Brionica Luckey
Douglasville,GA
Summary
Motivated, determined, and professional who is an outstanding technician proficient in data collection and distribution. Expert in assessing and implementing secure client information to automate clinical workflow. Proficiently adapting to computer information systems and concepts to ensure interpersonal relations and professional development. Works well with a diverse group of clients and management with 10 years of administrative services. Talented Insurance Coordinator with a twenty-year background in hospital settings. Expert in managing insurance claims process, maintaining patient accounts, and liaising with insurance companies. Well-versed in Medicare, Medicaid, HMO, and PPO insurance requirements.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Insurance Coordinator
Tulman Eye Group
Lithia Springs, GA
09.2018 - 07.2020
- Verified insurance and communicated coverage to staff and patients.
- Successfully oversaw patient medical/vision plan benefits to cover services that were rendered in office
- Effectively submitted claims, letters of appeals, and letters of medical necessity when needed to ensure increased payment of claims
- Answered multi-phone lines, and scheduled patient appointments using EMR Compulink software.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Managed over 50 customer calls per day
Insurance Coordinator
Smyrna Eye Group
Smyrna, GA
04.2017 - 09.2018
- Filed and tracked insurance claims and communicated claims status to patients.
- Independently submitted claims, letters of appeals, and letters of medical necessity when needed to ensure the payment of claims
- Energetically answered multi-phone lines, and schedule patient appointments using EMR Officemate software
- Verified insurance and communicated coverage to staff and patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Obtained data such as patient, insurance ID, insurance provider, and medical codes to properly file insurance claims
- Trained 4 Staff members on Medicare and Medicaid guidelines
- Prepared insurance claims for submission to clearinghouses or insurance companies.
Reimbursement Specialist
Mimedx Inc
Marietta, GA
05.2014 - 06.2016
- Assisted Health Care providers to use company products in the process of obtaining patient benefits and prior authorization from health plans: Medicare, Medicaid, and Commercial plans
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Prevented delays and claim denials by correcting information prior to submission.
- Coordinated with insurance providers to verify customers' policy benefits in relation to claims.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Billed and collected for claims submitted on clients' behalf with sales totaling $60,000+ monthly.
- Helped minimize escalations by reaching out to clients in advance of expected problems
Education
Associate of Arts - Computer Programming
Atlanta Technical Institute
Atlanta, GA10.2022
No Degree - Computer Networking
Generation USA
Washington, D.C.12.2021
No Degree - Medical Insurance Billing
Medix School
Atlanta, GA05.2008
Skills
- Administrative Support
- Medical Billing Processing
- Patient Diagnosis
- General Office Functions
- Problem-solving
- Insurance Eligibility
- Customer Contact
- Eligibility Determinations
- Diagnostic Codes
- Insurance Coordination
- Reviewing Patient Information
- Patient Benefits Confirmation
- Coverage Determination
- Benefits Verifications
- Inputting Claims
- Attention to Confidentiality
- Insurance claims and denial processes
- File and records management
- Insurance Verification
- Medicare and Medicaid knowledge
- Medical billing and coding
- ICD-10 Coding
- Proficient in Medical Software
Certification
Medical Office Administration Certification
Medix School, July 2008
Timeline
Insurance Coordinator
Tulman Eye Group
09.2018 - 07.2020
Insurance Coordinator
Smyrna Eye Group
04.2017 - 09.2018
Reimbursement Specialist
Mimedx Inc
05.2014 - 06.2016
Associate of Arts - Computer Programming
Atlanta Technical Institute
No Degree - Computer Networking
Generation USA
No Degree - Medical Insurance Billing
Medix School