Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brianna Poli

East Northport,New York

Summary

Detail orientated and customer focused healthcare professional showcasing 7+ years of experience with complex clerical and accounting functions to ensure accurate and timely patient billing. Highly experienced in insurance verifications, maintenance of third-party billing records, CPT/ICD-10 coding and ensuring claims are processed with accuracy and confidentiality. Strong track record of handling complicated assignments within the healthcare industry and resolving complex problems. Recognized for ability to work within a team environment and exceed all patient/customer expectations while mastering new technologies.

Overview

10
10
years of professional experience

Work History

Team Lead

Bushido Billing
Seattle, WA
11.2022 - Current
  • Completes full-cycle insurance billing operations for and acts as the primary point
    of contact for 3-6 client accounts
    ● Submits claims in a timely fashion and reviews outgoing claims before submission
    to identify errors and potential rejections
    ● Executes and tracks insurance appeals, disputes, and records requests
    ● Performs Insurance Accounts Receivables reports and follows up on outstanding
    claims
    ● Maintains open communication with clients regarding billing operations
    ● Organizes and sends reports to billing clients
    ● Attends weekly meetings with the team and supervisors
    ● Completes Onboarding Audit thoroughly and with attention to detail
    ● Completes EDI / ERA enrollments
    ● Investigates contracting and credentialing statuses and issues, and completes minor
    credentialing services such as address changes and recredentialing
    ● Trains new employees, including Bushido Basics, EHRs, Clearinghouses, and
    clinic-specific protocol
    ● Manages a team of up to 5 Billing Specialists or Client Coordinators
    ● Meets with subordinates on a regular basis to mentor, answer questions, and
    monitor the status of assigned clients
    ● Reports on employee performance to the Directors
    ● Records training progress in ClickUp
    ● Completes Performance Reviews at 90 Days (with Director of HR) and annually
    ● Performs clinic audits as scheduled by the Director of Billing to identify
    inefficiencies, inaccuracies, or other potential issues
    ● Completes credentialing services such as new enrollments and changes of
    information (e.g. providers joining a new clinic)
    ● Attends monthly Management meetings

Medical Biller

iOrtho - The Orthopedic Institute
Staten Island, NY
12.2020 - 11.2022
  • In charge of filing and submitting insurance claims
  • Double-checked account information to ensure that all patient and insurance information is correct and up to date
  • All communications between patients, billing personnel, and insurance carriers were effectively coordinated by me
  • Review of charge reports catching billing errors before a claim is submitted to the insurance carrier
  • Receive an explanation of benefits for review and errors, denials, adjustments, correct reimbursement payments
  • Analyze billing and claims for accuracy and completeness; submit claims to proper insurance carriers and follow up on any issues
  • Updating billing software with rate changes
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
  • Responsible for charging entry and posting of insurance and patient payment
  • Contact insurance carriers to check status, correct and resolve billed claims
  • Receive an explanation of benefits for review and errors, denials, adjustments, correct reimbursement payments
  • Multi-line phone, E-mails, faxes, scanning, written and verbal communication with providers, insurance carriers and other team members
  • Investigated insurance denials by reviewing patient files and researching procedures and diagnostic codes to determine proper reimbursement.

Office Manager

Lauren Miceli Counseling
Commack, NY
05.2017 - 11.2020
  • Responsible for the creation, completion, management and updating of all patient accounts and related information
  • Handle patient caseload for all therapists, including the scheduling and coordinating of appointments and the maintenance of a comprehensive calendar of events
  • Handle all medical insurance verifications
  • Incoming calls were received, screened, and routed by me
  • Submitted all medical claims
  • Processed incoming payments and prepared vendor invoices
  • Communicated with patients and answered their questions, requests for appointments, and billing concerns
  • Handled client correspondence and tracked records to foster office efficiency
  • Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff
  • Create and implement goals, policies, and procedures for my department or organization
  • Coordinated and maintained an impressive office organization to keep facilities efficient, organized, and professional
  • Maintained professional relationships with all accounts receivables and collection agents for all vendors.

Legal Assistant

John G. Poli Attorney at Law
East Northport, NY
07.2014 - 04.2017
  • Organized litigation files
  • Prepared draft client bills, maintained docket calendar and scheduled appointments
  • Assisted lawyers with the preparation of clients' legal documentation
  • Entered and received information from an electronic database quickly and accurately
  • Corresponded with attorneys, paralegals, and assistants to prepare and maintain accurate and complete case records.

Education

High School
01.2014

Skills

  • Great understanding of ICD-10-CM and CPT procedures
  • MS Office Proficient
  • Knowledge of Medical Terminology
  • Medical Billing
  • Medical Coding
  • Computer proficiency
  • Problem-solving abilities

Timeline

Team Lead

Bushido Billing
11.2022 - Current

Medical Biller

iOrtho - The Orthopedic Institute
12.2020 - 11.2022

Office Manager

Lauren Miceli Counseling
05.2017 - 11.2020

Legal Assistant

John G. Poli Attorney at Law
07.2014 - 04.2017

High School

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