Sandy Brooks
Hastings,MN
Summary
Looking to be a results-driven Medicare Supervisor with strong analytical skills and a proven track record in policy analysis and customer service. Demonstrated ability to lead teams effectively, fostering collaboration to achieve organizational goals. Adaptable to evolving industry demands, consistently delivering impactful solutions. Reliable professional focused on enhancing operational efficiency and team performance.
Overview
25
25
years of professional experience
Work History
Medicare/MR Insurance Specialist Lead
Optum/Allina Health
12.2020 - Current
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Executed eligibility and benefits verification processes alongside troubleshooting authorizations.
- Analyzed denial patterns and implemented strategies to enhance revenue cycle efficiency
- Monitored authorization denials to rectify discrepancies and prevent revenue loss.
- Facilitated payer meetings focusing on accuracy and partnering with payers to improve efficiency in revenue cycle management
- Mentored new and existing employees to enhance skills and productivity
- Conducted report preparation and engaged with supervisor to enforce policies that increased efficiency of revenue cycle processes.
- Facilitated updates to manuals & policies/procedures
Sr. Medicare Insurance Specialist
Allina Health
01.2014 - 12.2020
- Assisted in the run out of Regina, Courage Kenny, and District One Hospitals
- Proficient in working with UB and 1500 claims
- Assisted in creating Tip Sheets, which provides a more efficient and consistent workflow.
- Facilitate outstanding customer service while helping patients update insurance details for prompt payment processing.
- Effective team player, encouraging and always willing to help others
- Filed Appeals for Courage Kenny payment recovery on Professional Claims
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
Patient Account Rep Biller
Regina Medical Center
03.2008 - 01.2014
- Effective trainer to new employees and help co-workers with any questions.
- Proficient in Billing, Follow-up, and Denials
- Work with Business Office Manager to help with analyzing problems and finding effective resolutions.
- Served on P.I. team for exposures to ensure all exposures get paid promptly.
- Assist Regina's Work Comp attorney in all interventions.
- Customer service Certified. Also assist patients with any billing needs.
- Served as an effective note taker at Business Office Meetings.
- Assisted with running patient statements.
- Tracked all settlement requests received.
- Backed up self-pay when needed, making collection calls and preparing collection report.
- Reviewed Uncompensated Care Applications for patients and made decisions on approval.
Receptionist Insurance Selection Specialist
Park Nicollet Clinic
04.2000 - 03.2008
- Able to solve problems for patients and employees in a calm and effective manner anytime they arise.
- Help patients in scheduling any appointments needed.
- Represent Reception on the Pediatric Quality Circle Committee.
- Responsible for making sure all areas of the clinic were covered in my managers absence. This included taking sick calls.
- Cross-trained in Check-in, Family Practice/Internal Medicine, and call center.
- Effective trainer to new employees.
- Proficient in computer systems. (Example: Word and Excel)
- Back-up for Frontline Communication meetings.
- Coordinate monthly on-call schedules.
- Maintain Master Pediatric schedules.
- In the last few years of my employment made sure all insurances were accurate before patients came in, and put in all new insurances for last minute appointments. A test was required for this position yearly.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
Education
Certificate - Medical Secretary Program
Hennepin Technical College
Eden Prairie, MN05.1994
Certificate of Technical Studies - Human Services Assistant Program
Faribault Technical College
Faribault, MN12.1990
Skills
- Documentation skills
- Policy analysis
- Account management
- Microsoft Excel proficiency
- Epic Experience
- Change Healthcare
- Microsoft Office Word
Timeline
Medicare/MR Insurance Specialist Lead
Optum/Allina Health
12.2020 - Current
Sr. Medicare Insurance Specialist
Allina Health
01.2014 - 12.2020
Patient Account Rep Biller
Regina Medical Center
03.2008 - 01.2014
Receptionist Insurance Selection Specialist
Park Nicollet Clinic
04.2000 - 03.2008
Certificate - Medical Secretary Program
Hennepin Technical College
Certificate of Technical Studies - Human Services Assistant Program
Faribault Technical College
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