Britanie Gibson

Mesquite, TX *****

adpn5a@r.postjobfree.com

+1-214-***-****

Authorized to work in the US for any employer

Work Experience

Health Coordinator

W3r/ BCBS - Remote

June 2021 to Present

Review documentation/prior authorization from medical providers/facilities to determine if medically necessary has been provided, determine discharge dates, determine if extensions are being requested. Extend/void requests as needed per policy. Document all work done and needed, Gather all needed information and send to nurse. Efficiently work through a case load of incoming requests by expiration times daily.

Annuity Specialist

Tata Consultancy Services (TCS) - Remote

October 2020 to March 2021

Answer incoming Calls for policy holders and beneficiaries. Processed loan/cash value/surrender requests. Accepted and adjusted policy premium payments, loan repayment. Claims Processor

Experis - Remote

April 2020 to August 2020

Update demographics, input weekly certification answers. Check for holds on payments, authorize and process benefit payments.

Schedule/Referral Coordinator

UT Southwestern Medical Center - Dallas, TX

June 2019 to March 2020

Answer incoming calls, using openscape. Track referrals for patients in Epic system via citrix.. search and verify providers.inform patients of insurance eligibility and copay info. Schedule patients appt using epic. Train new hires weekly on company procedures/protocols and scheduling. CSR Trainer

Teleperformance/United healthcare - Dallas, TX

July 2015 to March 2018

Responsibilities:

Trained and developed employees on company policies and procedures. Responsible for monitoring of calls for quality assurance purposes. Established and communicated training materials that results to excellent customer service and company growth.

Prepared recommendations designed to increase efficiency and client satisfaction. Directed corrective measures required to meet standards. Trained new hires on how to efficiently answer incoming calls & assist united healthcare members with their medicare part c accounts- part d, as well, update cob billing, advise patients of non par/ par benefits, assisted members with all inquiries dealing with medicare plans. Collections, billing, informed members of and contacted providers to schedule appointments for annual physical. Update demographics on patient accounts. Verify provider eligibility for hmo service. Verify insurance eligibility via brightree system. Document each account thoroughly. Full time 40+ hours/weekly

Medical Billing Representative

Inogen - Richardson, TX

June 2016 to January 2018

Responsibilities

Answer incoming calls, respond electronically or via mail to incoming mail and email correspondence from patients regarding their oxygen concentrator billing. Verify insurance information, resubmit claims to appropriate payor, medicaid, medicare and private ins. Inform patients of copays and deductibles. Explain EOB and insurance denials to patients, verify CMN and chart notes to make sure patients were approved to come on service. Entered into oracle system documentation in regards to patient account.i.e. demographics, change of insurance, medical necessity, prescription changes. follow up with provider officers in regard to missing cmn information. assisted customer service department with delivery info for oxygen to patient address. Full time 40+ hours/weekly

Call center rep

Pisa Group - Richardson, TX

February 2014 to June 2015

Responsibilities

Take incoming calls for newspaper subscriptions, manage customers accounts by updating balance, adjusting payment plans. Contact mail carriers to follow up with undelivered newspaper. Collect/process payments, auto-generate next billing cycles. Updated member demographics. notate each call with call reason and solution.

Part time 32 hours/weekly

Collections Agent

ETAN Industries, LLC - Dallas, TX

August 2014 to April 2015

Responsibilities

Answer incoming calls to take payments from cable customers, deescalate calls, make payment arrangements, adjust balances, rehash with other package options. notate member account with reason for call.

Full time 40 hours/weekly

Test proctor

Psi exam center - Dallas, TX

August 2013 to February 2014

Responsibilities

Register test candidates for state and federal exams postal workers, golfers, rn, etc. Verify identity, scan fingerprints for background purposes through morphotrust system..inform test candidates of policy and procedures, performed walk- throughs during exams to make sure there was no cheating..watch surveillance footage to ensure no cheating took place. Advise testees of their exam scores.

Full time 40 hours/weekly

Education

Diploma in Medical in billing and coding

Remington college - Garland, TX

2012 to 2013

diploma

centric nursing institute - McKinney, TX

2013

GED

North Texas job corps

Skills

• Microsoft office (6 years)

• Customer service (6 years)

• 45 wpm (5 years)

• Medical Billing (2 years)

• Insurance Verification (2 years)

• Payment Processing (3 years)

• Document review (4 years)

• Nextgen (2 years)

• Oracle (4 years)

• CRM (3 years)

• Salesforce

• Epic (2 years)

• Medical Records

• Data Entry

• EMR Systems

• Scheduling

• Medical Terminology (6 years)

• Medical Records (4 years)

• Training & Development (1 year)

• Supervising Experience (2 years)

• Billing

• EMR

• MS Office

• Citrix

• ICD-10

• Medical Office Experience

• Medical Coding

• Utilization management

• Health coordination

• CPT Coding

• Preauthorizations (2 years)

• HIPAA

Certifications and Licenses

Driver's License

Assessments

Customer focus & orientation — Highly Proficient

March 2020

Responding to customer situations with sensitivity Full results: Highly Proficient

Call center customer service — Highly Proficient

December 2020

Applying customer service skills in a call center setting Full results: Highly Proficient

Scheduling — Proficient

March 2020

Cross-referencing agendas and itineraries to avoid scheduling conflicts. Full results: Proficient

Medical billing — Proficient

November 2020

Understanding the procedures and forms used for medical billing Full results: Proficient

Working with MS Word documents — Proficient

November 2020

Knowledge of various Microsoft Word features, functions, and techniques Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

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