Candy Dittbrenner
Crete,NE
Summary
Professional with background in medical billing and coding, adept at navigating complex reimbursement processes and optimizing revenue cycles. Strong analytical skills, attention to compliance, and ability to manage claim disputes effectively. Team player focused on collaboration and achieving organizational goals, adaptable to changing needs. Proficient in using healthcare software and maintaining accurate patient records.
Professional specializing in medical billing and coding, skilled in managing patient accounts, AR/AP, insurance claims, and revenue cycle processes. Strong focus on team collaboration and adaptability to changing needs, ensuring seamless workflow and accurate billing. Excellent problem-solving skills, attention to detail, and ability to communicate effectively.
I have strong analytical abilities and a keen eye for detail, ready to learn and help in developing or improving departments. I possess a solid understanding of state and federal compliance regulations, coupled with proficiency in data entry and record management.
Overview
15
15
years of professional experience
Work History
Billing and Coding
Saline Medical Specialties
11.2024 - 02.2025
- My position was outsourced, I was no longer needed. I was released from my position on 2/5/2025.
Billing Specialist
Cancer Partners of NE
06.2024 - 12.2024
- Processed patient billing inquiries, ensuring timely and accurate resolution.
- Reviewed insurance claims for compliance with policies and procedures.
- Ensured compliance with healthcare regulations, including HIPAA, to maintain patient confidentiality.
- Reviewed and adjusted patient accounts for accuracy, ensuring timely billing cycles.
- Posted and adjusted payments from insurance companies.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Precisely evaluated and verified benefits and eligibility.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Filed and updated patient information and medical records.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Prepared billing correspondence and maintained database to organize billing information.
- Evaluated patients' financial status and established appropriate payment plans.
- Increased overall efficiency of the billing department by regularly auditing internal procedures and suggesting improvements.
- Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
Patient Access
Crete Area Medical Center/ Bryan Medical Center
02.2023 - 06.2024
- Registration of patients
- Answer the multi phone lines
- Social Work / Helped with discharge planning
- Update patients accounts.
- Collect co-pays.
- Have patients signed proper paperwork (ABN, COA, RTT, etc.)
- Scan insurance and Driver Lic. In patients’ chart
- Train new employees
- Train the nurses on insurance regulations and Authorizations
- Helped with Medicaid, Financial Assistance, Medicare, and any other questions they may have.
- AP/AR
- Scheduling patients’ appointments in person and on the phone
- Answering patients’ insurance questions.
- Completing Financial quotes for patients who will be having a procedure. (Insurance VS Out of pocket)
- Coordinated insurance verification and eligibility checks, enhancing patient experience and reducing wait times.
- Facilitated patient check-in and registration processes, ensuring compliance with healthcare regulations.
- Managed scheduling for appointments, optimizing clinic workflow and resource utilization.
- Trained new staff on systems and procedures, promoting consistency in patient access services.
- Implemented process improvements that streamlined data entry tasks, increasing overall efficiency of operations.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Increased accuracy in billing processes by diligently verifying insurance coverage and benefits eligibility.
- Maintained strict confidentiality of patient records in compliance with HIPAA regulations.
Veteran Affairs/Chip 599 Medicaid and Patient Account Specialist/ Financial Services
Bryan Health
06.2023 - 05.2024
- Perform all authorizations for: Billing, Coding claims, Appeal Denials
- Manage Veterans paperwork to ensure compliance with Community Cares.
- Knowledge of state and federal regulations for veterans, knowledgeable of the different types of VA insurance, and knowledge to help Veterans reach their full max disability
- Advocate for the patient.
- Recertification
- Accounting including AR&AP
- Chip 599
- Helping the veterans reach their full max disability.
- Train new employees
- Negotiation of new contracts.
HR Director
Distribution Inc
02.2022 - 03.2023
- Recruit and On Boarding new employees
- Hold exit interviews for departing employees.
