Brooklyn Davis
Gastonia,NC
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
Work History
Claims Processor
Aetna
CHARLOTTE, NC
04.2022 - 08.2022
- Generated, posted and attached information to claim files.
- Verified client information by analyzing existing evidence on file.
- Processed and recorded new policies and claims.
- Posted payments to accounts and maintained records.
- Calculated adjustments, premiums, and refunds.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Reviewed provider coding information to report services and verify correctness.
- Input data into computer programs and filing systems.
- Followed exact procedures for handling transfers and other releases of medical records.
- Used correct diagnosis-related groups based on patient encounter details.
- Identified new methods to optimize medical records management.
- Adhered to established standards to safeguard patients' health information.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
Customer Service Representative
Quantum Media
Charlotte, NC
10.2015 - 04.2022
- Maintained customer happiness with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Evaluated account and service histories to identify trends, using data to mitigate future issues.
- Processed, scheduled and executed customer orders for new and established customers.
- Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service.
- Followed up with customers regularly via phone and email to obtain payments and schedule services.
- Answered inquiries and resolved or escalated issues to management personnel to ensure client satisfaction.
- Trained 10+ new employees in various procedures and gave feedback on daily work performance to increase productivity and caller satisfaction by 5%.
- Sent out field technician drivers to assist callers based on locations, needs and worker availability.
- Enhanced productivity by staying on top of call scripts and maintaining control over direction of conversations.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Answered over 7 calls and emails per hour to meet fast-paced call center demands.
- Reduced process inconsistencies and effectively trained team members on best practices and protocols.
- Mentored new hires, resulting in stronger staff development and increased productivity.
- Leveraged sales expertise to promote products and capitalized on upsell opportunities
- Recommended products to customers, thoroughly explaining details.
- Provided information regarding charge accounts and loyalty programs.
- Responded proactively and positively to rapid change.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Maintained up-to-date knowledge of product and service changes.
Medical Claims Processor
Urgent Care At Peachtree
Atlanta , Georgia
02.2013 - 09.2015
- Successfully scheduled patient appointments and placed reminder calls to ensure exceptional customer experience.
- Organized patient files and streamlined operations to improve efficiency.
- Kept waiting room neat and organized at all times by stacking magazines, removing trash.
- Promptly answered multi-line phone system and greeted callers enthusiastically.
- Adhered to strict HIPAA guidelines at all times to protect patient privacy.
- Scheduled, rescheduled and handled cancelled appointments for patients.
- Completed skilled administrative work to support all office staff and operational requirements.
- Coordinated front office duties, including customer service, patient scheduling and billing.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Responded to correspondence from insurance companies.
- Examined claims forms and other records to determine insurance coverage.
- Managed large volume of medical claims on daily basis.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Performed Pre-Authorizations
- Promptly sent out and posted all medical claims.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Reviewed provider coding information to report services and verify correctness.
- EOBS
Hotel Front Desk Clerk
Fairfield Inn Suites
Charlotte, NC
02.2011 - 02.2013
- Updated customer accounts with add-on room charges, including minibar use and room service bills.
- Promoted local entertainment and sporting events and offered details to assist patrons.
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Answered multi-line phone system, responded to inquiries and transferred calls to correct departments and personnel.
- Greeted 20+ daily visitors and customers upon arrival, offered assistance and answered questions to build rapport and retention.
- Arranged accommodations and travel plans for visitors and presented updated itineraries.
- Maintained transaction security checking payment cards against identification.
- Explained details regarding property, including restaurants, pool area, spa and fitness center to acclimate patrons to resort environment.
- Helped customers complete purchases, locate items and join reward programs to promote loyalty, satisfaction and sales numbers.
- Counted cash in register drawer at beginning and end of shift.
- Mentored new team members on registers, meeting customer needs, maximizing group performance and maintaining high satisfaction with customers.
- Checked bills with counterfeit pens and examined coins to spot and refuse foreign currency.
Phlebotomist
CSL Plasma
Shelby, NC
08.2010 - 01.2011
- Maintained exam rooms by ordering supplies, transporting specimens, washing and packing instruments and changing solutions.
- Drew blood from veins by vacuum tube, syringe or butterfly venipuncture methods.
- Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures.
- Accurately labeled vacutainer tubes with patient name, date and time of collection.
- Spoke with patient to gather information for lab records, reduce fear or anxiety and optimize cooperation.
- Assembled tourniquets, needles and blood collection devices to prepare work trays.
- Assisted with office procedures by monitoring patient flow, performing telephone screening and maintaining sample drug lists.
- Organized daily work based on collection priority.
- Stocked phlebotomy cart or carrier with appropriate supplies.
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Delivered timely and accurate charge submissions.
- Communicated with patients, ensuring that medical information was kept private.
- Responded to correspondence from insurance companies.
- HIPAA
- Medical terminology
- CPT coding
- Precisely completed appropriate claims paperwork, documentation and system entry.
Education
Certified Phlebotomist - Phlebotomy
Gaston College
Dallas, NC05.2010
High School Diploma -
Ashbrook High School
Gastonia, NC06.2009
Skills
- Time Management
- Credit card processing
- Data entry
- Medical terminology knowledge
- MS Office proficiency
- Quick learner
- Multi-line phone talent
- Time management
- CPT coding
- MS Word proficiency
- Patient Billing
- Verbal and written communication
- Scheduling
- Insurance Verification
- HIPAA Guidelines
- Insurance Claims
- Data Entry Software
- WFH professionalism
- EOB
- REMITS
- HCPCS
- BALANCE TYPES
Timeline
Claims Processor
Aetna
04.2022 - 08.2022
Customer Service Representative
Quantum Media
10.2015 - 04.2022
Medical Claims Processor
Urgent Care At Peachtree
02.2013 - 09.2015
Hotel Front Desk Clerk
Fairfield Inn Suites
02.2011 - 02.2013
Phlebotomist
CSL Plasma
08.2010 - 01.2011
Certified Phlebotomist - Phlebotomy
Gaston College
High School Diploma -
Ashbrook High School