ITEKA BROWN
Myrtle Beach,SC
Summary
Detail-oriented professional with 20 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
19
19
years of professional experience
Work History
Billing & Insurance Specialist
Veritas Cardiovascular
Myrtle Beach, SC
06.2020 - Current
- Processed eligibility and benefits verification and authorization requests.
- Monitored changes in insurance industry to stay compliant with relevant laws and regulations.
- Researched and resolved routine and complex issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Posted and adjusted payments from insurance companies.
Medical Biller
Carolina Rehab & Physical Medicine
Myrtle Beach, SC
01.2013 - 09.2019
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Delivered timely and accurate charge submissions.
Claims Associate
Blue Cross Blue Shield of South Carolina
Myrtle Beach, SC
09.2004 - 04.2012
- Worked productively in fast-moving work environment to process large volumes of claims.
- Researched and analyzed complex claims to determine next steps and possible outcomes.
- Maintained accurate and up-to-date records of claim information for future reference.
Education
Associates of Applied Science - Business Administration
Kaplan University
Fort Lauderdale, FL11.2011
High School Diploma -
Toronto High School
Toronto, OH05.1998
Skills
- HIPAA Compliance Certification
- Claims Processing
- Billing and Collection Procedures
- Account Reconciliation
- Commercial and Private Insurance
- CMS-1500 Billing Forms
Timeline
Billing & Insurance Specialist
Veritas Cardiovascular
06.2020 - Current
Medical Biller
Carolina Rehab & Physical Medicine
01.2013 - 09.2019
Claims Associate
Blue Cross Blue Shield of South Carolina
09.2004 - 04.2012
Associates of Applied Science - Business Administration
Kaplan University
High School Diploma -
Toronto High School