Brittney M. Lowe

• Completed day-to-day duties accurately and efficiently.
• Prioritized and organized tasks to efficiently accomplish service goals.
• Ensure correct DRG codes are being utilized in the claims.
• Post refunds, providers have sent in.
• create AP checks to be sent back to providers

work dual claims

complete BOT errors

• Utilized various software and tools to streamline processes and optimize performance.
• Coordinated with vendors to resolve payment discrepancies efficiently.

• Investigated high volume of insurance claims to determine validity and coverage eligibility.
• Executed claims processing, while generating increased revenue.
• Collaborated with team members and management to meet goals.
• Communicated with clients to explain policy coverage and regulations.
• Determined claim status and negotiated to reach reasonable settlements or denials.
• Prepared and presented claims to other insurance companies and collaborated to gain necessary information to resolve claims.

• Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
• Organized paperwork such as charts and reports for office and patient needs.
• Answered phone calls and provided new clients with required paperwork to initiate service.
• Entered referrals into appropriate system based on type of referral obtained.
• Liaised between clients and healthcare providers to maintain continuity of care.
• Attended case reviews and provided feedback on client progress.
• Explained eligibility requirements, application details, payment methods, and applicants' legal rights during intake assessment.
• Assessed clients' needs and determined eligibility for intake services.
• Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.

• Ky 40202
• Demonstrates a positive and professional attitude while providing excellent customer service skills -Answer all incoming calls with exceptional customer service with a focus on compassionate patient centered care -Review incoming website appointment requests and handle in a concierge style manner by acting as one point of contact for our patients in scheduling appointments across the organization in a timely manner -Schedule new, return, internal employee, and referring provider VIP appointments within multiple groups -Accurately schedule patient appointments in accordance with physicians’ template and guidelines using access center technologies -Regularly monitor guided schedule documents to ensure up to date scheduling compliance -Determine appropriate physicians for all non-directed referrals
• Use Allscripts, Centricity Business, online paging systems as well as retrieve information from other hospital systems
• Treat all matters confidentially concerning patient information according to HIPAA guidelines
• Adhere to group productivity and quality metrics
• Other duties as assigned.
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
• Stayed calm under pressure to and successfully dealt with difficult situations.
• Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
• Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.

• Demonstrates a positive and professional attitude while providing leadership skills
• Verifies Insurance
• Follow up with patients and doctors
• Providing great customer service
• Using sympathy and Empathy when needed
• Documenting every call
• Assisted with billing
• Created weekly detailed spreadsheets to keep up with inventory
• Call insurance companies to follow up on prior authorizations and precertifications
• Data Entry
• Researched ICD9/10 codes as well has Hcpcs codes
• Register patients into the program
• Assist with copay assistance
• Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
• Developed and implemented comprehensive case management plans to address client needs and goals.
• Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
• Collaborated with an interdisciplinary team to determine timely delivery of services.

• Kentucky 40222
• Demonstrates a positive and professional attitude while providing excellent customer service skills
• Entering data insurance in to system
• Assisted with billing and invoicing
• Ability to manage multiple priorities
• Explained coverage on policy
• Researched ICD9/10 codes as well has Hcpcs codes
• Demonstrates a positive and professional attitude while showcasing my skill to prioritize and meet deadlines
• 40299
• Assisted providers with customer’s oop max and co insurance
• Following up with denials on insurance claims
• Assisted with Preauthorization requests/ Pre-Certifications
• Assisted with Billing
• Researched ICD9/10 codes as well has Hcpcs codes
• Responsible for meeting deadlines
• Demonstrates a positive and professional attitude while providing excellent customer service
• Responded proactively and positively to rapid change.
• Educated customers about billing, payment processing and support policies and procedures.
• Followed up with customers about resolved issues to maintain high standards of customer service.
• Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
• Investigated and resolved customer inquiries and complaints quickly.
• Trained new personnel regarding company operations, policies and services.
• Maintained up-to-date knowledge of product and service changes.

• Demonstrates a positive and professional attitude while providing excellent customer service
• Assisted customers with payments, as well as solving any issue they may be experiencing
• Entering Data into our system
• Verifying insurance policy coverage
• Processing invoices for billing matters
• Alerting clients of any program updates and changes
• Resolving any contract issues with available resources
• Demonstrates a positive and professional attitude while providing excellent customer service
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
• Handled customer inquiries and suggestions courteously and professionally.
• Answered constant flow of customer calls with minimal wait times.
• Answered customer telephone calls promptly to avoid on-hold wait times.
• Updated account information to maintain customer records.
• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.

• Demonstrates a positive and professional attitude while providing excellent customer service
• Entering data insurance in to system
• Assisted with billing and invoicing
• Explained coverage on policy
• Utilized multiple programs to fix errors.
• Assisted clients with completion of applications and paperwork.
• Communicated with people from various cultures and backgrounds on application process.
• Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
• Used computer-aided guidance packages such as skills assessment tools, career planners, psychometric tests and personal inventories to assist clients in determining strengths and weaknesses.