1. Brandy M Ware
6676 Alvan Court
Riverdale, GA 30296
404-615-8141
www.bphillips94@yahoo.com
SUMMARY Seventeen years of experience in Healthcare Reimbursement and management.
Experience with various medical information systems, medical terminology, CPT4, and
ICD9 coding. Employment experience with hospitals and several different provider
practices. Experience working with all commercial and Government insurance
companies.
EDUCATION Bachelor of Science in Healthcare Administration, 02/02/2014
University of Phoenix
Cincinnati State Technical and Community College 1994-95
SKILLS Type 65 wpm
ICD-9 and CPT-4 coding
Medical Terminology
Patient Accounting Software: Athena, Greenway, Epic, Mysis, Medic, IDX
Word Processing Software: Microsoft Word, Excel, Power Point, Vital Works
EMPLOYMENT
09/2014-current Piedmont Healthcare
2727 Paces Ferry Road, Atlanta, GA 30339 (678) 503-1900
Payment Application Rep& Revenue Cycle Rep III
Completed refund request and mailed to insurance companies for hospital and providers.
Correct incorrect postings to claims. Follow up on hospital and provider claims by
reviewing claims, medical records, and contacting insurance companies to resolve denial
issues. Corrected denied claims and resubmitted them to the insurance companies or have
the insurance companies reprocess the claims for incorrect denials. Training new
employees for specialty revenue cycle position which consist of different provider
specialties and hospital. Distribute and Un-distribute payment in the EPIC system.
09/2013-06/2014 Greensboro OBGYN Associates
510 N. Elam Ave, Greensboro, NC 27407 (336)841-9171
Billing Administrator-
Managed operations for four physicians and four Nurse practitioners. This involved
processing managing billing and collection processes for both governmental and
commercial payers, charge entry, payment posting, processing refunds and customer
service. Also responsible for running reports to monitor financial performance which
included productivity and performance metrics.
2. 2
6/2013-8/2013 SPI HealthCare (Company Lost Contract)
3515 West Market Street Greensboro, NC 27403 (708)468-3413
Third Party Follow Up- Team Lead for Follow up team for Moses Cone hospital and
physicians. Led the team in overseeing claims are corrected and rebilled to the insurance
companies correctly. This required an extensive understanding in billing and follow-up
standards. Answered questions from staff and distributed work load in management’s
absence.
03/10- 04/13 MedLab (Kilbourne Medical Labs)
665 Ohio Pike Cincinnati, Ohio 45245 (513) 752-7300
Billing Specialists and Customer Service Rep- Work denial reports for various
insurance companies and issue resolution for payment. Answered patient calls to resolve
their issues. Also reached out to insurance companies, providers and other health care
facilities to obtain necessary information expedite claims processing. Processed refund
overpayments to patients and insurance companies. Analyzed and worked aging reports.
Front End Coder- Data entry, coding, taking lab orders, customer service, verifying lab
orders, end of the month printing, setting up new facilities orders into the system, and
various other responsibilities.
06/06 – 3/10 Hamilton County Juvenile Youth Center
2020 Auburn Ave Cincinnati, Ohio 45219 (513) 946-2623
Juvenile Correction Officer- Provided safety and security for the youth, and staff.
Ensured the youth participated in all programming activities as well as followed all the
rules and regulations. Also made sure the policies and procedures of the youth center
were adhered to.
12/02 – 05/06 Quest Diagnostics formally (Alliance Laboratory Services & Lab One, Inc.) 6455
Paddock Road Cincinnati, Ohio 45237 (513)585-6200 (Sold Company to Quest billing
department layoff)
Medical Billing Customer Service Representative- Performed various billing functions
such as customer service, refiling claims, payment posting, refunds, appealing claim
disposition with insurance companies via written and verbal means regarding incorrect
claims. Performed payment analysis and verification, charge entry and coding.
Conducted claim processing in the Mysis system.
01/01-10/02 Healthcare Financial Staffing (Placement Service)
655 Eden Park Drive Cincinnati, Ohio 45206 (Business relocated out of state.)
Payment Posting Supervisor- Supervisor over payment posting and medical billing,
Charge Entry, follow up, Medicare & Medicaid and Customer Service Representative,
coding specialist. Permanent employee of the placement service managing hospitals and
multiple medical facilities
06/99-12/00 Center for Orthopaedic Care Center
2123 Auburn Avenue Cincinnati, Ohio 45219 (513)241-0380
Bookkeeper- Performed Administrative support functions which included customer
service, scheduling appointments, answering multiple phone lines, charge entry, filing
and refilling claims, close of the day, month and year reports, follow up, payment posting
of insurance checks and personal payments, filing, printing and mailing Medicare and
Medicaid claims, coding, and filing Workers Compensation claims using the Mysis
system.
3. 3
01/98-06/99 Corvel Corporation a Managed Care Organization
4122 Malsbury Rd Cincinnati, Ohio 45224
Workers Compensation Representative- Processed Workers Compensation claims by
making sure that all the information was correct. Also verified support documentation
accompanied the claim and performed coding analysis and verification.