Accounts Receivable Specialist with 10+ Years Experience

Brie Sullivan

ACCOUNTS RECEIVABLE SPECIALIST

Cincinnati, Ohio 513-***-**** ************.**@*****.***

Objective

Highly organized and detail – oriented administrative professional with more than 10 + years' experience supplying thorough, organized administrative support. While encompassing an excellent work ethic and strength in boosting company morale.

Experience

Appeal Rep 1 / Amerit Consulting @ NGS (Elevance Health), San Francisco, CA 09/2025 –

02/20/2025

• Review and process medical claim denials and policy grievances

• Gathering information

• Analyzing medical and policy guidelines

Billing Specialist / Greater Cincinnati Behavioral Health Services, Cinti, OH 10/2023 – 05/2025

• Researched to find solutions to denied claims

• Resubmitted claims with errors, utilizing knowledge of CMS 1500 forms

• Drafted Appeals for relevant claim denials, adhering to medical policies for all insurance carriers

Billing Coordinator / Promotions Execution Partners, LLC, Cinti, OH 06/2022 – 12/2022

• Collaborated with finance and DLP’s to maintain accounts receivable

• Ensured vendors are billed correctly for services offered

• Prepared and submitted invoices

AR Specialist / Mercy Health -Ensemble Health, Cinti, OH 03/2018 – 06/2022

• Enhanced accounts receivable operations by applying a high level of knowledge in professional billing follow-up

• Analyzed claim dynamics and implemented changes for identified deficiencies

• Ensured confidentiality of all patients’ accounts by following HIPPA guidelines and adhering to compliance of CMS and other payor guidelines

Benefits Admin Sr. Associate / Conduent – Xerox, Cinti, OH 04/2017 – 09/2017

• Checked emails received and performed any research necessary to reply with requested information • Updated and maintained life events for members

• Case noted members files

Benefit Specialist (Contractor) / Real Soft Inc. Junction, NJ 11/2016 – 04/2017

• Supported Health and Welfare administration work for assigned clients

• Analyzed the enrollments of employees in health, dental, life, disability and vision benefits in Xerox

advantage systems to ensure compliance with plan documents, guidelines and policies

• Monitor eligibility of employees and dependents with Health carriers resolving issues/discrepancies

and requesting enrollment on non-routine situations

Education

Robert A. Taft HS, Cinti, OH

General Studies

Ohio College, Cinti, OH

Completion pending

Skills & abilities

Analytical and critical thinking

Problem solving

Communication

Time Management

Attention to detail

Contact this candidate