Brenda J. Franks

PROFESSIONAL SUMMARY

Experienced medical billing specialist, accounts payable and receivable clerk, and insurance professional. Customer service and data entry experience. Proficient with medical billing, ICD-9, and CPT coding. Knowledge of Medicaid, Medicare, and commercial insurance claims and guidelines. Excellent communication skills, both written and verbal. Wrote appeals and provider communication. Medical knowledge and research experience.

TECHNICAL EXPERIENCE

MS Office, MS Word, MS Excel, MS Outlook, Accounts Payable, Accounts Receivable, CRT System, Audits, Claims, Medical, Insurance, Data Entry, Customer Service, Typing, Document Review, Billing, Payments, Appeals, Medicare, Medicaid, Interviewing, Reimbursement

PROFESSIONAL EXPERIENCE

CALANCE COMPANY (CONTRACT), Omaha, NE Aug 2015 – Feb 2016

Accounts Payable Specialist/Data Entry

Skip trace and scan documents.

Audit accounts and post incoming mail.

Follow-up on accounts via telephone and submit claims.

NOLL COMPANY (CONTRACT), Omaha, NE Sep 2014 – Nov 2014

Medical Biller/Accounts Payable Specialist

Provided follow-up on medical claims and insurance information.

Managed a high volume of data entry into an internal database.

Experienced with Medicare, Medicaid, and commercial insurance claims and guidelines.

Reviewed claims that had been rejected or denied to identify the root cause and resolve for reimbursement.

Wrote appeals and provider communication to streamline process.

Posted payments and reimbursements as needed.

Processed medical claims and billing.

CLARKSON BENEFICIAL, Omaha, NE Nov 2013 – Sep 2014

Medical Billing Specialist

Provided follow-up on medical claims and insurance information.

Wrote appeals and provider communication to streamline reimbursement process.

Proficient with Medicare, Medicaid, and commercial insurance claims and guidelines.

Reviewed claims that had been rejected or denied to identify the root cause and resolve for reimbursement.

Processed medical claims, billing procedures and terminology.

Posted payments and reimbursements as needed.

Interviewed new employees.

Coordinated a high volume of data entry into internal database.

METHODIST PHYSICIAN CLINIC, Omaha, NE Jul 2009 – Aug 2012

Medical Biller/Insurance Fraud

Coordinated medical billing and accounts receivable.

Managed a high volume of accounts receivable and payable.

Medical data entry into internal database.

Wrote appeals and provider communication to streamline reimbursement process.

Processed medical claims and billing procedures.

Posted payments and reimbursements as needed.

Interviewed and trained new employees.

Seasoned with Medicare, Medicaid, and commercial insurance claims and guidelines.

Reviewed claims that had been rejected or denied to identify the root cause and resolve for reimbursement.

HEARTLAND INSURANCE, Omaha, NE Apr 2007 – Jun 2009

Medical Biller/HR Assistant

Coordinated medical billing and accounts receivable.

Managed a high volume of accounts receivable and payable.

Medical data entry into internal database.

Wrote appeals and provider communication to streamline reimbursement process.

Processed medical claims and billing procedures.

Posted payments and reimbursements as needed.

Interviewed and trained new employees.

Seasoned with Medicare, Medicaid, and commercial insurance claims and guidelines.

Reviewed claims that had been rejected or denied to identify the root cause and resolve for reimbursement.

EDUCATION

A.S. in Business

University of Nebraska

Omaha, NE

High School Diploma

Omaha North High School

Omaha, NE

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