Linsey Brown
Burkesville
Summary
Dynamic medical billing professional with a proven track record at Progressive Medical Management LLC, excelling in optimizing reimbursement processes and enhancing compliance. Known for exceptional problem-solving and teamwork, I effectively trained staff and streamlined workflows, resulting in improved cash flow and reduced claim denials. Committed to delivering outstanding customer service in fast-paced environments.
Demonstrates strong analytical, communication, and teamwork skills, Hard worker 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.
Overview
23
23
years of professional experience
Work History
Outsource Medical Billing Office
Progressive Medical Management LLC
04.2004 - Current
- Handled day to day billing, coding, denials, appeals and authorizations for several podiatrist office.
- Assisted with regulatory issues such as compliance.
- Developed close working relationships with front office and back office staff.
- Oversaw accounting, budgeting, and financial reporting.
- Managed financial aspects of the office including payroll processing, budgeting, forecasting, tax compliance and expense tracking to optimize profitability.
- Streamlined billing processes for quicker reimbursement, improving cash flow.
- Oversaw all regulatory compliance efforts, keeping practice in line with evolving healthcare laws.
- Created reports, presentations and other materials for executive staff.
- Accomplished multiple tasks within established timeframes.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Scanned and uploaded medical records into electronic medical records system.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Liaised between patients, insurance companies, and billing office.
- Supported team members in resolving complex or escalated billing issues, fostering a positive work environment focused on problemsolving.
- Educated patients about their financial responsibilities and available payment options, helping reduce unpaid accounts receivable balances.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Reviewed and sent medical records to other physicians upon request.
- Pulled charts and prepared for nurse and doctor assessment.
- Trained all new employees on records management system.
- Oversaw the implementation of a new EHR system,
- MIPS Coordinator
- Addressed patient inquiries promptly, providing clear explanations about treatment plans, insurance coverage, billing processes, or other concerns as needed.
- leading staff training sessions and addressing technical issues as they arose during the transition period.
Denial Specialist
HMR
04.2002 - 10.2004
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
- Optimized workflows within the team by assigning tasks based on individual strengths and expertise in particular payers or denial reasons.
- Trained new employees on denial management best practices, fostering a knowledgeable and efficient workforce.
- Identified root cause of denials to provide plans for denial resolution.
- Documented medical claim actions by completing forms, reports, logs and records.
Education
Celina High School
Celina, TNSkills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Dependable and responsible
- Multitasking Abilities
- Excellent communication
- Computer skills
- Calm under pressure
Timeline
Outsource Medical Billing Office
Progressive Medical Management LLC
04.2004 - Current
Denial Specialist
HMR
04.2002 - 10.2004
Celina High School
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