SlideShare a Scribd company logo
1 of 3
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
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
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.

More Related Content

What's hot

MAY 2015 -UPDATED RESUME-MAY 2015
MAY 2015 -UPDATED RESUME-MAY 2015MAY 2015 -UPDATED RESUME-MAY 2015
MAY 2015 -UPDATED RESUME-MAY 2015Shawntal Baker
 
GoTelecare Medical Billing & Coding Services
GoTelecare Medical Billing & Coding ServicesGoTelecare Medical Billing & Coding Services
GoTelecare Medical Billing & Coding ServicesGoTelecare
 
Taran mckeithresume2 (002)
Taran mckeithresume2 (002)Taran mckeithresume2 (002)
Taran mckeithresume2 (002)Taran McKeith
 
Lisa Lux Resume
Lisa Lux ResumeLisa Lux Resume
Lisa Lux ResumeLisa Lux
 
Staci Bell Resume
Staci Bell ResumeStaci Bell Resume
Staci Bell ResumeStaci Bell
 
Patient Registration in Hospital
Patient Registration in HospitalPatient Registration in Hospital
Patient Registration in Hospitalsanjit_kumar
 
598251 Rose Resume
598251 Rose Resume598251 Rose Resume
598251 Rose ResumeMelinda Rose
 
Hospital Management System/Software
Hospital Management System/SoftwareHospital Management System/Software
Hospital Management System/SoftwareCorporate Services
 
Tiffany banks_CLIENT SERVICES
Tiffany banks_CLIENT SERVICESTiffany banks_CLIENT SERVICES
Tiffany banks_CLIENT SERVICESTiffany Banks
 
Hospital management system(database)
Hospital management system(database)Hospital management system(database)
Hospital management system(database)Iftikhar Ahmad
 
Pamela Webster Resume 5-2014 NA
Pamela Webster Resume 5-2014 NAPamela Webster Resume 5-2014 NA
Pamela Webster Resume 5-2014 NAPamela Webster
 

What's hot (18)

MAY 2015 -UPDATED RESUME-MAY 2015
MAY 2015 -UPDATED RESUME-MAY 2015MAY 2015 -UPDATED RESUME-MAY 2015
MAY 2015 -UPDATED RESUME-MAY 2015
 
Alexa's resume Dec2016
Alexa's resume Dec2016Alexa's resume Dec2016
Alexa's resume Dec2016
 
GoTelecare Medical Billing & Coding Services
GoTelecare Medical Billing & Coding ServicesGoTelecare Medical Billing & Coding Services
GoTelecare Medical Billing & Coding Services
 
Resume - Medical Coder
Resume -  Medical CoderResume -  Medical Coder
Resume - Medical Coder
 
Document1
Document1Document1
Document1
 
Taran mckeithresume2 (002)
Taran mckeithresume2 (002)Taran mckeithresume2 (002)
Taran mckeithresume2 (002)
 
Lisa Lux Resume
Lisa Lux ResumeLisa Lux Resume
Lisa Lux Resume
 
Staci Bell Resume
Staci Bell ResumeStaci Bell Resume
Staci Bell Resume
 
jeannette resume 2012
jeannette resume 2012jeannette resume 2012
jeannette resume 2012
 
Patient Registration in Hospital
Patient Registration in HospitalPatient Registration in Hospital
Patient Registration in Hospital
 
Renee Resume.DOC
Renee Resume.DOCRenee Resume.DOC
Renee Resume.DOC
 
RESUME 2015
RESUME 2015RESUME 2015
RESUME 2015
 
598251 Rose Resume
598251 Rose Resume598251 Rose Resume
598251 Rose Resume
 
Hospital Management System/Software
Hospital Management System/SoftwareHospital Management System/Software
Hospital Management System/Software
 
Tiffany banks_CLIENT SERVICES
Tiffany banks_CLIENT SERVICESTiffany banks_CLIENT SERVICES
Tiffany banks_CLIENT SERVICES
 
Hospital management system(database)
Hospital management system(database)Hospital management system(database)
Hospital management system(database)
 