- Complete all paperwork for Cobra and HIPPA regulations
- Managed all employee Benefits
- Hold monthly on-site employee meetings. Hold quarterly Driver meeting.
- Write new policies.
- Complete all reviews. Analysis of employee wages and adjust as needed.
- Keep records of all drivers’ physical and CDL expiration date
- Reconcile Payroll, PTO, Sick time, call in & no call no show
- Enter all in-house and the driver’s daily hours worked.
- E&O Insurance
Denials team
Bryan Health
10.2021 - 03.2022
- Contacted insurance companies and discussed payment issues.
- Correct claims
- Advocate for patients and hospitals.
- Negotiate contracts.
- Negotiate penalties and interest rates on denied claims that should have been paid.
- Worked closely with CMS and Medicaid on contracts and denials.
Revenue Cycle Specialist
Conifer Healthcare Solutions
06.2010 - 10.2021
- Analyzed patient billing discrepancies, ensuring timely resolution and compliance with regulations.
- Coordinated claim submissions, optimizing processes to enhance cash flow and reduce denials.
- Monitored accounts receivable aging reports, identifying trends and implementing corrective actions.
- Collaborated with clinical teams to streamline documentation practices, improving revenue capture accuracy.
- Trained new staff on revenue cycle procedures, fostering a culture of compliance and efficiency.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Reached out to insurance companies to verify coverage.
- Identified and resolved payment issues between patients and providers.
- Provided regular updates on billing status to upper management through detailed reports.
Education
Associate of Applied Science - Health & Human Services HUC/ Social Services
Western Dakota College of Technology
Rapid City, SD05-2010
Bachelor of Science - Business Administration And Management
Southeast Community College
Lincoln, Nebraska, NE06-2027
Diploma/Associates - Electrical, Electronics And Communications Engineering
Southeast Comm
Lincoln, Nebraska, NE12-1991
Skills
- Medical billing and coding
- Billing and coding expertise
- Optometric billing and coding
- Billing and coding
- Patient service and assistance
- Ethics and boundaries
- Podcast promotion and marketing
- Emissions standards
- Trusts and estates
- Publicity and promotion
- Proposals and contracts
- ICD-9 coding experience
- Excellent written and oral communication
- Promoting social and emotional development
- Marketing and sales expertise
- Collaboration and interaction
- Receipt handling
- Corporate branding
- Dedication and perseverance
- Cash handling and reconciliation
- Analytics monitoring and evaluation
- Outreach and Education
- Payment coding
- Conflict resolution and negotiation
- Time tracking and review
- Confidentiality handling
- Staff oversight and motivation
- Data analytics and visualization
- Resource identification and referral
- Confidentiality understanding
Accomplishments
I have accomplished since May 2025:
Recertified:
Notary of Nebraska
First Responders
First-Aid
AED responder
Nebraska State Patrol - Certification Class completed Summer 2022
Nebraska Truckers Association-Completed Dec 2022 Expires Dec 2025
- Supervised team of 25 staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Timeline
Billing and Coding
Saline Medical Specialties
11.2024 - 02.2025
Billing Specialist
Cancer Partners of NE
06.2024 - 12.2024
Veteran Affairs/Chip 599 Medicaid and Patient Account Specialist/ Financial Services
Bryan Health
06.2023 - 05.2024
Patient Access
Crete Area Medical Center/ Bryan Medical Center
02.2023 - 06.2024
HR Director
Distribution Inc
02.2022 - 03.2023
Denials team
Bryan Health
10.2021 - 03.2022
Revenue Cycle Specialist
Conifer Healthcare Solutions
06.2010 - 10.2021
Associate of Applied Science - Health & Human Services HUC/ Social Services
Western Dakota College of Technology
Bachelor of Science - Business Administration And Management
Southeast Community College
Diploma/Associates - Electrical, Electronics And Communications Engineering
Southeast Comm