MARIE Louise BRUTUS
Bay Shore,USA
Summary
Healthcare revenue cycle specialist with expertise in inpatient government billing, Medicaid/Medicare cost outliers, Post Acute Transfers and recovery project oversight. Recognized for accuracy, efficiency, and the ability to manage complex workflows in fast-paced environments. Strong communicator and problem-solver. Fluent in French and Haitian Creole.
Overview
21
21
years of professional experience
Work History
Inpatient Government Biller/Senior Project Support
Jzanus Consulting Inc.
Garden City, NY
07.2019 - Current
- Oversaw Recovery Projects and supported team accuracy and workflow.
- Conducted QA reviews and made recommendations for improvement.
- Verify RN Review on Itemized Bills & Identified charge opportunities.
- Handle Ipro Responses (Technical denials, DRG Changes, Predenials, etc.…)
- Prepare cost outlier calculation forms after RN & Ipro Review.
- Lead Medicaid/Medicare cost outlier billing, follow-up, and compliance.
- Perform manual claim interventions in EPACES/OMNI; update account statuses & resolve issues.
- Reviewed EPACES /EPIC pending payments and ensured timely rebilling.
- Track payments, reconcile discrepancies, and document outcomes.
- Rebill cases and manage Medicare Post-Acute Transfers (Reopening’s, 11Qs, Redeterminations).
- Produce Medicaid/Medicare reporting (Denied Charges Success, Ipro Aging).
- Produced monthly/quarterly cost outlier reports.
Call Center Representative
AdvantageCare Physicians
Melville, NY
01.2017 - 06.2017
- Scheduled patient appointments and handled high-volume inbound calls.
- Communicated with Care Teams and assisted with referrals, refills, and medical records.
- Registered new patients and supported Epic-based inquiries.
Customer Service Representative II
Healthplex, Inc.
Uniondale, NY
08.2013 - 08.2016
- Educated members and providers on eligibility, benefits, and claims.
- Resolved complex issues and maintained top performance metrics.
- Coordinated with dental offices to clarify coverage and resolve conflicts.
Enrollment Counselor
Maximus, Inc. (NY Medicaid Choice)
New York, NY
10.2007 - 09.2012
- Assisted consumers with health plan selection and managed care education.
- Filed complaints and resolved issues using a case-management approach.
Senior Representative / Team Leader
D.F. King & Co., Inc.
Brooklyn, NY
09.2006 - 08.2007
- Provided shareholder information, assigned tasks, and handled escalations.
Nursing Assistant
Maria McCain
Syosset, NY
01.2005 - 01.2006
- Assisted with daily living activities and basic nursing care.
Education
Undergraduate -
Farmingdale State College
01-2018
Skills
- Revenue Cycle
- Leadership & Teamwork
- Data Analytics
- Project management
- Inpatient Government Billing: Medicaid/Medicare Cost Outliers
- Epic, Omni, Epaces
- Excellent typing skills
- Fluent in French & Haitian Creole
Timeline
Inpatient Government Biller/Senior Project Support
Jzanus Consulting Inc.
07.2019 - Current
Call Center Representative
AdvantageCare Physicians
01.2017 - 06.2017
Customer Service Representative II
Healthplex, Inc.
08.2013 - 08.2016
Enrollment Counselor
Maximus, Inc. (NY Medicaid Choice)
10.2007 - 09.2012
Senior Representative / Team Leader
D.F. King & Co., Inc.
09.2006 - 08.2007
Nursing Assistant
Maria McCain
01.2005 - 01.2006
Undergraduate -
Farmingdale State College