Pamela Webster Resume 5-2014 NA
Pamela Webster Resume 5-2014 NAPamela Webster Resume 5-2014 NA
Pamela Webster Resume 5-2014 NA
 
Shandraresume2013
Shandraresume2013Shandraresume2013
Shandraresume2013
 

Viewers also liked

Amber Baker's Resume
Amber Baker's ResumeAmber Baker's Resume
Amber Baker's ResumeAmber Baker
 
Ari joffrion resume
Ari joffrion resumeAri joffrion resume
Ari joffrion resumeAri Joffrion
 
marcus askin 2015 resume
marcus askin 2015 resumemarcus askin 2015 resume
marcus askin 2015 resumeMarcus askin
 
Rebecca Garcia Resume 2014
Rebecca Garcia Resume 2014Rebecca Garcia Resume 2014
Rebecca Garcia Resume 2014Rebecca Garcia
 
Kate Chapman_Resume
Kate Chapman_ResumeKate Chapman_Resume
Kate Chapman_ResumeKate Chapman
 
Resume carmen carter
Resume carmen carterResume carmen carter
Resume carmen carterCarmen Carter
 
Account Manager Resume
Account Manager ResumeAccount Manager Resume
Account Manager ResumeGRDeutsch
 
EBW ELAINE WOODEN 042716 RESUME (2)pdf
EBW ELAINE WOODEN 042716 RESUME (2)pdfEBW ELAINE WOODEN 042716 RESUME (2)pdf
EBW ELAINE WOODEN 042716 RESUME (2)pdfElaine Wooden
 
Kurt Nieser Resume 2010
Kurt Nieser   Resume 2010Kurt Nieser   Resume 2010
Kurt Nieser Resume 2010k9lionheart
 
NICHOLAS J CIUPAK Resume without Cover Letter
NICHOLAS J CIUPAK Resume without Cover LetterNICHOLAS J CIUPAK Resume without Cover Letter
NICHOLAS J CIUPAK Resume without Cover LetterNicholas Ciupak
 
Mike maffei resume
Mike maffei resumeMike maffei resume
Mike maffei resumeMike Maffei
 
UPDATED MEDICAL RESUME 2016
UPDATED MEDICAL RESUME 2016UPDATED MEDICAL RESUME 2016
UPDATED MEDICAL RESUME 2016Natasha Basdeo
 
Patrice J. Morris Resume Lil'Bit
Patrice J. Morris Resume Lil'BitPatrice J. Morris Resume Lil'Bit
Patrice J. Morris Resume Lil'BitPatrice Morris
 
Christian McGill Resume 11-21-2014
Christian McGill Resume 11-21-2014Christian McGill Resume 11-21-2014
Christian McGill Resume 11-21-2014Christian McGill
 
Kamilia Boyd Resume 2
Kamilia  Boyd Resume 2Kamilia  Boyd Resume 2
Kamilia Boyd Resume 2Kamilia Boyd
 

Viewers also liked (20)

CV-GA
CV-GACV-GA
CV-GA
 
Amber Baker's Resume
Amber Baker's ResumeAmber Baker's Resume
Amber Baker's Resume
 
Ari joffrion resume
Ari joffrion resumeAri joffrion resume
Ari joffrion resume
 
blue resume
blue resumeblue resume
blue resume
 
marcus askin 2015 resume
marcus askin 2015 resumemarcus askin 2015 resume
marcus askin 2015 resume
 
Rebecca Garcia Resume 2014
Rebecca Garcia Resume 2014Rebecca Garcia Resume 2014
Rebecca Garcia Resume 2014
 
Kate Chapman_Resume
Kate Chapman_ResumeKate Chapman_Resume
Kate Chapman_Resume
 
Resume carmen carter
Resume carmen carterResume carmen carter
Resume carmen carter
 
Salon Resume
Salon ResumeSalon Resume
Salon Resume
 
Account Manager Resume
Account Manager ResumeAccount Manager Resume
Account Manager Resume
 
