Brenda Smith, Resume
Email: abperi@r.postjobfree.com
Address:
City: Virginia Beach
State: VA
Zip: 23453
Country: USA
Phone: 757-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
To obtain a challenging position requiring strong interpersonal, managerial and organizational skills with a company where continued professional growth is possible. Excellent interpersonal and communication skills, patient, supportive and loyal team player. Over 10 years experience in Insurance Verification/Authorization and home infusion billing, handling phone inquiries, scheduling appointments,estimating daily charges.
Educational Background:
High School Dipolma from Parkland High School, State Of Pennsylvania PA 1/2001 to 6/1981 (business)
Job History / Details:
Professional Summary
To obtain a challenging position requiring strong interpersonal, managerial and organizational skills with a company where continued professional growth is possible. Excellent interpersonal and communication skills, patient, supportive and loyal team player. Over 10 years experience in Insurance Verification/Authorization and home infusion billing, handling phone inquiries, scheduling appointments,estimating daily charges.
Licenses
Notary Public
Skill Highlights
Extensive Home Infusion Insurance knowledge
Managed care contract knowledge
Electronic Medical Record (EMR) software
ICD-9
CPT and HCPCS coding
Interpreting instruction
Quality assessment of coded data
HIPAA compliance
Medical billing software
Strong work ethic
Strong attention to detail
Multi-tasking
Customer service
Office support (phones, faxing, filing)
Maintains strict confidentiality
Billing and collection procedures expert
Composed and professional demeanor
Resourceful and reliable worker
Professional Experience
January 2002 to Current
HomeChoice Partners, Inc VA
INSURANCE VERIFICATION/AUTHORIZATION SPECIALIST
Verification of new and readmitted patient's insurance to ensure proper coverage, request all necessary referrals and/or authorizations, calculate estimated daily therapy cost, obtain Medicare ABN forms when necessary.
Ensure all ongoing therapy authorization is obtained in a timely manner.
Communicate patient coverage and estimated therapy cost to individual branches and provide backup coverage for other branches.
Train new teammates in all aspects of Insurance verification, home infusion coding and authorizations.
Extensive knowledge of home infusion insurance, agency and hospital billing.
1999 to 2002
Gentiva Health Services Virginia Beach, VA
CLIENT CARE COORDINATOR
Coordinate Patient needs with appropriate skilled care giver.
Communicate with Patients and care givers on a daily basis.
Data entry of care giver payroll/visit billing, patient Plan of Treatment, Physician Orders, Oasis data, Employee information, wage transfers.
Tracking and mailing of Physician orders and Plans of Treatment.
Maintain and order nursing supplies.
PHARMACY DEPARTMENT: Staff Infusion Nursing.
Intake Infusion referrals.
Verify Pharmacy and Nursing insurance benefits and obtain authorizations.
Routing of accounts receivable and payable invoices.
Collection of past due accounts.
1993 to 1999
Dr. William R. Thesier Virginia Beach, VA
CHIROPRACTIC OFFICE/THERAPEUTIC ASSISTANT
Education and Training,
High School Graduate
10 years experience in Home Infusion Insurance coverage and billing