Kristina Brooks
Daytona Beach ,FL
Summary
At Halifax Health, I leveraged my healthcare industry knowledge and critical thinking capacity to enhance data system integrations, significantly improving business operations. My adeptness in medical billing and patient relationship management consistently exceeded performance benchmarks, contributing to a more efficient, patient-centric environment.
Overview
14
14
years of professional experience
Work History
Medical Business Associate
Halifax Health
10.2010 - Current
- Collaborated with cross-functional teams to ensure seamless integration of data systems, leading to more efficient business operations.
- Optimized database performance through routine maintenance activities such as updates, backups, and indexing.
- Reduced manual entry errors by implementing automated data validation procedures.
- Created custom reports using advanced spreadsheet functions to provide actionable insights for decisionmakers.
- Improved data accuracy by establishing efficient data management processes and guidelines.
- Maintained high-quality records by enforcing strict adherence to established documentation standards and requirements.
- Consistently exceeded performance benchmarks, processing a high volume of claims accurately within designated timeframes.
- Served as a reliable resource for colleagues, sharing expertise on industry trends, changes in coding practices, or updates to payer requirements as needed.
- Demonstrated adaptability during software transitions, quickly learning new systems to maintain productivity levels throughout implementation periods.
- Conducted thorough reviews of denied claims, identifying errors or missing information before resubmitting corrections for payment approval.
- Provided exceptional customer service, assisting patients in understanding their insurance benefits and financial responsibilities.
- Contributed to positive relationships with insurance companies through consistent follow-up and prompt issue resolution.
- Collaborated with medical staff to obtain necessary documentation for accurate claim submissions.
- Supported team members in professional growth, providing guidance on complex billing scenarios as needed.
- Maintained compliance with industry regulations by staying updated on coding changes and guidelines.
- Achieved timely resolution of claim issues through effective communication with insurance carriers and healthcare providers.
- Streamlined claim submission process for faster turnaround times and reimbursement rates.
- Implemented efficient workflows within the department, leading to a reduction in processing time for each claim submitted.
- Reduced claim denials by verifying patient eligibility and coverage details prior to submission.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and other applicable regulations in all aspects of the role.
- Enhanced data accuracy by meticulously updating patient records and insurance information in the system.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Monitored and updated claims status in claims processing system.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Reviewed provider coding information to report services and verify correctness.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Responded to correspondence from insurance companies.
- Followed up on denied claims to verify timely patient payment and resolution.
- Identified and resolved discrepancies between patient information and claims data.
- Educated clients on insurance policies and procedures.
- Collaborated effectively with various interdisciplinary teams, including medical, nursing, and administrative staff, to ensure seamless patient care delivery.
- Facilitated timely referrals to specialists by diligently coordinating appointments and communication between patients, primary care physicians, and external providers.
- Streamlined patient intake process by implementing efficient data collection methods and improving communication between departments.
- Contributed to the successful implementation of electronic health record systems that improved overall organization within the facility.
- Improved team efficiency by regularly updating colleagues on new procedures, regulations, and best practices in medical intake coordination.
- Maintained strict confidentiality of sensitive patient information while handling medical records and personal documents in accordance with HIPAA guidelines.
- Supported healthcare providers in delivering optimal patient care by promptly addressing concerns or questions related to patient intake processes.
- Ensured high-quality customer service by actively listening to patient needs, answering inquiries professionally, and resolving issues promptly.
- Developed strong relationships with insurance providers to facilitate prompt claim processing and resolution of billing issues for patients.
- Organized incoming referrals from physicians'' offices efficiently, resulting in a streamlined admission process for new patients.
- Demonstrated exceptional attention to detail in managing patient data entry tasks, ensuring the accuracy of information captured for hundreds of patients on a weekly basis.
- Maintained accurate and up-to-date client records.
- Completed intake assessment forms and filed clients' charts.
- Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
- 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.
- Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
Education
Associate Of Business Administration - Business Administration And Management
Keiser University
Daytona Beach, FL06.1997
High School Diploma - .
Spruce Creek
Port Orange , FL06.1995
Skills
- Multitasking efficiency
- Critical Thinking Capacity
- Healthcare Industry Knowledge
- Problem Solving Prowess
- Medical Billing Expertise
- Continuous Improvement Mindset
- Healthcare Compliance Understanding
- Patient relationship management
- Medical coding knowledge
- Organizational Aptitude
- HIPAA Regulations Familiarity
- Strong organizational skills
- Customer Service
- Professional telephone etiquette
- Telephone Customer Support
- Critical thinking abilities
- Patient check-in
- Medicare/Medicaid
- Patient Scheduling
- Insurance Verifications
- Administrative support experience
- Medical Terminology
- Conflict resolution techniques
- Electronic Recordkeeping
- Clinical Support
- Medical Records Management
- Medical Office Management
- EMR Updating
- Teamwork and Collaboration
- Problem-Solving
- Time Management
- Attention to Detail
- Problem-solving abilities
- Reliability
- Excellent Communication
- Critical Thinking
- Active Listening
- Effective Communication
- Patient Safety
- Adaptability and Flexibility
- Certified in CPR/AED
- Relationship Building
- HIPAA Guidelines
- Self Motivation
- Conflict Resolution
- Professionalism
Timeline
Medical Business Associate
Halifax Health
10.2010 - Current
Associate Of Business Administration - Business Administration And Management
Keiser University
High School Diploma - .
Spruce Creek
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