Open To Work
Sonia Brinson
Work Preference
Summary
Experienced Claims Coordinator with 10+years of experience in the healthcare industry. Proven Ability to manage and process claims, resolve billing issues, and maintain compliance with insurance regulations. Strong customer service and communication skills.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Patient Access Associate for Outpatient & ER
Mercy Hospital Clermont County
Batavia
03.2026 - Current
- Registered patients for outpatient services, facilitating access to necessary diagnostic procedures including labs, X-rays, CTs, ultrasounds, PET scans, and mammograms.
- Managed patient registration and intake processes at a local hospital.
- Coordinated insurance verification and eligibility checks for patient services.
Insurance Follow Up
Healthcare Outsourcing Network
03.2023 - 12.2024
- Contacted insurance carriers to resolve denied claims and billing issues for Legacy Medical centers and hospitals.
- Managed insurance claims follow-up processes for healthcare providers.
- Reviewed patient accounts to ensure accurate billing and resolution.
- Communicated with insurance companies to clarify claim statuses.
A/R Claims Coordinator
Zotec Partners
Carmel
01.2021 - 03.2023
- Managed denial issues by investigating denied claims, contacting carriers, and scrubbing claims for resubmission.
- Collaborated with insurance companies to resolve billing discrepancies and expedite claim approvals.
- Processed and corrected hospital claims to ensure accurate reimbursement.
- Maintained compliance with insurance regulations.
Claims Follow Up/Customer Service
Greene Respiratory
Milford
07.2018 - 01.2021
- Managed DME claims through follow-up on past due, corrections, and re-submissions to ensure timely resolution.
- Negotiated resolutions for billing issues with patients and insurance companies to enhance payment collection.
- Completed day-to-day duties accurately and efficiently.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Claims Adjustments/Credit Dept
Ensemble Health Partners
Mason
10.2016 - 05.2019
- Reviewed and adjusted medical claims for multiple Mercy Hospital locations, ensuring accuracy and compliance with policies.
- Corrected contractual adjustments for insurance claims and patient refunds.
- Completed day-to-day duties accurately and efficiently.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Medical Billing/Claims/Temp
Bio-rx
Blue Ash
03.2016 - 09.2016
- Reviewed and contacted insurance companies about denied infusion claims and resubmitted claims for payment.
- Completed day-to-day duties accurately and efficiently.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Claims Specialist/Temp
Assurex Health
Mason
12.2015 - 03.2016
- Corrected and resubmitted medical claims to ensure accurate processing by insurance companies.
- Reviewed insurance claims for accuracy and compliance with company policies.
- Coordinated claim processing with medical providers and policyholders.
- Analyzed documentation to determine claim validity and eligibility.
Claims Specialist
Source Med
West Chester
08.2015 - 12.2015
- Verified and corrected claims with private hospital to ensure accurate processing.
- Reviewed and processed claims according to company guidelines and industry standards.
- Communicated with clients to clarify claim details and gather necessary documentation.
- Collaborated with healthcare providers to verify patient information and claim accuracy.
Reimbursement Coordinator
American Nursing Care/Patient Transport Services
Milford
11.2006 - 08.2014
- Managed 9 branches in Ohio, Arkansas, Nebraska, and Tennessee for Medicaid and Passport.
- Processed and submitted claims to ensure timely reimbursement.
- Researched incorrect payments, resubmitted claims, and processed adjustments to ensure accurate payments.
Education
High school diploma -
Glen Este High School
Cincinnati, OHSkills
- Patient Registration
- Medical Billing
- Insurance Verification
- Epic
- Medicare
- Medicaid
- Microsoft Excel
- Communication skills
- Insurance Verification
Certification
CRCR, 01/01/19, Present, Certified Revenue Cycle Rep
Assessments
Proficient, Proficient
Timeline
Patient Access Associate for Outpatient & ER
Mercy Hospital Clermont County
03.2026 - Current
Insurance Follow Up
Healthcare Outsourcing Network
03.2023 - 12.2024
A/R Claims Coordinator
Zotec Partners
01.2021 - 03.2023
Claims Follow Up/Customer Service
Greene Respiratory
07.2018 - 01.2021
Claims Adjustments/Credit Dept
Ensemble Health Partners
10.2016 - 05.2019
Medical Billing/Claims/Temp
Bio-rx
03.2016 - 09.2016
Claims Specialist/Temp
Assurex Health
12.2015 - 03.2016
Claims Specialist
Source Med
08.2015 - 12.2015
Reimbursement Coordinator
American Nursing Care/Patient Transport Services
11.2006 - 08.2014
High school diploma -
Glen Este High School