Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Brittany Watts

Rochester,NY

Summary

Efficient billing professional with 4+ years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Account Resolutions Specialist

PBS West
06.2022 - Current
  • Follows up on insurance claims for payment, performs research/work on claims where no response has been received, work denials based on priority (highest dollar, oldest date of service), contact insurance via phone or chat if there is a bulk amount of the same denial (ex
  • 30 claims denied for not elg on dos), research/work collections as needed and upload results to CBS USA for processing, work rejected claims in Phicure clearing house (ex
  • Claim rejected for incorrect zip code
  • Correct patient’s demographic info and release from Phicure to be reprocessed), work review outstanding claims as needed (claims that have yet to be processed for payment
  • Verify eligibility and bill the claim), work and correct Medicare denials (ex
  • Find and correct patient’s name, DOB, MBI #, etc
  • And reprocess for payment), submits appeals for payment in compliance with government, commercial, and HMO payor standards, works special projects to obtain payment from insurance payors as requested, maintains the accounts receivable days and payment collection targets through account resolution work with payors, compiles statistics and prepares various trending and reports for management, completes write-offs and adjustments to patient accounts in compliance with department policies, required to resolve accounts for insurance payment and maintain good relationships with payers.

Sr. Associate of Operation Services

Core Logic
11.2021 - 04.2022
  • Serves as core piece at Core Logic, supports data procurement, data integrity, client/customer care, conducts research of various data and leveraging all available resources such as existing databases, third party sources and/or public information on the internet, contacts clients and outside customers to clarify and provide information, utilizes various tools to analyze, query, and manipulate data according to defined business procedures, extracts and enters appropriate data onto applications and databases, process payments which may require preparing, balancing, and submitting complex wire disbursements for mass manual payments.

Remote Claims Follow up Representative

PBS West
08.2021 - 11.2021
  • Under the direction of the AR Supervisor, this position is accountable for overseeing the correct billing and follow-up of all facility charges to patients, insurance companies, and governmental agencies, excellent customer service skills are required to assist in collecting monies due and maintain good relationships with payers, maintains the accounts receivable deadline, receives customer complaints and resolves issues as set by company and federal guidelines, compiles statistics and prepares various reports for management, answers questions from patients and clients
  • Authorizes to request write-offs and adjustments to patient accounts in compliance with department policies, supports HIPAA compliance, the incumbent must have current working knowledge of federal, state and third-party billing and payment requirements, maintains updated coding skills for ICD-10 and CPT, working knowledge of changing regulations for Federal, State and third-party payers, which would include but are not limited to: Medicare, Medicaid, Medi-Cal, Champus/Tricare, Indian Health Service, and commercial insurances.

Medical Biller

Mid-Atlantic Spinal Rehab & Chiropractic
10.2019 - 03.2020
  • Check the M&T bank commercial services website daily for checks and correspondence, save lockbox batches to the shared drive and extract to patient(s) records, print batches if needed, post checks daily from lockboxes, update transaction log with daily check information, work patient accounts to mark whether personal injury protection (PIP) is waived, exhausted or with extended information, run an end of the day transaction report to verify if the checks for the day are balanced, make follow-up phone calls to insurance companies on PIP status and to check claim status, make follow-up phone calls to attorney offices to get current case status and/or collect payments, run billing report (charges waiting to be billed) weekly; check for errors and print out bills per HCFA form(s) along with chart notes and mail to insurance companies, send out patient statements monthly, run CT-Pro Bill monthly Stat Report to reconcile lockbox batches, follow-up with attorneys quarterly.

Cash Specialist

Remedi Senior Care
11.2018 - 07.2019
  • Check Wells Fargo website and download daily batches, check bank statements and print ACH payments, record ACH payments on third party spreadsheet, process secure net credit card processing and wells e-bill report, open new daily batches for PRV and THIRD PARTY, open new facility batches only when facility checks are present, record and print third party checks, reconcile/make entries to Cash and Bank Recon, process adjustments, review correspondence processing batches and send email for review, confirm refund amounts and process refunds in ACCPAC when the check(s) arrive(s), process private pay net zero report, process daily/weekly credit applications, process incoming third party payments into HIPAA Suite Software system, Upload 835 files and construct remits through Microsoft Excel

ICU Clerk

Toyota Financial Services
03.2018 - 10.2018
  • Research and prepare accounts to be charged off, search through accounts in a list format, validate customer account information, analyze customer account data to determine account status, promptly reports/refers sensitive and complex issues to the Inventory Control Team Leader, documents all activities in a clear and concise manner using the appropriate systems and in accordance with established procedures.

Independent Contractor

Financial Education Services
03.2017 - 03.2018
  • Reach out to potential clients to give detailed information about the credit repair
  • Ensure that clients are informed with the steps of the credit repair program
  • Enter clients into the system to start the credit repair program.

