Health Plan Team
Resume:
Brigitte Murphy
Chula Vista, CA
ad2il5@r.postjobfree.com
Over 20 years of medical billing, customer service and administrative experience. Specialized in business services, billing claims examination, auditing, customer service, appeals and patient registration. Currently Per Diem SRN - Sharp Resource Network Clerical Administration Departments for Sharp Health Plan - EOHD, Medicare Sales . Out Network intake Authorization and intake. Authorized to work in the US for any employer
Work Experience
Patient Business Service Representative
Sharp Rees-Stealy Medical Group- Sharp Health Plan - San Diego, CA April 2002 to August 2022
• Customer service collection posting payments, using IDX and BAR Set up new patient accounts, verify insurance eligibility and benefits, assist patients with billing questions and concerns, audit invoices for outstanding balance. Provide SRS Business Services Customers with prompt, courteous and professional service- Assure billing inquiries are handled to customer's satisfaction. Experience is Sales Force, assisted with all Open Enrolled for VIP senior enrollment for Sharp Health Care Members.
Claims Examiner
U.S. Behavior Health Plan - San Diego, CA
July 1999 to June 2002
Processed claims for Employee Assistance Program (EAP) and Psychiatry Outpatient Chemical Dependency (POD)
Verified insurance eligibility
Processed priority claims request in timely and accurate manner Reviewed and completed pending claims on weekly basis. Ability to analyze claim payments according to policies and provisions of plan. Volunteered at the urban league @ risk youth program for 24 months. Also Help maintain ** None Profit** Organization for single parents with small children. Medical Biller
Palomar Pomerado Health Systems - San Diego, CA
October 1996 to July 1999
Medical Insurance Biller
Resolved patient billing questions/problems in a timely manner Registered patients on-line
Explained credit policy/billing procedures to patient Collected co-payments deductibles and statement balance payments Set up payment arrangements as needed
Billed insurance companies according to managed care contract 1939 Stylus Street 208 Chula Vista,CA 91915
ad2il5@r.postjobfree.com
Education
High school diploma or GED
Skills
• Managed Care (10+ years)
• Auditing
• Insurance Verification (10+ years)
• Hospital Experience (6 years)
• Medical Coding
• Medical Scheduling (10+ years)
• Utilization Management
• Epic
• English
• CPT Coding
• ICD-9
• ICD-10
• Computer literacy (10+ years)
• Patient Care
• EMR Systems (10+ years)
• Laboratory Experience
• Phone triage (1 year)
• Microsoft Outlook (10+ years)
• Communication skills (10+ years)
• Customer service (10+ years)
• Microsoft Excel (10+ years)
• Search engines (10+ years)
• Operating systems (10+ years)
• Data entry (10+ years)
• Phone etiquette (10+ years)
• Analysis skills
• Medical office experience
• Medical terminology
• HIPAA
• Revenue Management
Certifications and Licenses
RHIA
Medical Coding Certification
Contact this candidate