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Customer Service Medical

Location:
Waterbury, CT
Posted:
February 03, 2015

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Resume:

Sharon Brunetti Page * of *

S HARON A BRUNETT I

********@*******.***

203-***-****

203-***-****

To benefit an organization that can use an enthusiastic, reliable, professional with strong

communication and organizational skills who pays attention to detail and offers eighteen years

experience in an outpatient environment. I have experience in Medical Billing and Collections,

A uditing of Providers Documentation, Surgical Coding, Procedural Coding, Medical Terminology

a nd Procedures, Basic Anatomy, CPT/ICD-9, HCPCS, Medical Reception, P r ior-authorization,

R efer rals, Customer Service, etc..

C OMPUTERS: P roficient in the following computer systems and hardware:

Flocast, IDX, Invision, Provation, Codecorrect, Microsoft Windows, Excel, Powerpoint and Outlook.

E DUCAT ION: Certified Profession Coder 2004-2010. Medical Insurance Specialist at Naugatuck Community

College.

Courses included: Procedural Coding, Medical Terminology and Procedures, Basic Anatomy, CPT/ICD-9,

H CPCS.

E XPER IENCE:

Coder/Customer Service Representative

Hamilton Connections

J & L Medical Services (08/2014-12/2014)

• Reviewed CPAP orders to make sure that the information was within insurance guidelines and process

orders in a timely manner

• Fast paced, deadline oriented environment.

• Called patients to make them aware of their insurance coverage, monetary responsibility and scheduled

appointments for CPAP set up with the Respiratory Therapists

• Assisted walk in customers with retail purchases and collected payments

A dministrative Assistant

Office Team

Elim Park (06/2014-07/2014)

• Responsible for payroll and scheduling of staff for Residential Care Home.

• Maintained the Dr’s schedule for patient rounds for Elim Park acute, post acute and residential care

home wings and supplied the Drs offices with proper documentation for billing purposes

• Maintained a roster of people residing in the Residential Care Home.

• Maintained calendar and booked meeting room for staff as needed.

• Scheduled Dr appointments for residents and arranged proper transportation.

• Responsible for scheduling hairdresser appointments for Residential Care Home residents.

• Ordering and delivering of incontinence products for Residential Care Home residents.

• Answered phones, retrieved mail and delivered to proper persons.

• Made copies as the need arose

• Handling, sorting and filing incoming and outgoing correspondence

• Handling, sorting and filing confidential caregiver reports and patient files

• K indly greeting visitors

• P roviding data entry support

Medical Receptionist

Vision Associates Of Prospect (07/20/13-10/15/13)

• Balance and close out the day, prepare deposits for the bank.

• P roficient in computer, telephonic and medical terminology skills.

• Maintain patient accounts by obtaining, recording and updating personal and financial information.

• Comfort patient by anticipating patients’anxieties and answering patients’questions.

• Contribute to team effort by accomplishing related results as needed.

• Maintain operations by following policies and procedures; reporting needed changes.

• Apply diagnosis, modifiers and submit claims to proper insurance company.

• Greet patients, make appointments and answer phones.

• Collect co-pays and money for same day services and purchases.

Medical Coding

Creative Financial Staffing

Bristol Hospital (2012)

• Responsible for applying diagnosis codes for all outpatient testing which included: Laboratory,

Radiology, MRI,

Obstetrics, Chemotherapy, Bariatrics, Primary Care Physicians, etc..

B illing Auditor/Coder/Patient Account Representative

Franklin Medical Group, P.C., Central Billing Office (2006-2011)

• Regularly perform audits on over one hundred twenty five providers of various specialties and

educate them on proper coding, documentation guidelines, compliance and E&M principles.

Sharon Brunetti Page 3 of 3

• Code from the operative report for the following specialties: General Surgery, Breast, Woundcare

and Orthopedics

• Review documentation for the patient account representatives and suggest modifiers based on

C PC,

I CD-9, CPT-4 and Medicare guidelines to obtain revenue and remain compliant.

• Charge entry and claims follow up.

• Participated in a special project to implement Medicare's Physician Quality Reporting Initiative.

M edical I nsurance Specialist/Team Leader/Medical Coder

Danbury Office of Physician Services P.C. (1995-2006)

General Surgery Department

Primary Care of Southbury

• Provided appropriate ICD-9/CPT-4 codes for submission of claims.

• Collected over $15,000.00 from insurance companies of otherwise dormant claims.

• Responsible for coding from the operative report, ICD-9/ CPT-4 for the following specialties

General

Surgery, Bariatric Surgery, Colorectal Surgery, Gastrointestinal Surgery, and Breast Surgery.

• Enter all charges for maximum reimbursement and resolve patient and insurance billing issues.

• Lead biller in charge of all reports and balancing of reports.

• Volunteered to Work on a special project auditing all offices within DOPS to ensure proper coding

and ensure

optimum reimbursement of all claims while remaining compliant.

P ERSONAL : M ulti-tasking, Flexibility, Telephone Skills, Customer Service, Time Management,

Scheduling, Word Processing, Professionalism, Experience,

O rganization, Attention to Detail,

Team player, result oriented attitude.



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