Skye Brazil
Chula Vista
Summary
Organized medical biller boasts several-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Payment Posting Specialist
California Retina Associates
San Diego
04.2024 - 07.2025
- Processed incoming payments accurately and efficiently for patient accounts.
- Reviewed and reconciled payment discrepancies, ensuring accuracy in financial records.
- Utilized billing software to post payments and maintain account information.
- Communicated with insurance companies to verify payment details and resolve discrepancies efficiently.
- Assisted in training new staff on payment posting protocols and tools.
- Maintained confidentiality of patient financial information throughout processes.
- Documented payment transactions and updated account statuses promptly.
- Ensured accurate data entry into the accounting system for payment postings.
- Conducted research on customer accounts, ensuring correct payment postings and minimizing errors.
Medical Biller and Coder
San Diego Hand Specialist
San Diego
03.2021 - 03.2024
- Processed medical billing claims for orthopedic services with precision.
- Reviewed patient files to ensure accurate coding and compliance with regulations, enhancing billing accuracy.
- Communicated with insurance companies to resolve billing discrepancies.
- Maintained electronic health records, ensuring data integrity and supporting efficient billing processes.
- Assisted healthcare providers in understanding coding procedures and guidelines.
- Collaborated with office staff to streamline billing workflows and improve efficiency.
- Educated patients on their billing statements and insurance coverage options.
- Conducted audits on submitted claims to identify areas for improvement.
- Ensured timely filing of all claims within established guidelines.
- Analyzed patient accounts to identify errors and discrepancies in billing documentation, facilitating timely resolutions.
- Filed insurance claims accurately with necessary documentation.
- Verified accuracy of patient information and insurance data in billing system.
- Submitted claims to insurance companies electronically or by mail.
- Provided customer service support to patients regarding billing inquiries.
- Assessed medical codes on patient records for accuracy.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Monitored aging accounts receivable report weekly to identify unpaid balances due.
- Developed an understanding of how various insurance plans process claims for reimbursement purposes.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Collaborated with physicians to gather clinical information for accurate coding assignments.
- Reviewed received payments for accuracy and applied to intended patient accounts.
- Documented and filed patient data and medical records.
- Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
- Identified trends in denials and worked collaboratively with clinic staff to reduce denials.
- Responded promptly to requests from insurance companies regarding clarification on claim submissions.
- Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
- Reviewed medical records to meet insurance company requirements.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
Flooring Sales Specialist
The Home Depot Inc
San Diego
10.2016 - 12.2019
- Guided customers in selecting flooring products tailored to their specific needs, enhancing satisfaction and purchase likelihood.
- Demonstrated flooring products to enhance customer understanding and engagement.
- Collaborated with team members to maintain an organized sales floor display.
- Provided product knowledge training to new staff to improve customer service skills.
- Resolved customer inquiries and complaints to ensure satisfaction with flooring solutions.
- Conducted inventory checks and managed stock levels of flooring materials regularly.
- Coordinated with vendors to stay updated on new product offerings and promotions.
- Delivered exceptional customer service by addressing inquiries and resolving complaints, ensuring clients found suitable flooring solutions.
- Maintained records of customer orders including payment terms, product details, delivery dates.
- Prepared quotes for customers based on measurements taken from job sites or blueprints provided by contractors.
- Followed up with existing customers via phone calls or emails about upcoming promotions or discounts.
- Offered information about pricing, payment and delivery options.
- Updated customer database regularly with contact information of new prospects.
- Explained features and advantages of diverse flooring products to assist customers in making informed decisions.
- Stayed up to date on latest styles, trends and available flooring brands.
- Created and implemented sales strategies that contributed to increased store revenue and improved profitability.
- Trained new staff members on company policies regarding sales processes and procedures.
- Helped customers choose between different flooring types such as carpet, hardwood, and laminate.
Education
High School Diploma -
Sweetwater High School
San Diego06-2016
Vocational - Medical Office Specialist
UEI College
San DiegoSkills
- Payment posting
- Claims processing
- Insurance claims
- Patient billing
- Payment reconciliation
- Insurance verification
- Medical coding
- ICD-10 coding
- CPT code modifiers
- Electronic health records
- Electronic health record software
- Accounts receivable management
- Medical record security
- Patient collections
- Medicare and medicaid process
- Data entry accuracy
- Attention to detail
- Problem solving
- Effective communication
- Customer service
- Account management
- Training and mentoring
- Teamwork and collaboration
- HIPAA compliance
- Payment posting
Certification
CPR Certification
Timeline
Medical Payment Posting Specialist
California Retina Associates
04.2024 - 07.2025
Medical Biller and Coder
San Diego Hand Specialist
03.2021 - 03.2024
Flooring Sales Specialist
The Home Depot Inc
10.2016 - 12.2019
High School Diploma -
Sweetwater High School
Vocational - Medical Office Specialist
UEI College