Marian Brigman
Latta,USA
Summary
Driven Billing/Insurance Representative with six years of experience offering personalized, courteous service. Expert at managing insurance sales cycle, prospecting and follow-up support. Skillful in advising current and potential clients on insurance coverage plans and processing applications, payments and corrections. Resourceful and versatile professional with reputation for consistently achieving aggressive sales goals.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Billing and Insurance Representative
Dillon Family Medicine
05.2020 - Current
- Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and coworkers in accordance with our Service Excellence Standards and Core Values
- Fosters an environment that demonstrates care, compassion, and respect for all patients, families, visitors and co-workers
- Creates and scrubs claims as progress notes are locked
- Follows the ICD-10, CPT and HCPCS coding process
- Process patient and insurance refunds timely
- Monitor claims rejections and resubmit as needed
- Demonstrates proficiency in office equipment and software programs used in practice, including EMR, multi-function printers, etc
- Performs referrals and related authorizations accurately and according to MPFM Guidelines, as needed
- Processes medical records requests as necessary for insurance payment
- Assists patients with account questions
- Participates proactively in problem solving and process improvement activities through collaboration with clinical and clerical teams
- Demonstrates continued professional growth through goal setting and participation in educational offerings
- Follow up on all rejected or unpaid claims
- Corrects claim errors on third party error correction forms or electronically and resubmit
- Corrects claims that have failed claim edits and follow up on unpaid claims with phone calls to payors as needed
- Prepares insurance claims for practice services and coordinates the submission of these claims either electronically or hardcopy to third party payors
- Accepts payments and applies payments to correct accounts
- (Electronic, check and credit card)
- Ensure all payments are posted accurately and timely with minimal errors
- Analyze EOB information, including co-pays, deductibles, co-insurance, contractual adjustment, denials and more to very accuracy of patients’ balances
- Calculates and adjusts self-pay claims
- Run daily balancing reports and reviews and corrects discrepancies
- Works offset and clearing accounts in a timely manner to eliminate balances in these transition accounts
- Verify patient insurance coverage
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Processed eligibility and benefits verification and authorization requests.
- Follow up on denials, late payments, extensions and other special circumstances.
- Track pending authorizations to resolve discrepancies and avoid revenue loss.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Performs other duties as assigned
Check Out Clerk/ Patient Account Representative
Dillon Family Medicine
10.2018 - 05.2020
- Greets visitors and patients in a friendly and courteous manner always facing forward with attention on patients waiting area
- Directs patients to complete patient information forms and enter data into computer
- Uses proper telephone etiquette when receiving and transferring calls; speaks clearly and concisely and exercises tact and diplomacy
- Maintains confidentiality in talking with patients, upholding policies and setting an example
- Schedules and reschedules appointments
- Collects amounts due from patients
- Communicates with staff from every department as needed
- Associates ICD and CPT codes for procedures
- Provides any needed instructions to patients
- Keeps work area neat, clear of clutter
- Review encounter form for charge entry and other billing purposes
- Codes procedures and diagnosis as needed
- Demonstrates a willingness to perform the duties of other department personnel when workload is required
- Maintained compliant behavior according to company guidelines when handling sensitive customer information such as credit card data or personal identification numbers.
- Enhanced customer satisfaction by efficiently processing transactions and addressing concerns.
- Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.
- Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
- Performs any other duties assigned by Supervisor or Office Manager
Check In Clerk/Patient Account Representative
Dillon Family Medicine
07.2018 - 10.2018
- Greets visitors and patients in a friendly and courteous manner always facing forward with attention on patients waiting area
- Maintained a clean, professional appearance of the check-in area to create a welcoming environment for all guests.
- Handled confidential guest information with discretion, maintaining privacy standards as per company guidelines.
- Directs patients to complete patient information forms and enter data into computer
- Obtains assignment and authorization signatures, copies of insurance cards, and necessary claim forms as needed
- Answers telephone within three rings using good customer service skills
- Delivers documents to other departments such as patient forms, mail, etc
- Obtains accurate demographic information as well as insurance information each visit
- Delivers accurate and legible messages to appropriate person
- Repeats key information when taking messages to ensure accuracy as needed
- Uses proper telephone etiquette when receiving and transferring calls; speaks clearly and concisely and exercises tact and diplomacy
- Maintains confidentiality in talking with patients, upholding policies and setting an example
- Schedules and reschedules appointments
- Communicates with staff from every department as needed
- Organizes office supplies
- Enter any orders pertaining to their current position
- Provides any needed instructions to patients
- Keeps work area neat, clear of clutter
- Demonstrates a willingness to perform the duties of other department personnel when workload is required
- Performs any other duties assigned by Supervisor or Office Manager
Phone Operator and Scanning Tech
Dillon Family Medicine
01.2018 - 07.2018
- Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and coworkers
- Delivers accurate and legible messages to appropriate person
- Enhanced customer satisfaction by efficiently handling incoming calls and addressing inquiries.
- Contributed to a positive work environment by supporting team members in handling difficult calls or resolving complex issues.
- Repeats key information when taking messages to ensure accuracy as needed
- Uses proper telephone etiquette when receiving and transferring calls; speaks clearly and concisely and exercises tact and diplomacy
- Maintains confidentiality in talking with patients, upholding policies and setting an example
- Schedules and reschedules appointments
- Communicates with staff from every department as needed
- Provides any needed instructions to patients
- Keeps work area neat, clear of clutter
- Scans documents into EMR under correct patient and section
- Performs any other duties assigned by Supervisor or Office Manager
Pet Groomer
Pet Grooming by April
03.2015 - 01.2018
- Improved pet hygiene by providing thorough grooming services, including bathing, brushing, and hair trimming.
