Brenda DiFilippo
Medical billing, coding and business manager, x-ray technologist, Back office Medical assistant.
Remote
*****************@*****.***
X-ray tech, Back office assistant, Practice management, Medical terminology, medical billing, coding, specialising in Hospital in Mental health, infusion, hospital, professional, pharmacology, dermatology and labor and delivery.
Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Medical billing remote
Conifer Health Solutions - Remote
February 2021 to Present
Billing, denials, rebills, internals, externals claim correction, ICD 10 and DX corrections as well as CPT’s hospital clinic and professional claims billing all insurance workman’s compensation, Medicare, Medicaid, advantage plans and commercial insurance all claim types. Medical Billing and Coding Specialist
Eye micro surgery - St. Louis, MO
January 2020 to Present
Code all procedure hospital and office post payment enter and scrub all claims, AR patient and insurance bookkeeping medtech and trizetto input correct rejected claims, manage credentialing, eft and logins. Input all charges and payments. Quality assurance Make payment arrangements with patients when needed. Process, verify accuracy and process statements. Medical specialist/ Practice manager
Soleo Health/ Veros Health - Fenton, MO
November 2018 to January 2020
Manage all practice billing for multiple practices, scrub claims, process claims after corrected, place NDC’s where needed for infusion billing, get referrals, pre autos, track and post payments, talk with patients about billing questions, payments, copays, co-insurance and self pay rates, work with patients on payment plans, Go through the schedule and list patient balances co-pays for the front desk correct demographic and insurance for all patients, answer all tasks from Providers to patients. A/R send billing statements time management, handle Medical records and billing record request, post all unapplied monies research patient accounts, track daily payments, Pre authorization. Billing administrator
Bespectacled - Bakersfield, CA
March 2018 to October 2018
Short term contracted position, complete all medical billing, get referrals, auths, set appointment s as needed for patient s that are referred out to a different provider or coming in, track and post all payment s send out patient statements, clean up old AR, talk with patients about cost of their billing and treatment needs Contract new insurance companies, update all credentials setup new EMR (Crystal) provide training for new employees on EMR, train permanent billers on all the above. Billing supervisor
KD Counseling - Mahomet, IL
March 2008 to October 2018
Billing Medicare, Medicaid, private insurance, post all insurance as well as patient payment research payments that has incorrect patient information to post, credentialing, write offs, collections, recertification, verifications, supervise office staff, hire staff as needed, complete Evaluations Part-time Payment poster/Biller/Claim scrubber/ Office Rep Medical transcription. Billing Administrator/ EPM Gateway EMR trainer
Precision Practice - Creve Coeur, MO
October 2017 to March 2018
Post all payments, upload and manual, research missing payments that came in with incorrect or no information Billing Medical and vision claims, post all payments upload as well as manual A/R, reports for patient accounts, A/R statements, take office calls, answer concerns through the office work on Trizetto, Officemate and EPM systems, complete rejections, scrub claims, correct and resubmit Trizetto rejections, Train access to work rejections as well as scrub claims. Complete training on LogMeIn as well as written communication to the office, complete calls with providers if they have concerns a billing problem or need training for EDI or EMR systems, EPM or officemate. Code visits, correct or add ICD-10 codes per the providers EMR, submit claims.
Hospital Practice Manager
Schumocker Group/ SSM - Saint Charles, MO
March 2017 to October 2017
Arrange Dr's schedule per specialty and patient count, train providers on Im bills, Epic software HIPPA and OCHA training, complete credentials for providers, bill for the hospitalist, schedule Dr. shifts complete New hire paperwork, scrub claims for errors, check provider documentation before the patient is D/C, complete releases, work with the city and county morgue for release of paperwork for cremation and burials, transfer IVR, throughout the day and night. Write Dr's note for Patient take patient calls and schedule follow ups before D/C
Payment Poster
SSM Medical Group Corp Office
September 2016 to March 2017
Post Hospital payment, credential banking convert into several accounts using TIN, Research payments that are not found, post payments electronically and manually, correct errors in posting patient payment as well as hospital payments, Billing admin
Piatt County Mental Health - Monticello, IL
February 2011 to December 2015
Bill Medicaid, Medicare, private insurance, Post all insurance and patient payments including write offs and zero pays, credentialing facility and clinicians, insurance verification, documentation review, client registration, recertification, ICD-9 ICD-10 coding write offs, collections, disputes, problem solved denials, talk with clients about benefits, co-pays deductibles, set up payment arrangements, HIPPA training for all new providers, Medical transcription, supervise the front desk staff train as needed, cover reception lunches and 1 evening shift per week, create Excel spreadsheet for billing. Unit supervisor
Pavilion Mental health Hospital in and out patient services - Champaign, IL February 2005 to February 2011
Supervise the unit staff and youth, create billing documents, review staff billing documents, TCI, LSI, arrange Dr. Appointments monitor visits with parents, casa, work on plan of care, implement plan of care, train staff HIPPA, Osha safety, Unit rules, working with youth while on shift, DCFS mandated monitor for family visits and phone calls.
