Brooke Sowards

I currently work denials for internal medicine through the REQ report. I identify the root cause of the denial and provide resolution. Improve claim denial resolution by thoroughly researching doctors notes and labs notes to correctly bill the claim. Also work on reducing aging accounts to reduce timely filing limits. Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt. Help upload medical record to portal per insurance request. Collaborate with billing department to ensure accurately code and enter charges, minimizing future claim denials. Maintained confidentiality of patients finances, records and health status.

Followed FDA guidelines. Ensured all children have all components and food groups based on their age and special diet needs. Prepare, cook and store food properly. Keep all prepared foods at safe temperatures for serving. Train all new employees. Worked closely with all kitchen staff to streamline meal preparation and minimize wait times for children. Maintained a clean and organized cafeteria environment. Promoted a positive work environment among colleagues to promote a higher employee moral.

Assisted patients with billing questions and payments. Helped

in-service patients with DME equipment. Processes CMNs daily to sent ot doctors so insurance would pay for medical equipment. Received prior authorization from insurances. Actively listened to customers, handled concerns quickly and escalated major issues to supervision. Answered constant flow of customer calls with minimal wait times. Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns. Offered advice and assistance to customers, paying attention to special needs or wants.

Assisted in onboarding new hires, facilitating a smooth transition into their roles and supporting employee retention efforts. Supervised CNAs and PCTs in patients homes. Staffed CNAs and PCTs in patients homes according to patients plan of care. Assisted with QA with medical records. Worked closely with other employees to address workforce planning needs effectively.

Supported HR functions such as benefits administration and employee relations, enhancing overall organizational efficiency.

Developed strong relationships with clients and long-term partnerships.

Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.

Assisted patients with daily living activities for enhanced comfort and wellbeing. Checked patient vitals such as temperature, blood pressure, and pulse. Improved patient care quality by monitoring and recording vital signs, fluid intake, and output. Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment. Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques. Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.