GioVonnie Bromfield
Johns Creek,GA
Summary
Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 12 years of related experience to a dynamic position with room for career growth. Well-qualified Medical Billing Specialist proficient in ICD-10 coding. Demonstrated success analyzing existing systems and providing recommendations for improvement. Forward-thinking and hardworking with flexible and diligent approach. Critical thinking professional with talents in validating workflows, maintaining a knowledge of policy changes to insurance plans and sharing best practices with management. A reliable Revenue Cycle Analyst known for successfully handling various tasks in deadline-driven environments. Meticulous and detail-oriented financial professional with communication skills to connect with clients and understand and meet needs. Displays equal expertise in microeconomics and macroeconomics and uses knowledge to vigorously advocate for customers. Develops investment strategies for organizations and offers informed advice on selling stocks and bonds. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
Work History
Revenue Cycle Specialist
CIOX HEALTH, Health Information Managment
Alpharetta, GA
09.2018 - Current
- Reached out to insurance companies to verify coverage.
- Contacted responsible parties for past due debts.
- Identified and resolved payment issues between patients and providers.
- Balanced and reconciled accounts.
- Analyzed financial and statistical data related to revenue cycle, creating in-depth reports to show KPIs.
- Tracked and reported variances between revenue plans and actuals.
- Used Epic Case Management and Veracity Appeal Masters to identify financial trends.
- Collaborated with other business analysts to streamline tasks and duties in effort to improve overall efficiency.
- Communicated revenue cycle information to non-technical audiences in easily-understood terms.
- Monitored and analyzed financial, statistical and operational data trends.
- Solved financial problems with use of diverse analytical and modeling techniques.
- Reviewed contracts financially impacting company and counseled executive leaders on impact contracts would have on company operations.
- Navigated within patient records to locate requested documentation, successfully completing over 45 requests per day.
- Completed certifications and notarization of documents for court and legal purposes.
- Resolved medical record discrepancies by collecting and analyzing information.
- Generated cover letters, pre-payment notices and invoices to mail information to requestors.
- Used Epic to perform data entry functions.
- Date stamped requests and highlighted pertinent data to facilitate processing.
- Coordinated patient information flow through caregivers, insurance companies, billing departments and patients.
- Maintained historical reference by abstracting and coding clinical data such as diseases, operations procedures and therapies.
- Reproduced protected health information by using data extraction and file management techniques.
- Maintained accuracy, completeness and security for medical records and health information.
- Compiled electronic patient records covering conditions, treatments and diagnoses.
- Processed patient admission and discharge documentation.
- Secured medical records against loss or unauthorized access.
- Posted billings to medical insurance providers.
Medical Case Worker
Ancora Pain Recovery
Athens, GA
02.2017 - 08.2018
- Documented case notes daily and coordinated follow-up for seamless case management.
- Coordinated program referrals for community-based resources.
- Organized clinical documentation, treatment plans, and referrals.
- Carried out day-day-day duties accurately and efficiently.
- Calculated estimated copay based on current insurance benefits.
- Maintained consistent follow-up on status of prior authorization requests.
- Reviewed documentation for accuracy and assessment of necessity.
- Submitted for prior authorization with required documentation to appropriate funding source.
- Reviewed authorizations from payer to determine approved or denied items.
- Typed acknowledgment letters to persons sending correspondence.
- Presented clear and concise explanations of governing rules and regulations.
- Prepared documents and correspondence such as damage claims, credit and billing inquiries and service complaints.
- Completed form letters in response to requests or problems identified by correspondence.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
- Demonstrated respect, friendliness and willingness to help wherever needed.
Intake Coordinator
Pruitt Healthcare
Norcross, GA
04.2015 - 01.2017
- Supported office staff and operational requirements with administrative tasks.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Enhanced office productivity by handling high volume of callers per day.
- Organized paperwork such as charts and reports for office and patient needs.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Maintained current and accurate medical records for patients.
- Completed and filed financial documentation for accounting purposes.
- Completed intake assessment forms and filed clients' charts.
- Collected, verified, recorded and processed client demographics, insurance payments and referral information.
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Worked with clinical and operations teams to facilitate client placement and obtain appropriate services for clients.
- Entered referrals into appropriate system based on type of referral obtained.
- Communicated with referral sources, physicians and associated staff to check documentation for proper signatures.
- Interacted with insurance providers to obtain necessary documents to complete registration.
- Explained eligibility requirements, application details, payment methods and applicants' legal rights during intake assessment.
- Offered compassionate and attentive guidance to patients during moments of crisis and trauma.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Obtained payments from patients and scanned identification and insurance cards.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Answered phone calls and messages for [Number]-physician [Type] medical facility, scheduling appointments and handling patient inquiries.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Registered and verified patient records before triage with most up-to-date information.
- Organized patient files and streamlined operations to improve efficiency.
- Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
- Managed office bookkeeping with insurance billing and patient payments.
Lead Insurance Verifier
Children's Healthcare Of Atlanta
Atlanta, GA
01.2010 - 04.2015
- Established contact with ordering physician's office to resolve any issues or to collect missing vital information.
- Verified all patient demographic information when registering for services.
- Acquired billing information by worker's compensation accounts and MVA.
- Verified client information by analyzing existing evidence on file.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Observed strict procedures to protect sensitive patient information, medical records and payment data.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Posted payments to accounts and maintained records.
- Determined appropriateness of payers to protect organization and minimize risk.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Registered and verified patient records before triage with most up-to-date information.
- Organized patient files and streamlined operations to improve efficiency.
- Facilitated organized record retrieval and access by maintaining filing system for both in-house and discharged residents.
Education
Bachelor of Science - Information Technology
Walden University
Minneapolis, MNAssociate of Science - Business Administration And Management
Trident Technical College
Charleston, SCSkills
- Verifying insurance
- Debt collection procedures
- Analyzing claims
- Coordinating documents
- Managing records
- Billing and budgeting assessments
- Troubleshooting
- Account planning and management
- Account Reconciliation
- Reports for senior management
- Financial recordkeeping
- Verbal and written communication
- Revenue cycle solutions
- Financial data analysis
- Workers compensation authorization
- Revenue forecasting
- Account and revenue tracking
- Revenue cycle analysis
- Risk identification
Timeline
Revenue Cycle Specialist
CIOX HEALTH, Health Information Managment
09.2018 - Current
Medical Case Worker
Ancora Pain Recovery
02.2017 - 08.2018
Intake Coordinator
Pruitt Healthcare
04.2015 - 01.2017
Lead Insurance Verifier
Children's Healthcare Of Atlanta
01.2010 - 04.2015
Bachelor of Science - Information Technology
Walden University
Associate of Science - Business Administration And Management
Trident Technical College
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