Summary
Overview
Work History
Education
Skills
Timeline
Generic

Briante Friedman

Hamilton

Summary

Experienced healthcare customer service professional with a strong dedication to patient financial management, insurance claim processing, and program coordination. Adept at navigating Medicare/Medicaid policies, providing financial counseling, and resolving complex patient billing inquiries. Skilled in streamlining processes, ensuring regulatory compliance, and fostering patient satisfaction through compassionate and effective communication.

Overview

Work History

Customer Service Specialist

Mercy Health
  • Provided expert assistance to patients in understanding Medicare and Medicaid benefits, coverage limits, and claims processes
  • Assisted patients with billing inquiries, resolving issues to improve satisfaction and maintain financial accuracy
  • Developed customized payment plans adhering to healthcare policies, prioritizing patient needs and affordability
  • Connected patients with financial counseling services, aiding in Medicaid/Medicare enrollment and charity screening programs
  • Collaborated with billing and insurance departments to ensure accuracy in claims processing and reimbursement
  • Surpassed collection targets while maintaining exceptional customer service and patient-centered communication

Program Specialist

Triplefin
  • Administered Patient Assistance Programs for individuals requiring Medicare/Medicaid benefits, ensuring program efficiency and patient support
  • Collaborated with clinicians to assess and enroll patients in assistance programs, ensuring compliance with Medicare/Medicaid guidelines
  • Verified insurance information, assisting patients in understanding out-of-pocket costs and coverage options
  • Maintained meticulous clinical and program documentation to support patient care continuity
  • Conducted comprehensive form reviews to meet renewal deadlines and ensure procedural accuracy

CSR/ Grievances & Appeals Specialist

Centene
  • Provided high-level customer support for healthcare-related inquiries, resolving complex billing and insurance issues
  • Educated customers about health-related financial services, including Medicare supplement plans and account financing options
  • Managed escalated customer inquiries, providing tailored solutions for payment disputes and claims adjustments
  • Prevented fraudulent activities to protect sensitive healthcare and financial information
  • Facilitated effective communication within teams through live chat monitoring and escalation support

Education

High School Diploma - Child Development

Cincinnati State Technical & Community College
01.2008

Skills

  • Live Chat & Email Support
  • Medicare/Medicaid
  • Claims Processing
  • Patient Financial Counseling
  • Insurance Verification and Policy Navigation
  • Billing and Payment Management
  • Regulatory Compliance
  • Conflict Resolution
  • Process Optimization
  • Fraud, Waste and Abuse Detection and Prevention

Timeline

High School Diploma - Child Development

Cincinnati State Technical & Community College

Customer Service Specialist

Mercy Health

Program Specialist

Triplefin

CSR/ Grievances & Appeals Specialist

Centene
Briante Friedman