Candace Brunner
Glendale,AZ
Summary
Detail-oriented and quality-focused Team Leader with a successful track record in handling complicated assignments. Highly experienced in reconciling insurance and patient payments. Provides training, sets goals and obtains team feedback. Excellent interpersonal and communication skills. Big picture focus with excellence in communicating goals and vision to succeed.
Overview
13
13
years of professional experience
Work History
A/R Team Lead
Dignity Health
05.2022 - Current
- Proactively identifies trends and initiates recommendations for change to Manager
- Provides tracking and workflow management
- Addressed employee questions swiftly, ensuring clear understanding of tasks.
- Provided coaching to cultivate a collaborative and productive team environment.
- Conducted training sessions to enhance techniques across new and existing personnel.
- Facilitated teamwork by being readily available to aid colleagues whenever needed.
A/R Collection Specialist
Dignity Health
06.2017 - 05.2022
- Monitored and analyzed delinquent accounts for recovery actions.
- Executed professional outbound communications with insurance companies.
- Utilized expertise in payer requirements to effectively draft and submit appeals.
- Proposed actionable recommendations based on identified patterns.
Appeals Specialist
Cognizant
06.2016 - 04.2017
- Made Reconsideration determinations on Medicare appeals
- Analyzed cases for factual information and assessed involved issues.
- Reviewed files to determine whether all relevant information has been submitted
- Analyzed denial cases to ensure accurate categorization of item issues.
- Reviewed federal regulations to support compliance with CMS guidelines through comprehensive research.
Medical Biller III
Petroleum Helicopters Inc.
09.2013 - 06.2014
- Handled tasks associated with Biller II role.
- Assessed and ensured accuracy of Biller I and Biller II accounts.
- Monitored team members' activities and responsibilities.
- Executed special projects on demand.
Medical Biller II
Petroleum Helicopters Inc.
12.2012 - 09.2013
- Review Dispatch Clinical records for an air ambulance company
- Locate patient demographic and insurance information through contact with patients, hospitals, emergency personnel, and law enforcement.
- Ensure presence of all necessary consents and transport documents in patient accounts.
- Verified claim details to maintain compliance with standards.
- Maintained up-to-date knowledge on insurance policies and procedures.
Denial Specialist
Associated Billing Services
01.2012 - 12.2012
- Reconcile insurance and patient payments
- Resolved payment discrepancies and addressed EOB rejections efficiently.
- Handled billing for multiple specialties including Pathology, Pediatric Hospitalists, Dermatology, Anesthesiology, and Radiology
Education
Associate of Health Information Technology -
Arizona College of Allied Health
Phoenix, AZ01.2011
Skills
- ICD-10, HCPCS, CPT-4
- Medical Terminology
- Insurance Guidelines and Policies
- Excellent Interpersonal and Communication Skills
- Deadline Management
- Employee Training, Teamwork and Collaboration
- Organizational skills and Multi-tasking
Technologysummary
- Experienced in all Google Workspace tools
- MS Office (Word, Excel, Outlook)
- AthenaIDX
- GE Centricity
- Medinformatix
- Medical Practice Manager
- QNXT
- Care Enhance Care Manager
- Cerner Power Chart
Timeline
A/R Team Lead
Dignity Health
05.2022 - Current
A/R Collection Specialist
Dignity Health
06.2017 - 05.2022
Appeals Specialist
Cognizant
06.2016 - 04.2017
Medical Biller III
Petroleum Helicopters Inc.
09.2013 - 06.2014
Medical Biller II
Petroleum Helicopters Inc.
12.2012 - 09.2013
Denial Specialist
Associated Billing Services
01.2012 - 12.2012
Associate of Health Information Technology -
Arizona College of Allied Health
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