Cyndee Brisk
Riverton,UT
Summary
Provider System Specialist with extensive experience in provider data management, credentialing support, onboarding, and claims/billing coordination within healthcare settings. Skilled in maintaining accurate provider and client records, auditing database information, and resolving discrepancies to support clean claim pricing and data integrity. Experienced working with providers, third-party administrators, vendors, and IT teams to troubleshoot system issues, support enrollment processes, and improve workflow efficiency. Brings a strong background in insurance verification, claims processing, and patient financial services, with a focus on compliance, accuracy, and responsive service. Known for dependable follow-through, clear communication, and a detail-oriented approach in fast-paced healthcare environments.
Overview
15
15
years of professional experience
Work History
Provider System Specialist
MotivHealth Insurance
2022.08 - Current
- Maintain and audit provider, client, credentialing, and contract data to improve database accuracy, data integrity, and clean claim pricing workflows.
- Troubleshoot provider and client database issues, coordinate with IT and vendors, and support integration between billing systems and claims platforms.
- Serve as the primary liaison for providers and third-party administrator inquiries, including onboarding support and contract interpretation.
- Generate network data, compliance, and audit reports; document procedures and assist with training to standardize workflows.
Billing Reimbursement Specialist
Advanced MD
2021.01 - 2022.07
- Posted and reconciled insurance plan payments while monitoring professional medical accounts for discrepancies and balance issues.
- Reviewed supporting documentation and prepared appeal requests, denial responses, acknowledgment letters, and related correspondence for clients, clinicians, and claim operations staff.
- Managed monthly account reviews, phone follow-up, and payer website research to obtain EOBs and claim status updates, escalating outstanding claim issues and missed payments to management.
Financial Counselor
St. Mark's Hospital
2019.01 - 2020.01
- Verified patient insurance benefits and prepared cost estimates for outpatient surgical procedures using company systems, reports, and organizational procedures.
- Worked with physicians and care plan providers to identify discounts and support patients through the financial assistance process from point of care through billing.
- Handled daily office duties, including multi-line phones, internet navigation, and office systems, while providing customer service to patients, co-workers, and physicians.
Insurance Verification Representative
HC Govt, IHC Home Health & Hospice
2016.01 - 2018.01
- Used company systems and health data reporting tools to obtain benefit information, complete authorizations, and verify medical necessity for accurate financial processing.
- Managed weekly workload in a timely manner while maintaining strong customer service for clients and internal teams.
- Stayed current on federal, state, and department requirements to support accurate task completion and consistent service quality.
Claims Processor
Bureau of Medicaid
2012.01 - 2016.01
- Processed Medicaid claims using state systems, health data analysis, and reporting tools to support accurate claim handling.
- Completed daily workload and orders by obtaining Medicare qualifying documentation and verifying medical necessity and authorizations as needed.
- Followed federal, state, and department rules to maintain accuracy, timely processing, and consistent customer service.
Education
Medical Assistant - General Education
Alta High School
Sandy, UTAccounting And Nursing
Utah Valley University
Orem, UTSkills
Provider, Client & Claim Data Management
HIPAA Compliance
SQL / Looker Reporting Tools
Excel / Spreadsheets
CPT Coding
Self Disciplined
Customer Service
Medical Terminology
ICD9-10
Financial Cost Estimates
Strong Analytical Solutions
Claim Data Logic Configuration
Detail Oriented
Microsoft Office
Internet Navigation
Provider, Client & Claim Data Management
- Data analytics
- Time management
- Attention to detail
- Multitasking Abilities
- Reliability
- Self motivation
Timeline
Provider System Specialist
MotivHealth Insurance
2022.08 - Current
Billing Reimbursement Specialist
Advanced MD
2021.01 - 2022.07
Financial Counselor
St. Mark's Hospital
2019.01 - 2020.01
Insurance Verification Representative
HC Govt, IHC Home Health & Hospice
2016.01 - 2018.01
Claims Processor
Bureau of Medicaid
2012.01 - 2016.01
Medical Assistant - General Education
Alta High School
Accounting And Nursing
Utah Valley University