End Cashier Service Representative
Resume:
SANDRA REID-BRYAN
** ***** ** **********, ** ****3
adwfj4@r.postjobfree.com
Medical Billing & Coding Specialist
A creative supporting and professional environment with a record of increasing responsibility. Proficient in prioritizing and completing any tasks in a timely manner, yet flexible to multitask when necessary.
KEY ADMINISTREATION SKILLS
•ICD-9-10 & CPT Coding • Medical Terminology
•HCPCS Level II Coding • HIPPA Complaint
•Anatomy & Physiology • Medical Insurance
•MS Office • Medical Billing & Reimbursement
•Payment Posting • Insurance Authorizations
EDUCATIONAL QUALIFICATION
Branford Hall Career Institute – GPA 3.44 Amityville, NY
Medical Billing and Coding Specialist
PROFESSIONAL EXPERIENCE
Brighton Health Plans Solutions
February 7, 2022- Present
Customer Service Representative
Handles Members & Providers Eligibility
Claims and Benefits questions & Queries
Assist in Portal Navigation & Portal Profile
Creating for members.
Assist Providers and Members in Nominating
Doctors to be a part of our Network
Claim Adjustments, explaining E.O.B’s
Creating accurate events, Navigating
Different spreadsheets and using google for
Further searches and definitions.
Acupath Labatory
Medical Collections, denials
September 2021 – January 2022
worked self-pay report / collect payments
liaise with both insurance and patients re outstanding balances
verify members eligibility, gave claim information
BILLED CLAIMS out to insurances
utilized various billing software’s
Aerotek
Medical Collections, denials
April 2021 – August 2021
worked self-pay report to collect payments
liaise with both insurance and patients re outstanding balances
verify members eligibility
billed claims out to insurances
utilized various billing software’s
billed paper claims, mailed out insurances
Excellent Choice Physical Therapy
Medical Collections/Customer Service.
November 2020 – February 2021
No Fault/Workers Compensation calls
Various Insurances, Follow/up, calls and collections
Front Desk Reception, Daily phone calls to Patient
And insurance companies
Send out Appeals Letters, Reconsideration letters
Calls to Adjusters and Lawyers Offices
Medix
No Fault/Workers Comp Biller
February 2020 – April 2020
Navigated various Insurance Websites for claim information
Including Geico
Calls Made to Insurance Adjusters
Sent out Appeal Letters to Insurance Companies
Liaise with Workers Comp Board
Request C8.1 from Insurance Companies
Star Multi Care Services of New York
Billing Coordinator
May 2016 – December 2019
•Submitted claims electronically through Emdeon, HHA Exchange to insurance companies
•Submitted claims on paper to insurance companies
•Liaise with insurance companies re: unpaid or partial payments of claims
•Sent Appeal Letters for Denied claims and outstanding amounts
•Interact with patients re: their bills and answer any questions they have pertaining to their accounts.
•Mail invoices, fax timesheets for payments to insurance companies, also to patients, all other billing related issues.
Bryan Skilled Homecare
Medical Biller & Coder
December 2014- May 2016
•Submitted claims electronically using Availity software
•Submitted claims on HCFA form to insurance companies
•Liaise with insurance companies re: unpaid or partial payments of claims
•Interact with patients re: their bills and answer any questions they have pertaining to their accounts.
•Mail invoices, fax timesheets for payments to insurance companies, also to patients, all other billing related issues.
Vital Medical Care & Aesthetics
Medical Billing Receptionist Externship
•Assisted the office manager with patient registration, Amityville, NY
•Scheduled and re-scheduled patient for office visits
•Communicated with insurance companies and pharmacies
The Home Depot
Front-end Cashier
June 2013 - March 2014
• Provided superior customer service
• Handled large volumes of cash and credit card transactions
The Clothes out Factory
Farmingdale, NY
April 2013-May 2013
Head Sales Personnel
Assisted customers on the sales floor, also dialogued on the telephone
Assured that the sales floor was properly monitored.
TJMAXX
Massapequa, NY
March 2013 - April 2013
•Provided support to other sales associates on the sales floor
•Handled transactions at the cash register, delivered excellent customer service
PROFESSIONAL DEVELOPMENT
Professional Achievements
Essay Competition National Finalist 1980
Certification Insurance OLT. 1993
Certification in Tour Guiding Techniques & Customer Service 1994
Professional Affiliations
Pentecostal Assemblies Of Jesus Christ
Skills
Competent in the use of Microsoft Word/Excel
References available upon request
Contact this candidate