Billing Specialist A Full-Time
Resume:
Anabelle Brzozowski
Gilbert, AZ ***** 414-***-**** ************@*****.***
OBJECTIVE Bilingual professional who is motivated and detail oriented and skilled in medical office administration, seeking a full-time position in healthcare. Professional account management professional with strong focus on building and maintaining client relationships. Adept at driving results through collaborative teamwork and adaptable to changing needs. Skilled in communication, negotiation, and problem-solving. Reliable and goal-oriented, with proven track record in achieving targets and enhancing customer satisfaction. Dynamic individual with hands-on experience in Medical Billing Specialist and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results- oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
SKILLS • Goal oriented • Account reconciliation
• Department collaboration • Teamwork
• Teamwork and collaboration • Problem-solving
• Attention to detail • Problem-solving abilities
• Multitasking • Reliability
• Excellent communication • Organizational skills
• Effective communication • Adaptability and flexibility
• Decision-making • Task prioritization
• Self motivation • Professionalism
• Time management abilities • Adaptability
• Written communication • Problem-solving aptitude EXPERIENCE ACCOUNT REP. II MEDICAID TEAM 2013 to CURRENT Froedtert/Medical College of Wisconsin Milwaukee, WI AB
-Submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs and Health Maintenance Organizations in the areas of claims submission and/or account follow up.
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-Extensive use of multiple internal and external computer systems applications and contract with the above entities
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-Extensive knowledge of multiple contracts, agreements, and government guidelines/regulations to submit, post, research and/or resolve accounts or claims
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-Communicate via phone with various representatives both internally and externally if necessary
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-Analyze multiple sources of remittance to determine proper allocation of rejections, payments and/or adjustments, subject to individual carrier guidelines and contractual fee schedules
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• -Responded to carrier requests for additional information or documentation
-Reviewed carries denials and/or unacceptable reimbursement to (a) challenge the determination or (b) adjust appropriately
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-Reviewed and update registration to correspond with information received from payer
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• -Copy and forward remittance advice to appropriate team follow up
-Responsible for identifying and escalating contractual carries issues to the appropriate source
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-Perform necessary billing activities such as claims to maintain team goals or assists other team mates
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• -Verified Authorizations
• -Verified eligibility
A/R BILLING SPECIALIST 10/2023 to 07/2025
CARDIOVASCULAR ASSOCIATES OF MESA Mesa, AZ
Decreased past-due receivables by consistently monitoring aged accounts and taking appropriate collection actions.
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• Researched and resolved billing discrepancies to enable accurate billing. Collaborated with cross-functional teams to resolve complex customer issues in a timely manner.
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• Answer phone call from patients regarding balances and payments.
• Corrected claims and resubmitted to insurance on a timely manner
• Appeal denials with necessary requested documentation by insurances
• Updated patient's demographics and insurances
• Verified eligibility for patients coverages
• Set up payment plans for patients
• Follow up on claims for timely reimbursement
• Knowledge of insurances portals
• Communicated with insurances representatives for denial issues PRIOR AUTHORIZATION SPECIALIST 01/2013 to 05/2013
Deaconess Home Care Milwaukee, WI
• - Submit Start of care Authorization and Reauthorization
• - Follow up on authorizations submitted and if authorization is returned
• - Submit requested information in a timely matter
• - Call patient regarding account status and check status of authorization
- Fax doctors requesting notes and other information needed for authorization
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• - Interpret for person making calls to Spanish speaking patients and PCWs BILLING SPECIALIST 09/2012 to 11/2012
Healthwise Professional Billing Hales Corners, WI
- Contacted insurance companies to verify health insurance coverage and benefits, prepared medical claims to be submit to Medicare, Medicaid and private insurance companies
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- Performed accounts payable duties for Medicare, Title 19 and other insurance providers
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• - Posted payments and checked on claims status
- Accurately entered data and filed medical records, maintained HIPPA compliance
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• - Assisted billing department with accounts receivables BRANCH MANAGER 06/1999 to 04/2011
Wisconsin Credit Union Shared Service Center Greenfield, WI
• - Supervised, managed and trained 3 employees
• - Promoted from Account Assistant to Branch Manager
• - Accounts Payable and Accounts Receivable
• - Balanced Accounts and performed ATM adjustments
• - Data Entry on computer and excellent attention to detail
• - Filed, Answered phone, Helped Credit Union solve problems
• - Printed reports
BRANCH MANAGER 06/1999 to 04/2011
Wisconsin Credit Union Shared Service Center Greenfield, WI
• - Supervised, managed and trained 3 employees
• - Promoted from Account Assistant to Branch Manager
• - Accounts Payable and Accounts Receivable
• - Balanced Accounts and performed ATM adjustments
• - Data Entry on computer and excellent attention to detail
• - Filed, Answered phone, Helped Credit Union solve problems
• - Printed reports
EDUCATION Technical Diploma Medical Billing and Coding 01/2012 Sanford-Brown College, West Allis, WI
- Studies focused on: advanced ICD-9-CM coding, CPT/HCPS's coding, professional billing processes and insurance application
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• - Graduated with honors
• - Awarded Perfect Attendance
• GPA: 3.72
ACCOMPLISHMENTS • Knowledge of medical terminology and insurance billing practices
• Bilingual, fluent in English and Spanish
• Experience using Microsoft Office and Excel
• Type 60 words per minute
• Team player and able to work independently with multi-tasking skills Strong background in accounting, 12 years of experience in banking industry
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CERTIFICATIONS • Certified Medical Billing Specialist LANGUAGES English
Native or Bilingual
REFERENCES Anna Hauck Osback
*********@******.***
Supervisor
Diane Heitman
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