Brianne Mercás
Summary
Competent Medical Biller/ Coder with two years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claim processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Argus Community
12.2023 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Filed and updated patient information and medical records.
- Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Liaised between facility, insurance companies, and billing office.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Increased overall efficiency of the billing department by regularly auditing internal procedures and suggesting improvements.
- Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Generated monthly billing and posting reports for management review.
Medical Biller
Tritech
11.2021 - 02.2023
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Filed and updated patient information and medical records.
- Managed billing calendar and scheduled claims for payments.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Special Education Teacher's Assistant
Developmental Disabilities Institute, DDI
10.2018 - 09.2021
- Documented student behaviors, interventions and outcomes to enable lead teacher to address pertinent issues.
- Delivered personalized educational, behavioral and emotional support to individual students to enable positive learning outcomes.
- Set up visual aids, equipment and classroom displays to support teacher's lesson delivery.
- Monitored student classroom and outdoors activities to promote student safety.
- Built and maintained effective communication and relationships with students, teachers, support staff and parents.
- Maintained positive attitude and affirmatively communicated with each student.
- Alerted instructor to student behavior or issues requiring intervention.
- Devised and implemented improvements to reporting procedures.
- Tracked attendance and progress against goals for each participant.
Ride Operator
Play Amusement
10.2017 - 06.2018
- Operated amusement rides for 2- 3 months ensuring general safety of people and following safety protocol.
- Followed posted height and age restrictions and denied access to attraction for guests under minimum requirements
- Assisted guests with transactions for rides and attractions to facilitate fun and exciting experiences
- Cleaned rides and attractions to reduce overall spread of germs and bacteria
Education
Certification of Completion - Medical Billing & Coding
Access Careers - Hempstead
Hempstead, NY09-2021
High School Diploma -
Half Hollow Hills High School East
Dix Hills, NY06-2016
Certification of Completion - Medical Assisting
Wilson Tech Center
Northport, NY06-2016
Skills
- Instructional support
- Educational assistance
- Work Prioritization
- Critical Thinking
- ICD-10 Coding
- Data Analysis
- Patient Account Analysis
- Payments Posting
- Medical Billing
- Customer Service
- Medical Claims Submission
- Insurance Claims
- Claims Review
- HIPAA Compliance
- Claim submission
- Insurance Verification
- Denial Management
- Medicare and Medicaid process
- Teamwork and Collaboration
- Account Reconciliation
- Worker's Compensation Knowledge
- Account follow-up
- Medical coding understanding
- Medical billing technology
- Microsoft Excel
- Microsoft Outlook
- Microsoft Teams
Additional Information
- AWARDS/HONORS, Wilson Tech Center Medical Assisting Student of the Month Half Hollow Hills East HS Honor RollRenaissance Award for Academic Excellence
Certification
- Licensed Teacher's Aide
-
NHA: Certified Billing & Coding Specialist
Timeline
Medical Billing Specialist
Argus Community
12.2023 - Current
Medical Biller
Tritech
11.2021 - 02.2023
Special Education Teacher's Assistant
Developmental Disabilities Institute, DDI
10.2018 - 09.2021
Ride Operator
Play Amusement
10.2017 - 06.2018
Certification of Completion - Medical Billing & Coding
Access Careers - Hempstead
High School Diploma -
Half Hollow Hills High School East
Certification of Completion - Medical Assisting
Wilson Tech Center
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