Summary
Overview
Work History
Education
Skills
Timeline
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Therese Bruno

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

30
30
years of professional experience

Work History

Insurance Staff Specialist

Quadax, Inc.
08.2023 - Current
  • Process eligibility and benefits verification and authorization requests.
  • Follow up on denials, late payments, extensions and other special circumstances.
  • Monitor changes in insurance industry to stay compliant with relevant laws and regulations.
  • Monitor and notify management of payer trends and/or claim processing issues.
  • Investigate electronic claim rejections.
  • Research claim information through web portals.
  • Respond to payer correspondence.
  • Draft appeals for denied claims.
  • Investigate COB discrepancies and termed insurance issues.
  • Process claims to primary, secondary and tertiary insurances.
  • Provide extensive support service covering all aspects of claims management including review, initiation, completion, submission, and direct follow-up to the payer.

Patient Advocacy Representative

Quadax, Inc.
01.2022 - Current
  • Answered calls for Foundation Medicine, Tempus Labs, Kiyatec and Micronoma.
  • Handled customer complaints quickly and professionally to restore customer confidence.
  • Explained, reviewed and provided answers to terminal cancer pts. regarding their insurance benefits, appeal rights, EOBs, statements/claim notifications and financial aid.
  • Chronicled the detailed information discussed with the patients into the case notes.
  • Accepted calls from patient's families and recorded the sensitive information provided. (pt. deceased, in hospice or hospitalized)
  • Spoke with insurance companies and doctor's offices regarding prior authorizations, letters of medical necessity, claim denials and portal registrations.
  • Enhanced company reputation by providing exceptional customer service and support.
  • Assisted in training new hires and offered ongoing support to help them reach their full potential.

Volunteer

Rainbow Babies And Children's Hospital
05.2021 - 05.2022

Cuddle, feed, change diapers and read to the most vulnerable babies in the NICU & step-down unit.

Take directions from nurses regarding infants needs based on medical conditions. i.e. born addicted, breathing problems due to being a preemie, feeding issues, etc.

Hostess/Server Trainer

Riverstone Taverne
07.2018 - 09.2020
  • Greeted customers, answered questions and recommended specials, wine and desserts to increase profits.
  • Operated POS terminals to input orders, split bills and calculate totals.
  • Satisfied customers by topping off drinks and anticipating condiments, napkins and other needs.
  • Developed rapport with guests and assisted in generating repeat business by providing exceptional customer service.

Business Owner

Bruno Bros. Music
07.1995 - 04.2018
  • Managed operations budgeting, accounts payable and accounts receivable and payroll.
  • Kept records for production, inventory, income and expenses.
  • Collaborated with staff to maximize customer satisfaction, streamline procedures and improve bottom-line profitability.
  • Reconciled daily sales, returns and financial transaction reports and prepared bank deposits.
  • Established favorable relationships with vendors and contractors, facilitating contract negotiation and development of marketing and sales strategies.
  • Promoted store offerings through newspaper advertisements, catalogs and brochures to attract new customers.

Piano Teacher

Self Employed
07.1995 - 04.2017
  • Helped students continue progressing by regularly evaluating abilities and customizing teaching approaches.
  • Emboldened students with new confidence by consistently reinforcing and praising abilities.
  • Instilled values such as diligence, determination and focus to help students deal with challenges of advanced pieces and performances.
  • Instructed students in scales, sight-reading and tonal differences on piano.
  • Provided music theory training for beginner, intermediate and advanced piano students.
  • Educated students using customized teaching methods and hands-on curriculum.
  • Assessed student needs in context of qualifications, limitations, abilities and interests.
  • Encouraged students to explore individual learning opportunities to expand knowledge of subject areas.

Recruiter

Area Temps
04.1994 - 06.1995
  • Communicated duties, compensation, benefits and working conditions to potential candidates, enabling solid understanding of job expectations.
  • Brought in well-qualified, multifaced job candidates to fill open positions.

Education

Associate of Arts -

Cuyahoga Community College
Cleveland, OH
12.2016

Short Term Certificate in Medical Billing -

Cuyahoga Community College
Cleveland, OH
05.2016

High School Diploma -

Fr. Lopez High School
Daytona Beach, FL
06.1985

Skills

  • Employee Relations
  • Customer Relations
  • Documentation Management
  • Analytical Thinking
  • Issue Research

Timeline

Insurance Staff Specialist

Quadax, Inc.
08.2023 - Current

Patient Advocacy Representative

Quadax, Inc.
01.2022 - Current

Volunteer

Rainbow Babies And Children's Hospital
05.2021 - 05.2022

Hostess/Server Trainer

Riverstone Taverne
07.2018 - 09.2020

Business Owner

Bruno Bros. Music
07.1995 - 04.2018

Piano Teacher

Self Employed
07.1995 - 04.2017

Recruiter

Area Temps
04.1994 - 06.1995

Associate of Arts -

Cuyahoga Community College

Short Term Certificate in Medical Billing -

Cuyahoga Community College

High School Diploma -

Fr. Lopez High School
Therese Bruno