Brandi Perkins

**** **** ****** ****

Birmingham, Alabama 35208

205-***-****

adxxa5@r.postjobfree.com

OBJECTIVES

To work in an organization that will incorporate my education and experience in medical billing and coding along with my customer service skills to help improve the overall efficiency of the organization.

EDUCATION

University of Phoenix

Bachelors of Science in Health Administration

G.P.A 3.7

Virginia College-Birmingham, AL

Medical Billing & Coding, Diploma

Certified Patient Account Rep (CPAR)

G.P.A -3.5

EXPERIENCE

Medical Billing Specialist Alabama Fertility Specialist November 2021 – Current

• Responsible for preparing and transmitting claims for daily submission.

• Working all front-end error/rejections.

• Responsible for working all payer rejections which may requires claim resubmission.

• Contacts insurance carriers and/or other sources and acts as an advocate for the patients account to ensure all accounts are paid in a timely manner.

• Initiate adjustments, refunds, and appeals when necessary to ensure proper reimbursement.

• Intercepts all paper correspondence, posts zero pays and work each claim to improve the overall aging of account receivables.

• May assist in auditing charge tickets, reviewing charge tickets for accuracy and completeness, entering charges, procedure codes and diagnosis codes selected by the treating physician in to the Practice Management System (MediSYS/ClaimMD), and ensuring that all charges have been entered for the day. Medical Billing Specialist Hematology & Oncology Associates of Alabama September 2014 – November 2021

• Responsible for maintaining insurance account receivables with in the aging guidelines and report inconsistencies; correct errors when appropriate.

• Managing patient accounts for documentation needs throughout life of account, such as demographics, insurance, and referral sources.

• Contacts insurance carriers and/or other sources and acts as an advocate for the patients account to ensure all accounts are paid in a timely manner.

• Initiate adjustments, refunds, and appeals when necessary to ensure proper reimbursement.

• Responsible for interpretation of financial responsibilities for services received, payment options and collection procedures to patients and/or parties responsible for payment.

• May assist in auditing charge tickets, reviewing charge tickets for accuracy and completeness, entering charges, procedure codes and diagnosis codes selected by the treating physician in to the Practice Management System (EHS/Centricity), and ensuring that all charges have been entered for the day.

• Also, assist on special projects and audits within the Billing Office. Medical Billing Specialist/Patient Advocate SuccessEHS/Greenway May 2012-June 2014

• Review account aging on a monthly basis and reports inconsistencies; corrects errors as appropriate.

• Follow up on insurance billing to ensure timely receipt of payments.

• Demonstrate the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.

• Initiate adjustment as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.

• Review credit balance reports for correct recipient of refund.

• Contact insurance payers who can remit deduct overpayment and initiate process with thirty days of the overpayment.

SKILLS

• Windows environment including Microsoft Word, Office, Outlook, and Excel.

• Electronic Medical Records, OncoEMR, Artisan, software used by the practice.

• Knowledge of medical billing, and insurance processes.

• Knowledge of insurance agency operating procedures and practices.

• Knowledge of governmental, legal and regulatory provisions related to collection activities.

• Proficiency in CPT and ICD9, and IDC10 coding.

• Ability to understand and follow oral and written communication

• Knowledge of medical terminology and account payables.

• Proficiency using several different billing systems: SuccessEHS, NextGen, TruBridge, CPSI, Centricity, MediSYS, ClaimMD.

References: available upon request

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