Jenny D McIntyre Resume 2015 (2)
Jenny D  McIntyre Resume 2015 (2)Jenny D  McIntyre Resume 2015 (2)
Jenny D McIntyre Resume 2015 (2)
 
EBW ELAINE WOODEN 042716 RESUME (2)pdf
EBW ELAINE WOODEN 042716 RESUME (2)pdfEBW ELAINE WOODEN 042716 RESUME (2)pdf
EBW ELAINE WOODEN 042716 RESUME (2)pdf
 
Kurt Nieser Resume 2010
Kurt Nieser   Resume 2010Kurt Nieser   Resume 2010
Kurt Nieser Resume 2010
 
Updated Resume
Updated ResumeUpdated Resume
Updated Resume
 
NICHOLAS J CIUPAK Resume without Cover Letter
NICHOLAS J CIUPAK Resume without Cover LetterNICHOLAS J CIUPAK Resume without Cover Letter
NICHOLAS J CIUPAK Resume without Cover Letter
 
Mike maffei resume
Mike maffei resumeMike maffei resume
Mike maffei resume
 
UPDATED MEDICAL RESUME 2016
UPDATED MEDICAL RESUME 2016UPDATED MEDICAL RESUME 2016
UPDATED MEDICAL RESUME 2016
 
Patrice J. Morris Resume Lil'Bit
Patrice J. Morris Resume Lil'BitPatrice J. Morris Resume Lil'Bit
Patrice J. Morris Resume Lil'Bit
 
Christian McGill Resume 11-21-2014
Christian McGill Resume 11-21-2014Christian McGill Resume 11-21-2014
Christian McGill Resume 11-21-2014
 
Kamilia Boyd Resume 2
Kamilia  Boyd Resume 2Kamilia  Boyd Resume 2
Kamilia Boyd Resume 2
 

Similar to Brandy Ware Resume

Similar to Brandy Ware Resume (20)

Latonia jones resume3 updated
Latonia jones resume3 updatedLatonia jones resume3 updated
Latonia jones resume3 updated
 
Janet Kirby 2014 Resume
Janet Kirby 2014 ResumeJanet Kirby 2014 Resume
Janet Kirby 2014 Resume
 
Christina Kovalcik Resume 1
Christina Kovalcik Resume 1Christina Kovalcik Resume 1
Christina Kovalcik Resume 1
 
Ivorie+Glover-resUpdated
Ivorie+Glover-resUpdatedIvorie+Glover-resUpdated
Ivorie+Glover-resUpdated
 
Updated Resume 2015 2
Updated Resume 2015 2Updated Resume 2015 2
Updated Resume 2015 2
 
Patty12.31.14
Patty12.31.14Patty12.31.14
Patty12.31.14
 
BEATRICE SMITH southern 1
BEATRICE SMITH southern 1BEATRICE SMITH southern 1
BEATRICE SMITH southern 1
 
charris2016
charris2016charris2016
charris2016
 
2015 Resume
2015 Resume2015 Resume
2015 Resume
 
Document lisa resume1
Document lisa resume1Document lisa resume1
Document lisa resume1
 
Burton Resume
Burton ResumeBurton Resume
Burton Resume
 
Document lisa resume1 (1)
Document lisa resume1 (1)Document lisa resume1 (1)
Document lisa resume1 (1)
 
mh2015
mh2015mh2015
mh2015
 
Aug Resume 2016
Aug Resume 2016Aug Resume 2016
Aug Resume 2016
 
Candance Resume 2016 new
Candance Resume 2016 newCandance Resume 2016 new
Candance Resume 2016 new
 
Lesley B Caudill
Lesley B CaudillLesley B Caudill
Lesley B Caudill
 
Karen Hart resume 2016
Karen Hart resume 2016Karen Hart resume 2016
Karen Hart resume 2016
 
KatanaT resume2
KatanaT resume2KatanaT resume2
KatanaT resume2
 
2016 Resume
2016 Resume2016 Resume
2016 Resume
 
Sidupdatedres2015-1
Sidupdatedres2015-1Sidupdatedres2015-1
Sidupdatedres2015-1
 

Brandy Ware Resume

  • 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.