Brooke Rivera
Cape Coral,FL
Summary
Detail-oriented Medical Billing & Collections Specialist focused on enhancing billing processes with over 17 years of experience. Expertise in managing billing cycles and resolving discrepancies, committed to implementing solutions that improve compliance and operational workflows to increase revenue.
Overview
18
18
years of professional experience
Work History
Medical Billing & Collections Specialist
Orthopedic Specialists Of SW FL
07.2008 - Current
- Reviewed and verified patient insurance information to enhance accuracy in billing processes.
- Reduced claim denials by diligently reviewing patient records for correct coding and billing information. Implementing claim scrub rules based on insurance payment policies
- Prevented unnecessary loss of revenue due to late or incomplete billing by meticulously tracking all accounts and ensuring timely submission of accurate claim forms.
- Maintained excellent relationships with insurance company provider representative, contacts to create claims projects to resolve difficult denials.
- Trained new staff on billing procedures, promoting adherence to compliance standards and best practices.
- Implemented process improvements that reduced claim denials by analyzing root causes and adjusting workflows.
- Assisted with surgery, DME, injection, therapy authorizations when needed.
- Patient payments, payment plans
Education
High School Diploma -
Key West High School
Key West, FL06.2002
Skills
- Revenue Cycle Management-Commercial payers, Auto, Medicare, Workers Compensation Denial Management, Appeals, timely follow-up
- Medical billing software proficiency- Epic EHR, Modernizing Medicine, Doctorcom
- HIPAA compliance
- Charge entry & Billing Correction
- Submission of complaints to the state for payer non-compliance
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Medical Billing & Collections Specialist
Orthopedic Specialists Of SW FL
07.2008 - Current
High School Diploma -
Key West High School