Billing Coordinator with 5+ Years of Healthcare Experience

BRIANNA STANTON

Mobile: 412-***-**** Pittsburgh, Pennsylvania Email: ****************@*****.*** CAREER HIGHLIGHT

Detail-oriented Billing and Financial Operations Specialist with 5+ years of experience managing high-volume billing operations, invoice reconciliation, accounts receivable, payment posting, reimbursement analysis, and financial documentation within complex healthcare environments. Proven ability to investigate billing discrepancies, reconcile payments, maintain accurate financial records, and collaborate with cross-functional teams to ensure timely and accurate invoicing. Skilled at managing multiple priorities, meeting strict deadlines, and providing exceptional internal and external customer service. Advanced proficiency in Microsoft Excel, financial reporting, billing systems, and process improvement with a strong commitment to accuracy, compliance, and operational excellence.

AREAS OF EXPERTISE

RELEVANT CAREER OVERVIEW

RETINA VITREOUS CONSULTANTS, Pittsburgh, PA

Front Desk Receptionists- On-Site July 2021 to Present

• Serve as a primary point of contact for patients, managing high-volume communications and ensuring a seamless customer experience.

• Manage scheduling, documentation, and account updates, maintaining accuracy and organization in a fast-paced environment.

• Supported system implementations (Promptly Healthcare, Nextech), including workflow validation, system setup assistance, and end-user support.

• Developed training materials and job aids to support onboarding and system adoption.

• Managed high-volume inquiries (50–80 daily), demonstrating strong communication, problem-solving, and customer support skills.

• Maintain accurate patient account information, collect payments, reconcile balances, and ensure alignment with billing procedures and payer requirements.

• Collaborate with clinical, billing, and administrative teams to resolve client inquiries, ensure data accuracy, and maintain regulatory compliance.

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CVS HEALTH (SPECIALTY PHARMACY), Pittsburgh, PA

Refund Specialist- Remote April 2020 to December 2020

• Processed 500–800 weekly financial transactions, ensuring accurate reconciliation between payments, remittance advice, EOBs, and billing records.

• Investigated and resolved complex payment discrepancies, refunds, and credit balances, ensuring accurate financial records.

• Worked with cross-functional teams to identify root causes and improve billing and reconciliation processes.

• Managed workflows independently in a fully remote environment, meeting deadlines and accuracy standards.

• Supported compliance with HIPAA and internal policies when handling sensitive financial and patient data. CVS HEALTH (SPECIALTY PHARMACY), Pittsburgh, PA

Reimbursement Specialist- On-Site/Remote December 2017 to April 2020

• Managed accounts receivable processes, including payment posting, follow-ups, and discrepancy resolution.

• Posted and reconciled 25–50 insurance payments daily, ensuring accurate alignment between billing records and payer remittances.

• Performed root-cause analysis on billing and posting errors, reducing rework and improving invoice accuracy.

• Supported reporting and reconciliation efforts, providing insight into operational performance and opportunities for improvement.

• Collaborated with billing, finance, and compliance teams to ensure accurate reimbursement for specialty medications and infusion therapies.

• Leveraged systems (CE2000, HC360, ECM) to analyze billing data and improve reimbursement outcomes. EDUCATION

Bachelor of Science: Business Management Indiana University of Pennsylvania Indiana, Pennsylvania

● Claims & Reimbursement Operations –

Skilled in managing insurance claims,

adjudication, appeals, and payment reconciliation

to ensure accuracy and compliance.

● Financial Reconciliation & Data Accuracy –

Experienced in reconciling high-volume financial

and claims data, identifying discrepancies, and

supporting audit processes.

● Compliance & Regulatory Knowledge –

Proficient in HIPAA standards, payer guidelines,

and healthcare billing regulations.

● Process Improvement & Optimization –

Proven ability to streamline workflows, create

SOPs, and implement system enhancements to

increase efficiency.

● Systems & Data Management –

Hands-on experience with CE2000, HC360,

NextGen, EHR, Promptly Healthcare, Nextech,

and advanced Microsoft Excel (Pivot Tables,

VLOOKUP, XLOOKUP).

● Cross-Functional Collaboration –

Strong background in partnering with clinical,

financial, and administrative teams to resolve

discrepancies and meet organizational goals.

● Problem-Solving & Critical Thinking –

Recognized for identifying root causes of denials, reducing claim rejections, and implementing

effective solutions.

● Customer & Stakeholder Support –

Skilled in managing patient interactions, resolving payer disputes, and supporting leadership

reporting needs.

Contact this candidate