Heather Brescia
Beachwood
Summary
Insurance professional with extensive experience in managing insurance documentation and claims processing. Proven ability to streamline administrative tasks while ensuring compliance and accuracy. Known for effective team collaboration and adaptability to changing needs, with focus on meticulous attention to detail and excellent communication skills.
Overview
25
25
years of professional experience
Work History
Insurance Coordinator
Max Surgical Specialty Management
05.2023 - Current
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Assisted patients with understanding complex insurance policies, effectively addressing concerns or questions.
- Filed and tracked insurance claims and communicated claims status to patients.
- Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues.
- Carried out administrative tasks by communicating with patients and scanning documents.
- Generated, posted and attached information to claim files.
- Maintained confidentiality of patient finances, records, and health statuses.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Prepared insurance claims for submission to insurance companies.
- Made contact with insurance carriers to discuss individual patient benefits and follow up on claims.
- Calculated adjustments and refunds.
Insurance Coordinator
Coastal Oral Surgery
09.2000 - 05.2023
- Obtained data such as patient information, insurance ID, and insurance provider to properly file insurance claims.
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Verified insurance and communicated coverage to staff and patients.
- Assisted patient's with understanding complex insurance policies, effectively addressing concerns or questions.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
- Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues.
- Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
- Posted payments to accounts and maintained records.
- Carried out administrative tasks by communicating with patients, distributing mail, and scanning documents.
- Maintained confidentiality of patient finances, records, and health statuses.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Education
High School Diploma -
Toms River High School South
Toms River, NJ09-1988
Skills
- Insurance processes
- Insurance claims processing
- Insurance verification
- Attention to detail
- Organizing and prioritizing work
- Data entry
- Teamwork and collaboration
- Documentation processing
- Customer service and assistance
Timeline
Insurance Coordinator
Max Surgical Specialty Management
05.2023 - Current
Insurance Coordinator
Coastal Oral Surgery
09.2000 - 05.2023
High School Diploma -
Toms River High School South
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