Brenda DiFilippo

Medical billing, coding and business manager, x-ray technologist, Back office Medical assistant.

Remote

ad1zm6@r.postjobfree.com

+1-217-***-****

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,

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