- Maintained a clean, organized workspace to ensure the health and safety of both pets and staff members.
- Prevented injuries by safely handling pets of various sizes and temperaments during grooming sessions.
- Reduced stress for anxious pets with gentle handling techniques and calming environments during grooming sessions.
- Washed, trimmed, and brushed animals to maintain good grooming standards.
- Managed inventory of grooming supplies and equipment, placing orders as needed to maintain adequate stock levels.
- Greeted pet owners and went over available services, outlined costs, and determined special needs of animals under care.
- Kept cages, kennels, play yards, and grooming areas neat and clean.
- Reset procedure rooms between appointments and disinfected equipment.
Scanner/Packer
Anvil Knitwear
04.2013 - 03.2015
- Gathered, sorted and scanned documents to enter into computer system.
- Assisted in training new employees on scanner usage, contributing to a skilled workforce.
- Ensured timely completion of scanning projects by prioritizing tasks and following strict deadlines.
- Minimized errors through careful attention to detail during the document preparation process prior to scanning.
- Coordinated with other departments to ensure efficient transfer of scanned documents for further processing or archiving purposes.
- Collaborated with team members to establish best practices for the scanning process, increasing overall productivity.
Housekeeper PRN
The Brigman House
01.2013 - 03.2015
- Disinfected and mopped bathrooms to keep facilities sanitary and clean.
- Cleaned and stocked guest rooms by replacing used towels and linens vacuuming floors, making beds, and restocking bathroom items.
- Hand-dusted and wiped down office furniture, fixtures, and window sills to keep areas clean and comfortable.
- Upheld high standards of sanitation in common areas, contributing to an inviting atmosphere for guests.
- Disposed of trash and recyclables each day to avoid waste buildup.
- Removed bed sheets and towels from rooms and pre-treated stains to maintain and restore linen condition.
- Adhered to professional house cleaning checklist.
- Reduced the need for deep cleanings by consistently addressing minor maintenance issues.
Cashier (Seasonal)
Firework Superstore
06.2012 - 07.2012
- Greeted customers entering store and responded promptly to customer needs.
- Welcomed customers and helped determine their needs.
- Worked flexible schedule and extra shifts to meet business needs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
- Restocked and organized merchandise in front lanes.
- Assisted customers with returns, refunds and resolving transaction issues.
- Answered questions about store policies and addressed customer concerns.
Waitress
Out of Bounds
01.2012 - 06.2012
- Greet customers and be always respectful and helpful
- Attended to the demands of the customers in a friendly fashion
- Handled high-pressure situations with composure, maintaining excellent service standards even during busy shifts.
- Exhibited strong multitasking abilities, balancing multiple tables and orders while delivering prompt service.
- Maintained clean and welcoming dining environment, ensuring a positive guest experience.
Consultant
Aloette
02.2012 - 05.2012
- Evaluated client needs and expectations, establishing clear goals for each consulting engagement.
- Liaised with customers, management, and sales team to better understand customer needs and recommend appropriate solutions.
Education
Medical Billing and Coding - Medical Coding
Professional Medical Training Center
Florence, SC12.2017
Medical Terminology -
Springfield Technical Community College
01.2017
Psychology, Accounting, Business -
Francis Marion University
Florence, SC01.2012
Psychology -
Northeastern Technical College
Dillon, SC01.2011
Honors Diploma in Basic Subjects -
Latta High School
Latta, SC01.2011
Skills
- Documentation skills
- Customer service
- Claims reporting systems
- ICD-10, CPT and HCPCS
- Health insurance
- Customer billing
- Billing inquiries
- Insurance eligibility
- Insurance claim regulations
- Billing procedures
- Strong Work Ethic
- Claims management
- Detail Oriented
- Communication
- Basic knowledge of computer input
- Clerical Functions
- Ability to Work Under Pressure
- Ability to multi-task
- Time Management
- Comprehend Medical Terminology
- Self-motivation
- Dependability
- Conflict Resolution
- Organization
- Teamwork
- Relationship Building
- Creativity
- HIPAA compliance
Certification
CPR
References
- Kayce Hyatt, Office Manager, Dillon Family Medicine, 843-774-7336 EXT307
- Shanda Thurlo, Coworker, Dillon Family Medicine, 843-618-3342
- April Brigman, Supervisor, Pet Grooming by April, 843-752-2727
- Lacy Watts, Supervisor, Anvil, 843-774-8211
Languages
English
Native or Bilingual
Timeline
Billing and Insurance Representative
Dillon Family Medicine
05.2020 - Current
Check Out Clerk/ Patient Account Representative
Dillon Family Medicine
10.2018 - 05.2020
Check In Clerk/Patient Account Representative
Dillon Family Medicine
07.2018 - 10.2018
Phone Operator and Scanning Tech
Dillon Family Medicine
01.2018 - 07.2018
Pet Groomer
Pet Grooming by April
03.2015 - 01.2018
Scanner/Packer
Anvil Knitwear
04.2013 - 03.2015
Housekeeper PRN
The Brigman House
01.2013 - 03.2015
Cashier (Seasonal)
Firework Superstore
06.2012 - 07.2012
Consultant
Aloette
02.2012 - 05.2012
Waitress
Out of Bounds
01.2012 - 06.2012
Medical Terminology -
Springfield Technical Community College
Psychology, Accounting, Business -
Francis Marion University
Psychology -
Northeastern Technical College
Honors Diploma in Basic Subjects -
Latta High School
CPR
Medical Billing and Coding - Medical Coding
Professional Medical Training Center
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