Billing supervisor
Dr..Saravanan Dr.Yekkeririla - Savoy, IL
March 2003 to 2005
Billing Medicare, Medicaid, insurance, ICD-9 coding verification of insurance,Medical transcription collections write offs, post all payments electronically and manually, complete write offs per EOB supervision of 3 other billers Evaluations, training, epic, e-clinical works, office mate, Athena, oversee productivity, Shift leader/ Med lesion
Cunningham childrens Home (DCFS) - Urbana, IL
April 2000 to June 2004
Supervise the unit staff and youth, create billing documents, review staff billing documents, TCI, LSI, arrange Dr. Appointments monitor visits with parents, casa, work on plan of care, implement plan of care, train staff HIPPA, Osha safety, Unit rules DCFS rule 385 policy Education
Bachelor's in science
South University - Savannah, GA
2015 to Present
Skills
• EXCEL (4 years)
• EPIC (3 years)
• EKG (8 years)
• MICROSOFT OFFICE (10+ years)
• MICROSOFT WORD (10+ years)
• Medical Billing (10+ years)
• Revenue Cycle (10+ years)
• DME (5 years)
• claims
• Billing
• Accounts Receivable
• Collections
• Quickbooks
• Medical Terminology
• Microsoft Excel
• accounting
• Outlook
• training
• EMR
• Customer Service
• Human Resources
• Office Management
• Scheduling
• Payroll
• Receptionist
• CPT Coding
• Medical Coding
• ICD-10
• Medical Records
• ICD-9
• Anatomy Knowledge
• Athenahealth
• Documentation Review
• Insurance Verification
• Medical Collection
• Patient Care
• Practice Management
• Triage
• Experience Administering Injections
• HIPAA
• Medical Receptionist
• ICD Coding (10+ years)
• Medical Scheduling (10+ years)
• Nursing (10+ years)
• Help Desk
• Quality Assurance
• Medical Office Experience (10+ years)
• Transcription (2 years)
• Clerical Experience (10+ years)
• Computer literacy (10+ years)
• Pain management
• Healthcare Management (10+ years)
• EDI (10+ years)
• Accounting software (1 year)
• Conflict management (10+ years)
• Bookkeeping
• Accounts payable (5 years)
Certifications and Licenses
Driver's License
X-ray Tech
June 1989 to Present
State of California
Back office Medical Assistant
June 1989 to Present
Modern technology state of California
Assessments
Work Style: Conscientiousness — Highly Proficient
September 2019
Tendency to be well-organized, rule-abiding, and hard-working. Full results: Highly Proficient
Medical Billing — Highly Proficient
October 2019
Understanding the procedures and forms used for medical billing. Full results: Highly Proficient
Electronic Medical Records: Best Practices — Highly Proficient July 2019
Knowledge of EMR data, associated privacy regulations, and best practices for EMR use. Full results: Highly Proficient
Attention to Detail — Familiar
January 2020
Identifying differences in materials, following instructions, and detecting details among distracting information.
Full results: Familiar
Nursing Aide Skills — Familiar
November 2019
Providing nursing aid to patients using knowledge of relevant equipment and procedures. Full results: Familiar
Logic & Critical Thinking — Proficient
September 2019
Using logic to solve problems.
Full results: Proficient
Attention to Detail — Familiar
January 2020
Identifying differences in materials, following instructions, and detecting details among distracting information.
Full results: Familiar
Work Style: Reliability — Highly Proficient
June 2020
Tendency to be dependable and come to work
Full results: Highly Proficient
Medical Billing — Highly Proficient
September 2019
Understanding the procedures and forms used for medical billing. Full results: Highly Proficient
Clinical Judgment — Familiar
August 2020
Assessing a patient's condition and implementing the appropriate medical intervention. Full results: Familiar
Work Style: Conscientiousness — Highly Proficient
July 2020
Tendency to be well-organized, rule-abiding, and hard-working Full results: Highly Proficient
Accounting Skills: Bookkeeping — Familiar
July 2020
Calculating and determining the accuracy of financial data Full results: Familiar
Electronic Health Records: Best Practices — Highly Proficient April 2020
Knowledge of EHR data, associated privacy regulations, and best practices for EHR use Full results: Highly Proficient
Medical Terminology — Completed
September 2019
Understanding and using medical terminology
Full results: Completed
Principles of Accounting — Familiar
April 2020
Preparing financial records according to federal policies Full results: Familiar
Analyzing Data — Familiar
September 2020
Interpreting and producing graphs, identifying trends, and drawing justifiable conclusions from data Full results: Familiar
Medical Billing — Proficient
October 2020
Understanding the procedures and forms used for medical billing Full results: Proficient
Attention to Detail — Familiar
November 2020
Identifying differences in materials, following instructions, and detecting details among distracting information
Full results: Familiar
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Additional Information
SKILLS
Excel, Microsoft Office, Excel, Microsoft word, EKG Xray tech, Blood Pressure, SAT's, EKG, Phlebotomy, injections, EMR, Gateway EDI, Epic EDI, TriZetto, EPM, Officemate, QuickBooks, EHR. Crystal, Athena, IMS, Medical terminology,