Billing Specialist

Option Care
08.2016 - 03.2017
  • Submit timely accurate invoices to payer for products and services provided, correctly determines quantities and prices for drugs billed, verifies that the services and products are correctly authorized, and the required documentation is on file prior to billing to the A/R, ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided, adheres to regulatory/payor guidelines, policies, and procedures.

Billing Associate

University Psychological Center Inc
06.2016 - 08.2016
  • Verify insurance eligibility for all carriers, obtain benefits and authorization, submit claims to designated payers, Process and post payments, Follow-up on aging report, Work with professional staff to ensure billing and collections process, Start payroll process monthly for the payroll department.

Billing Assistant

VMT Home Health Agency
08.2014 - 09.2015
  • Lead extended care process under the direction of the Director of Patient Accounts, Verify Medicare, Medicaid and commercial insurance information, document on insurance verification form and file with clinical record, obtain all initial DC Medicaid/Medicare and commercial authorizations for claims, as indicated
  • File authorizations in clinical record, Enter Case Management and Nurse time sheets using software Visit Wizard, Paper bill TPL’s using UB04 forms, Register all patient Prior Authorizations information into the software system (Visit Wizard), Complete all Medicaid Billing every 2 weeks, based in timesheets from professional staff, Prior to final bill, present the patient billing summary to Director of Patient Accounts to review for accuracy, File patient billing summary and individual billing charge slips in designated file, Follow up calls with patients to assure their insurance has been updated, alert them of inactive insurance or to notify them of their termination from Medicaid insurance due to a long duration period of an inactive status, Keep track of Patients Authorizations Extended Care/Waiver, Keep track of and update Delmarva Prior Authorizations spreadsheet, On the 15th of every month, send a notification e-mail to proper staff notifying of Delmarva patients Prior Authorization expiration date, Alert staff of any inactive Delmarva State Plan and Waiver patients on the 1st of every month and notify patient(s) of what steps to take to insure their insurance becomes inactive, Verify the status of possible new Delmarva clients to notify proper staff if the patient can or cannot be accepted into the Delmarva State Plan or Waiver program, Create new account(s) for clients accepted into the Delmarva State Plan or Waiver program using the software system, Visit wizard, File Prior Authorizations in patient charts, Complete unpaid claims project clean up every 6 months, Check billing claims on the DC Medicaid website to see if claims billed were paid or denied
  • If denied, take proper steps to fix the issues corresponding to the denial code and fix the issue.

Customer Service Agent

TCC Maryland Call Center
03.2014 - 08.2014
  • Uses Advantage and Call Guide computer system to navigate through customer accounts, To maintain a total call time of 7 minutes or less (5 minutes for call time and 2 minutes for after call work)., Provides excellent customer service; knowing when to be sympathetic and empathetic to customers, Handles/dissolves disputes on customer accounts such as subscription/ADS/order cancels, refund statuses, order/subscription statuses, Update personal information (address, email, phone number, etc.), Changing frequency/quantity of ADS (auto-delivery Service), Sending out rush orders, Extending accounts/subscriptions/ADS, Help customers navigate through a website(s) to locate special and bonus reports, monthly newsletters, etc., Providing login information, Sending out confirmation emails or information about products and services, Providing sub status information (exp
  • Date, when last issue was delivered, next AR (auto-renew) date, etc.), Send detailed tasks to the escalations team to handle unresolved issues on customer accounts, Upsell special promotions on products at the end of a sale call

Education

High School Diploma -

Forest Park High School
Baltimore, Maryland

Skills

  • Documentation Skills
  • Claims Processing
  • Research Abilities
  • Account Review
  • Issue Investigation
  • Account Reconciliation
  • Collections
  • Billing and Collection Procedures
  • Collection Calls
  • Medical Claims Submission
  • Customer Service
  • Accounts Receivable Management

Certification

Billing Specialist/Associate UB04 Forms Customer Service Associate Posting Payments Medical Billing Submitting Claims Medicaid/Medicare/Commercial Insurances Claim Processing Insurance Verifications Awarded Task Jedi Certificate July 2014 Promoted to Semi-Dedicated Common-Sense Publishing Team

Timeline

Account Resolutions Specialist

PBS West
06.2022 - Current

Sr. Associate of Operation Services

Core Logic
11.2021 - 04.2022

Remote Claims Follow up Representative

PBS West
08.2021 - 11.2021

Medical Biller

Mid-Atlantic Spinal Rehab & Chiropractic
10.2019 - 03.2020

Cash Specialist

Remedi Senior Care
11.2018 - 07.2019

ICU Clerk

Toyota Financial Services
03.2018 - 10.2018

Independent Contractor

Financial Education Services
03.2017 - 03.2018

Billing Specialist

Option Care
08.2016 - 03.2017

Billing Associate

University Psychological Center Inc
06.2016 - 08.2016

Billing Assistant

VMT Home Health Agency
08.2014 - 09.2015

Customer Service Agent

TCC Maryland Call Center
03.2014 - 08.2014

High School Diploma -

Forest Park High School

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Brittany Watts