Maisha Brown

• Assisted with special events and set up for community events.
• Maintained clean, neat, and operational facilities to serve event needs.
• Used strong interpersonal communication skills to convey information to others.
• Supported engaging, fun, and smooth-running events by helping with organization and planning.
• Attracting new members to center
• Used strong interpersonal communication skills to convey information to others
• Assisted with special events and programs.
• Supported engaging, fun, and smooth-running events by helping with organization and planning

• Responsible for daily claims submissions and edits
• Collaborated with other departments to address customer needs and service requests.
• Analyzed accounts for delinquencies and other ongoing issues.
• Achieved revenue targets by developing targeted account strategies.
• Processed debtor payments and updated accounts to reflect new balance.
• Entered patient details and notes into system for interdepartmental access and review.
• Researched billing errors and discrepancies to initiate corrective action.
• Analyzed customer financial records to determine appropriate payment plan.
• Compiled and analyzed data for review by senior management of loan loss reports to measure portfolio performance.

• Reconciliation and follow-up
• Managed large volumes of data efficiently and with great care on daily basis.
• Reconciled accounts receivable ledger to verify payments and resolve variances.
• Insurance Appeals and special project work-ups
• Identified overpayments and processed refunds for insurance carriers and patients.
• Special Investigations
• Identified overpayments and processed refunds for insurance carriers and patients
• Accurately posted payments and adjustments both electronically and manually

• Medical Billing/Charge entry for Urgent Care and Emergency Physicians
• Account Reconciliation and follow-up
• Payment posting
• Account Audits and corrections
• Training new staff
• Entering Patient demographics
• Insurance Verification of eligibility and benefits
• Insurance Appeals and special project work-ups
• Answering billing calls and questions
• Supervised day-to-day operations to meet performance, quality and service expectations.

• Logging detailed contact information
• Calling to set appointments with decision makers of marketing and advertising
• Following up with business contacts after appointments
• Sending branded business emails to clients and prospects
• Maintaining a Facebook presence for the business
• Creating contacts and leads to market to on a weekly basis
• Bookkeeping and logging financial transactions and receipts
• Leading a team of 8-10 people
• Kept consistent inventory and placed orders for new product stock.
• Handled confidential customer business and operational information.
• Planned and executed sales events in both online and in-person formats.

• Filed and updated patient information and medical records.
• Liaised between patients, insurance companies, and billing office.
• Reviewed patient records, identified medical codes, and created invoices for billing purposes.
• Delivered timely and accurate charge submissions.
• Adhered to established standards to safeguard patients' health information.
• Used data entry skills to accurately document and input statements.
• Responded to customer concerns and questions on daily basis.
• Handled account payments and provided information regarding outstanding balances.
• Collaborated with customers to resolve disputes.
• Maintained accurate records of customer payments.

• Generated accounts payable reports for management review to aid in financial and business decision making.
• Reconciled accounts receivable to general ledger.
• Ensured that proper patient forms were completed, current and entered into the computer properly
• Monitored patient waiting area/made coffee/straightened up area if needed

• Scheduled follow-up appointments
• Provided back-up coverage and assisted in daily office routine when needed, in other areas
• Monitored and maintained front office equipment/ requested office supply orders as needed
• Followed HIPAA and Compliance regulations

• Driving business with a consistently positive “can do” attitude
• Application of merchandising standards-proper pricing, promotional marketing signage, and overall store appearance
• Adhering and implementing exceptional service standards-Leading by example
• Filling out the “Daily Operations Planner,” mapping out the sales plan for the day
• Reconciling and balancing cash registers
• Preparing bank deposits and depositing monies into the bank
• Following strictly to opening and closing store procedures
• Conducting monthly “Loss Prevention” audits
• Processing and Receiving inventory shipments and supplies
• Managed and motivated employees to be productive and engaged in work.
• Accomplished multiple tasks within established timeframes.
• Maintained professional, organized, and safe environment for employees and patrons.
• Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.

Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.

• Developed and maintained relationships with customers

• Insurance collections for out-patient ambulatory surgical center, self-pay, bad debt, early-out, and hospital
• Calling/collecting on an average of 150-200 accounts per day

• Processed billing calls and answered questions from patients and third-party carriers.
• Corrected, completed and processed claims for multiple payer codes.
• Assisted in reconciling deposit and patient collections.
• Researched billing errors and discrepancies to initiate corrective action.

• Worked with customer to create debt repayment plan based on current financial condition.
• Analyzed customer financial records to determine appropriate payment plan.

• Received all EOB’s to review and distribute via DRR’s (denial review requests) to account representatives for follow-up after thorough review of the accounts
• Ran reports from the billing software and Monarch to compare accuracy of claims before generating the daily billing
• Corrected any coding modifiers, ICD-9 or CPT coding errors comparing with Physicians order, exam requisition, and/or transcription reports
• Trained new employees on systems operations, generating the billing, and collections process, including appeals
• Responsible for all appeals preparations and follow-up for claims denied due to medical necessity, mutually exclusive, diagnosis, or in relation to incorrect modifier usage
• Worked claims scrubber after billing had been generated (another way to guarantee clean claim submission), and made necessary corrections for re-submission
• Sent SB418 penalty letters to insurance companies for claims paid after 45 days with no correspondence in between
• Daily front office and insurance verification dept
• Audits
• Posting payments and Credits (edits only).
• Recorded findings of inspection process, collaborating with quality team to implement corrective actions.

• Fixed identified issues to improve workflows.
• Conducted data review and followed standard practices to find solutions.

• Billing, Coding, and Collections
• Patient registration, and accounts receivables in a multi-insurance environment
• Analyzed aging report prior to collecting and ensured that all patient information was accurate
• Collected debt from commercial insurances, and self pay accounts through correspondence, and account follow-up
• Worked appeals and denials as needed
• In-depth comprehension of appropriate modifiers when billing and coding, with an extensive comprehension of medical terminology and acronyms
• Detailed knowledge of CPT and ICD-9 coding with an emphasis working with e-Medsys
• Performed in-depth investigations to identify insurance issues and collect on delinquent accounts
• Executed quality assessment of bills entered, submission of claims on HCFA 1500
• Acted as a resource to other members of the team in relation to data entry, interpreting review criteria and payment options
• Provided quality customer service to patients and physician’s staff in response to billing questions and concerns.

• Durable Medical Equipment Billing, Posting
• Responsible for billing on all private insurance and self pay accounts
• Collected debt from all delinquent accounts by access of the web tool, calling insurance companies, or calling patients on self pay accounts
• Worked appeals and denials as needed, corresponding with doctor’s office personnel to request medical records, authorizations, and/or other supporting documentation
• Posted payments to patient accounts
• Entered in patient demographics, when information was missing or inaccurate
• Acted as a resource to other members of the team in relation to data entry, interpreting review criteria and payment reconciliation recommendations.

• Sorted and organized files, spreadsheets, and reports.
• Participated in workshops and presentations related to projects to gain knowledge.
• Interacted with customers by phone, email, or in-person to provide information.
• Verified insurance for new and existing patients
• Entered patient demographics and other clerical duties, as needed

• Gained knowledge in medical billing and coding
• Verified insurance for new and existing patients
• Entered patient demographics and other clerical duties as needed.

• Contributed to maintaining accurate patient records
• Cleaned, sterilized, stored, prepared and issued non-sterile dressings, treatment trays and other supplies
• Handled job responsibilities in accordance with Company’s Code of Business Conduct and all appropriate professional standards and applicable state/federal laws such as: HIPAA rules and regulations.
• Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment
• Checked patient vitals such as temperature, blood pressure, and blood sugar levels
• Assisted with feeding and monitored intake to help patients achieve nutritional objectives
• Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing