Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jessica Bruzek

Tea,SD

Summary

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

15
15
years of professional experience

Work History

Payment Posting Specialist

Experity
11.2016 - Current
  • Prepares all documentation for the payment posting staff to process payments
  • Uploads prepped documents to secure file server to be indexed for posting
  • Provides reconciliation staff with control numbers on the recon
  • Acts as payment posting liaison for clinics and Experity
  • Identifies trends, and carrier issues relating to billing and reimbursements. Reports findings to clinic
  • Responded to customer concerns and questions on daily basis.

Prior Authorization Specialist and Scheduler

Sanford Health
06.2015 - 11.2016
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Analyzed medical records and other documents to determine approval of requests for authorization.
  • Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
  • Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
  • Entered daily data in computer systems and documented office activities.
  • Scheduled and confirmed appointments and meetings for senior management team.
  • Scheduled follow up calls with potential customers to gain interest in scheduling appointments.
  • Received in-bound calls and initiated out-bound daily calls to introduce customers to products and services offered.

Optician

Sioux Falls Family Vision
10.2012 - 06.2015
  • Educated patients on proper use, care and maintenance of eyeglasses and contact lenses.
  • Filed claims with vision and medical insurance companies to garner payment for optical services.
  • Calibrated seg heights, vertex, and pupillary distance and pantoscopic tilt to customize eyeglass orders and create perfect fit.
  • Suggested optional items such as lens coatings and lightweight lenses to improve patient experience with eyeglasses.

Hostess and Server

Olive Garden
09.2008 - 10.2012
  • Greeted customers warmly upon arrival and provided friendly and warm presence throughout dining experience.
  • Accommodated special seating requests for guests to enhance satisfaction.
  • Resolved guest and employee complaints to maintain complete customer satisfaction and workforce effectiveness.
  • Monitored seating area and checked restrooms regularly to keep spotless.
  • Supported servers, food runners, and bussers with keeping dining area ready for every guest.
  • Worked with front of house staff to move tables and adjust seating to accommodate groups with special requests.
  • Served food and beverages promptly with focused attention to customer needs.
  • Bussed and reset tables to keep dining room and work areas clean.
  • Arranged and prepared tables for customers to offer memorable experiences

Education

Associates - Pharmacy Technician

Southeast Technical Institute
Sioux Falls, SD
05.2009

High School Diploma -

Menno High School
Menno, SD
05.2006

Skills

  • Strategic Vision
  • Billing Systems and Software
  • Sales Tickets
  • Balance Sheets
  • Maintain Records
  • Monthly Reconciliations
  • Billing Reconciliation
  • Teamwork and Collaboration
  • Complex Problem-Solving
  • Calendar and Scheduling Software

Timeline

Payment Posting Specialist

Experity
11.2016 - Current

Prior Authorization Specialist and Scheduler

Sanford Health
06.2015 - 11.2016

Optician

Sioux Falls Family Vision
10.2012 - 06.2015

Hostess and Server

Olive Garden
09.2008 - 10.2012

Associates - Pharmacy Technician

Southeast Technical Institute

High School Diploma -

Menno High School

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Jessica Bruzek