Jennifer Brigance
Medical Insurance and Billing Specialist
Pensacola,FL
Summary
Results-driven healthcare professional with 20 years’ experience in managing clinical and administrative processes, streamlining operations, and delivering exceptional customer service. Strong knowledge of medical terminology, billing processes, and patient chart management.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Insurance Specialist (Remote)/Surgery Scheduling Coordinator
Panhandle Vascular Surgical Specialists
Pensacola, FL
08.2020 - Current
- Designed and implemented surgery and clinical templates for three providers increasing productivity by 50%.
- Analyze progress notes for specific insurance requirements; increasing authorization approvals by 45%.
- Create, finalize and distribute insurance appeal letters for denied claims, maintaining 90% approval rate for redetermination requests.
- Optimized Commercial and Government health insurance policies and increased revenue by $800k per year by identifying and addressing billing errors and under-utilization of services.
Lead Certified Medical Assistant
Cleveland Clinic Martin Health Systems
Stuart, FL
02.2018 - 07.2020
- Supplied knowledgeable education on procedures, medications, and other physician instructions with 100% accuracy.
- Managed high volume of patient phone calls and messages daily, employing prioritization skills and triage techniques to ensure timely responses, resulting in 30% increase on patient satisfaction scores.
- Utilized electronic health records software proficiently to input data accurately, facilitating smooth transitions between healthcare providers during patient handoffs.
- Maintained confidentiality of patient information by adhering to HIPAA guidelines at all times during recordkeeping and communications.
Medical Office Specialist/ CCMA
Coastal Islands Cosmetic & Reconstructive Surgery
Port St. Lucie, FL
05.2013 - 02.2018
- Received and posted $450,000 of insurance payments monthly.
- Reviewed EOBs for various insurance carriers and completed necessary appeals needed for denials received.
- Increased efficiency in the billing process by 45% due to reconciling insurance claims and resolving discrepancies promptly.
- Provided prompt, polite and professional in-person and telephone customer service.
- Supported healthcare providers by accurately transcribing dictated notes into comprehensive medical records within specified timeframes.
Patient Services Supervisor
Resurgens Orthopaedics
Atlanta, GA
11.2004 - 05.2013
- Promoted within three months of employment to Patient Services Supervisor.
- Streamlined customer service processes by implementing a new customer feedback system; improved customer satisfaction ratings by 15% and reduced response time by 40%.
- Trained, lead, and mentored team of 20+ Patient Service Representatives with ability to monitor daily workflow, prioritize and delegate assignments, and effectively direct proper attention to upcoming tasks.
- Coordinated with cross-functional teams to develop and implement innovative problem-solving strategies, improving task prioritization and team efficiency by 20%.
Education
Bachelor of Science - Criminal Justice
Georgia State University
Atlanta, GAHigh School Diploma -
Martin High School
Arlington, TXSkills
- Claims Information Gathering
- CPT/HCPCS Codes
- Form Completion and Submission
- Critical Thinking
- Records Maintenance
- Time Management
- Insurance Coverage Verification
- Documentation Skills
- Call Center Customer Service
- Medicare Compliance
- Billing Procedures
- Insurance Eligibility
- Database Search and Data Entry Skills
- Patient Confidentiality and Data Security
- EOB Knowledge
- Quality Standards and Protocols
- Helpful and Service-Oriented
- Documenting and Recording Information
- Organized and Detail-Oriented
- Providing Information and Resources
- Verbal and Written Communication
- Calm and Effective Under Pressure
- Insurance Authorizations
- Claims Handling and Coverage Verification
- Medical Terminology
- Multi-Line Telephone Systems
- Customer Referrals
- HIPAA Compliance
- Resolving Problems
- Caring and Empathetic
- Microsoft Office
Certification
- CCMA - Certified Clinical Medical Assistant, NHA
Timeline
Insurance Specialist (Remote)/Surgery Scheduling Coordinator
Panhandle Vascular Surgical Specialists
08.2020 - Current
Lead Certified Medical Assistant
Cleveland Clinic Martin Health Systems
02.2018 - 07.2020
Medical Office Specialist/ CCMA
Coastal Islands Cosmetic & Reconstructive Surgery
05.2013 - 02.2018
Patient Services Supervisor
Resurgens Orthopaedics
11.2004 - 05.2013
Bachelor of Science - Criminal Justice
Georgia State University
High School Diploma -
Martin High School
- CCMA - Certified Clinical Medical Assistant, NHA
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