Briana Robertson
Washington,DC
Summary
I am focused professional with proven communication, creative thinking and management skills. Aiming to leverage my abilities to successfully fill the Medical Coding Reviewer role at your company. Frequently praised as efficient by my peers, I can be relied upon to help your company achieve its goals.
Overview
9
9
years of professional experience
Work History
Enrollee Services Coordinator
MedStar Family Choice
Washington, DC
07.2024 - Current
- Analyzed grievances received from members to determine the scope of investigation and resolution.
- Reviewed customer claims, identified discrepancies, and determined appropriate course of action.
- Reviewed medical records to identify and gather necessary data for HEDIS measures.
- Demonstrated leadership by making improvements to work processes and helping to train others.
- Maintained updated knowledge through continuing education and advanced training.
- Displayed strong telephone etiquette, effectively handling difficult calls.
Community Outreach
MedStar Family Choice
10.2020 - 07.2024
- Assist DC Medicaid users with making sure they meet HEDIS measures and other necessary appointments
- Assist members with other needs regarding healthcare
- Assist with Appeals and grievances department with entering complaints from member
Caregiver
Morningside of St Charles
08.2018 - 10.2018
- Built strong relationships with clients to deliver emotional support and companionship
- Worked to improve and enhance patient lives through effective and compassionate care
- Changed bed linens and ensured resident comfort
- Supervised daily activities and provided assistance when needed
- Monitored progress and documented any status changes accordingly
- Changed dressings, bandages and binders, as instructed, to maintain proper healing and sanitary measures
- Assisted residents with daily hygiene, including dental and mouth care, bath functions and hair care
- Developed rapport with patients to create a safe and trusting environment for care
Community Outreach Coordinator
MedStar Family Choice
08.2015 - 10.2017
- Created and implemented community-based programs to improve education or fill specific needs
- Documented and analyzed performance of different programs in order to make proactive decisions about services
- Connected individuals with available and relevant resources
- Developed presentations for public events, community groups and school assemblies
- Wrote content for newsletters, social media pages and informational packets
- Received and resolved an average of 50 calls each week regarding complaints and problems
Education
High School Diploma -
KIPP DC College Preparatory
Washington, DC06-2014
Skills
- PeopleSoft
- Medical Terminology
- Medical Office Experience
- Medical Billing
- Schedule Coordination
- Scheduling and calendar management
- Call Center
- MS Office
- Database Management
- CRM Software
- Scheduling expertise
Timeline
Enrollee Services Coordinator
MedStar Family Choice
07.2024 - Current
Community Outreach
MedStar Family Choice
10.2020 - 07.2024
Caregiver
Morningside of St Charles
08.2018 - 10.2018
Community Outreach Coordinator
MedStar Family Choice
08.2015 - 10.2017
High School Diploma -
KIPP DC College Preparatory
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