues. Positive and upbeat when answering questions and offering information. First-rate oral and written, multitasking and decision-making abilities.
Dedicated administrative professional skilled in handling multiple projects with high-pressure deadlines. Proficient with accounting systems and related computer software programs.
Overview
7
7
years of professional experience
Work History
Medical Billing Specialist
Southern Pain Institute
Smyrna, TN
07.2022 - Current
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Delivered timely and accurate charge submissions.
- Filed and updated patient information and medical records.
ASSISTANT MANAGER
BURGER KING
01.2012 - 01.2017
- Responsible for promoting ideas and link them to the business needs and benefits of the store
- Responsible for driving sales by ensuring effective merchandising is being practiced in assigned areas
- Took inventory of food and supplies and ordering food, beverages, and supplies as needed.
CNA
RIDGECREST NURSING HOME
01.2010 - 01.2012
- Train new and existing employees to work with individuals with disabilities
- Perform healthcare-related tasks, such as monitoring vital signs
- Ensured efficient, adequate staffing while managing labor expenses
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
- Checked patient vitals such as temperature, blood pressure and blood sugar levels.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Oversaw and maintained patients' rooms, group living areas and nurse stations.
- Participated in fun group activities with patients to boost mood, improve overall memory and provide light entertainment.
- Facilitated personal hygiene management, feeding and ambulation.
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
- Transported patients between rooms and appointments or testing locations.
- Reduced risks of patient infection and cross-contamination by cleaning and sterilizing equipment.
- Provided care to patients throughout lifespan with consideration of aging processes, human development stages and culture.
- Maintained best-in-class standards for individualized care in Number-bed unit by continuously checking in with patients and families and quickly providing care.
Education
HIGH SCHOOL DIPLOMA -
OUACHITA HIGH SCHOOL
ACADEMY - undefined
MEDICAL BILLING & CODING, UNITECH -
Unitech Training Academy - Lafayette
Lafayette, LA08.2021
Certified Nursing Assistant -
Louisiana Delta Community College
Monroe, LA08.2010
Skills
- Medical Terminology
- Medical Insurance
- Keyboarding
- Sharenote
- BLS / CPR
- Medical Billing
- ICD -10
- HCPCS
- List one of your strengths
- CMS-1500
- Teamwork and Collaboration
- Customer Contact
- Information Updates
- Statement Distribution
- Bill Payment
- Claim Processing
- Critical Thinking
- Financial Documentation
- Billing and Collections Procedures
- Information Confidentiality
- Time Management
- Medical Transcription
- Active Listening
- Clerical Support
- Verbal and Written Communication
- Statement Billings
- Reviewing Patient Information
- Medicare and Medicaid Processes
- Billing Data Verification
- Adjustment Posting
- CMS-1500 Billing Forms
- Speaking Clearly
- Workers' Compensation Knowledge
- Work Prioritization
- Insurance Claim Requirements
- Electronic Health Record Software
- Electronic Claims
- Physician Interaction
- Insurance Authorizations
- Benefits Verifications
- Job Billing
- ICD-9
Timeline
Medical Billing Specialist
Southern Pain Institute
07.2022 - Current
ASSISTANT MANAGER
BURGER KING
01.2012 - 01.2017
CNA
RIDGECREST NURSING HOME
01.2010 - 01.2012
HIGH SCHOOL DIPLOMA -
OUACHITA HIGH SCHOOL
ACADEMY - undefined
MEDICAL BILLING & CODING, UNITECH -
Unitech Training Academy - Lafayette
Certified Nursing Assistant -
Louisiana Delta Community College
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