Erin Browne
Benbrook
Summary
Certified Medical Billing Specialist with 2+ years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections.
Overview
3
3
years of professional experience
Work History
Billing Specialist
FYZICAL Therapy and Balance Centers
07.2024 - Current
- Managing 4 clinics billing in the Dallas-Fort Worth area, including submitting an average of 300 claims weekly across 8 providers
- Collaborating with 15+ medical providers across the metroplex to ensure referrals, demographic information, and documentation is in compliance.
- Verifying patients insurance benefits and eligibility utilizing both telephone and online portals, while managing inquiries about patient balances, referrals from local providers, and obtaining prior authorizations as needed.
- Reconciling accounts receivable alongside researching current insurance reimbursement rates across physical therapy CPT codes to maximize revenue.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Account Manager
Brady Billing
10.2022 - 07.2024
- Established relationships with 50+ providers nationwide including family medicine, durable medical equipment, and sleep medicine.
- Accurately reviewed and analyzed patient medical records to provide insurance companies with proof of medical necessity.
- Ensured claims were being submitted, followed up on, and if needed, appealed in compliance with various insurance timely filing rules.
- Scrubbed claims prior to submission to validate patient demographics, provider information, and coding on all outgoing CMS-1500 forms.
- Managing inquiries about onboarding, policies, and pricing through e-mail, phone, and facsimile. Closely review audits and policies from insurance companies as they evolve.
Customer Service Representative
Texas Family Fitness
12.2021 - 10.2022
- Managed front desk operations including check-ins, retail transactions, updating patient demographics, incoming member enrollment, and class bookings.
- Provided members with education on supplements and amenities available to them within the gym.
- Maintained the cleanliness of locker rooms and gym floor area to ensure sanitary compliance as well as comfort to guests.
- Answered inquiries about enrollment, membership upgrades, gym policies, and billing questions in person, by telephone, and online.
Education
Associates - Arts
Collin College
The Colony, Texas12.2022
High School Diploma -
The Colony High School
The Colony, Texas12.2021
Skills
- Advanced MD
- Prompt EMR
- Availity
- Excel
- Leading Reach
- Medicare
- Medicaid
- Insurance claim processing
- Medical terminology
- Data entry accuracy
- ICD10
- CPT code knowledge
- Healthcare compliance
- Fiscal reporting
- Payment posting
- Billing cycle management
- Data entry proficiency
- Revenue cycle management
- Conflict resolution
Timeline
Billing Specialist
FYZICAL Therapy and Balance Centers
07.2024 - Current
Account Manager
Brady Billing
10.2022 - 07.2024
Customer Service Representative
Texas Family Fitness
12.2021 - 10.2022
Associates - Arts
Collin College
High School Diploma -
The Colony High School
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