Brittany Pemberton
Bentonville,AR
Summary
Dynamic professional with extensive experience at CVS Health specializing in claims analysis and process improvement. Proven ability to enhance operational efficiency while achieving high patient satisfaction. Expertise in payment processing and effective communication, consistently driving results and optimizing workflows to support revenue cycle management.
Overview
16
16
years of professional experience
Work History
Credit Representative
Central States Manufacturing, Inc
Springdale, AR
04.2025 - Current
- Applied all payments within established timeframes to maintain accurate financial records.
- Processed and applied customer payments, ensuring correct account allocation.
- Resolved issues with unapplied or incorrect payments, enhancing accuracy of customer accounts.
- Reviewed collection efforts for past due accounts, aiding sales team in achieving collection goals.
- Collaborated with accounting for accurate bank and ledger reconciliations, supporting financial integrity.
- Updated customer statements timely, ensuring accuracy and completeness.
- Documented and communicated credits and adjustments in accordance with processes.
- Verified that all customer credit files remained complete, accessible, and secure.
Senior Claim Benefit Specialist Operations
CVS Health
09.2021 - 02.2025
- Reviewed complex claims for accuracy and compliance, resulting in enhanced processing efficiency.
- Streamlined complex medical claims processing, reducing resolution time while maintaining compliance standards.
- Conducted root cause analysis to resolve discrepancies and improve claims resolution.
- Collaborated with teams to implement process improvements, achieving measurable results.
- Processed high-volume rework projects to ensure optimal quality and turnaround performance.
- Managed high-volume rework projects, resolving plan sponsor issues with precision.
- Provided detailed reporting and trend analysis to optimize reimbursement workflows.
- Developed comprehensive trend analysis reports to identify bottlenecks and drive strategic improvements.
Patient Account Representative
U.S. Physical Therapy Billing Office
Flower Mound, TX
09.2017 - 06.2020
- Processed and reconciled over 500 daily insurance payments through EMR software while ensuring HIPAA compliance.
- Resolved billing inquiries, achieving patient satisfaction and reducing account delinquencies by 80%.
- Investigated complex billing inquiries, drafting medical necessity appeals to secure improved reimbursement outcomes.
- Developed systematic approaches for monitoring claim rejections, facilitating proactive resolution of billing issues.
- Reviewed medical records for accuracy, collaborating with physicians for timely code clarifications.
Billing & Office Coordinator
Crystal Clear Image
Frisco, TX
03.2013 - 03.2016
- Resolved billing issues through provider collaboration, improving account resolution timelines.
- Analyzed aging reports to address overdue reimbursements, improving cash flow management.
- Managed inventory and patient records to streamline office operations.
- Conducted patient pre-testing and performed optician duties to support comprehensive care delivery.
Patient Account Representative
Academy Foot and Ankle Specialist
Southlake, TX
10.2012 - 02.2013
- Coordinated billing operations and insurance claims, ensuring timely revenue flow and minimizing claim denials.
- Boosted collection rates through systematic follow-up on overdue accounts, reducing outstanding balances.
- Streamlined access to critical information by effectively managing patient records, enhancing retrieval speed and accuracy.
- Optimized clinic workflow with efficient appointment scheduling and preliminary testing.
Billing & Office Coordinator
OmniVision Eyecare
Carrollton, TX
03.2010 - 08.2012
- Resolved billing issues, improving account resolution timelines and enhancing overall customer satisfaction.
- Analyzed aging reports to improve cash flow and minimize outstanding balances.
- Ensured accuracy in documentation for inventory and patient accounts management, contributing to streamlined operations.
- Conducted pre-testing and performed optician duties, facilitating seamless patient care and support.
Education
High School Diploma -
Winfree Academy
Lewisville, TX01-2007
Some College Coursework Completed -
North Central Texas College
Corinth, TXSkills
- Payment processing
- Customer account management
- Revenue cycle management
- Claims analysis
- Medical coding
- Attention to detail
- Time management
- Problem solving
- Effective communication
- Team collaboration
- Decision making
- Self motivation
- Process improvement
Timeline
Credit Representative
Central States Manufacturing, Inc
04.2025 - Current
Senior Claim Benefit Specialist Operations
CVS Health
09.2021 - 02.2025
Patient Account Representative
U.S. Physical Therapy Billing Office
09.2017 - 06.2020
Billing & Office Coordinator
Crystal Clear Image
03.2013 - 03.2016
Patient Account Representative
Academy Foot and Ankle Specialist
10.2012 - 02.2013
Billing & Office Coordinator
OmniVision Eyecare
03.2010 - 08.2012
High School Diploma -
Winfree Academy
Some College Coursework Completed -
North Central Texas College