Brooke Shippa
Chicopee,MA
Summary
Friendly and enthusiastic with many years of knowledge in customer care, management and medical insurance. Able to learn new tasks quickly while maintaining great patient care, employee communication and proficiency in time management. Willing to grow and adapt new key abilities as necessary in any job setting.
Overview
15
15
years of professional experience
Work History
Patient Accounting Representative
Baystate Health - Baystate Medical Center
Springfield, MA (Remote)
05.2023 - Current
- Worked daily on rejected claims and resubmitted fixed errors to insurance.
- Called insurance companies with claim processing questions.
- Appealed denials in a timely manner.
- Sent corrected claims, voids and credits resolution.
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
- Adjusted client accounts by entering discretionary billing items, requesting rebills and updating billing entity records.
- Analyzed denial trends to proactively address recurring issues and improve clean claim submission rates.
Eligibility and Benefits Manager
Eye and LASIK Center
Remote
06.2021 - 05.2023
- Manage three full time remote employees and all duties related to their supervision
- Bi-Weekly payroll and time cards for whole department
- Create Protocols as well as policies and procedures for other departments to follow
- Manage denials for billing department
- Knowledge of EOBs and troubleshooting payment issues
- Help with doctor credentialing and provider grids for eligibility and scheduling purposes
- Work all eligibility matters for multiple doctors as well as obtain referrals and Prior Authorizations
- Verify all specialized testing and obtain Prior Authorizations
- Make phone calls to insurance companies for verification as well as to patients
- Manage and update a company wide provider grid for all details pertaining to insurance and requirements for each doctor
- Completed BMS consulting HIPAA, OSHA and all medically required practice certifications
Eligibility Specialist
Eye And LASIK Center
02.2019 - 06.2021
- Requested referrals as needed
- Responsible for protecting patients personal information while following HIPAA guidelines
- Verify all instance types for 6+ doctors daily
- Worked with other staff to adequately prepare patient accounts for billing
Front Desk Receptionist
Eye And LASIK Center
Greenfield, Ma
01.2018 - 02.2019
- Checked in/out patients for multiple doctors and had Knowledge of insurance and which doctor took what plans
- Completed daily tasks such as recalls, schedule orders, prescription refills
- Responsible for end of day reports and closing of building
- Sent messages to doctors for prescription refills
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel
- Resolved customer issues quickly and notified supervisor immediately when problems escalated
Salon Owner/Stylist
The Chopping Block Salon
Amherst, MA
06.2010 - 11.2018
- Performed Payroll functions such as maintaining time card information and processing payroll
- Answered telephones, gave information to callers and transfer to appropriate individuals
- Collected and deposited money into accounts, disbursed funds from cash accounts to pay bills or invoices
- Kept records of collections and disbursements to ensure accounts are balanced
- Greeted clients and handled all appointments
- Maintained schedules for ten employees
- Worked one on one with my personal clients
- In charge of all product and supply orders
Bartender/Bar Manager
Grill N Chill
Hatfield, MA
06.2011 - 09.2017
- Kept bar presentable and well-stocked to meet customer needs
- In charge of multiple staff and schedules as well as supervise daily operations
- Performed opening and closing duties, printing sales reports, setting up for incoming shift, preparing cash drawers and taking inventory
- Organized bar inventory and storage procedures to keep stock within optimal levels and meet expected customer demands.
- Followed alcohol awareness
- Managed lottery sales and machines
Education
AAPC Medical Billing And Coding
Cosmotology
Jolie Hair Academy
06.2004
University of Massachusetts
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Amherst Regional High School
Amherst, MA06.2002
Skills
- AR denial management
- Claim errors, rejections and remit processing
- Medical Insurance Understanding
- Multitasking for multiple job roles
- Complex Problem-Solving
- Document Preparation
- 10 years of management
- Able to learn new tasks quickly
Timeline
Patient Accounting Representative
Baystate Health - Baystate Medical Center
05.2023 - Current
Eligibility and Benefits Manager
Eye and LASIK Center
06.2021 - 05.2023
Eligibility Specialist
Eye And LASIK Center
02.2019 - 06.2021
Front Desk Receptionist
Eye And LASIK Center
01.2018 - 02.2019
Bartender/Bar Manager
Grill N Chill
06.2011 - 09.2017
Salon Owner/Stylist
The Chopping Block Salon
06.2010 - 11.2018
AAPC Medical Billing And Coding
Cosmotology
Jolie Hair Academy
University of Massachusetts
Amherst Regional High School