This candidate has over 15 years of experience as a medical claims specialist with a proven track record of recouping substantial dollars through audit and analysis skills. She has expertise in identifying billing errors and overpayments, including discovering a $600,000 error and recouping $35,762.52 in overpayments. The candidate has comprehensive technical skills and experience analyzing claims to ensure accurate payments at prior employers including Health Care Solutions and Blue Cross Blue Shield of WNY for over 30 years.

1. JEANNETTE BRENNAN
37 Miller Avenue (716) 435-6489
Blasdell, New York 14219 janscasino@aol.com
SUMMARY
Medical claims specialist 15+ years of experience. Possess extensive record of achievement in
recouping substantial dollars through highly developed audit and analysis skills. Recognized for
ability to handle large volume workload. Readily accept difficult and challenging assignments.
Expertise has often led to system and operational improvements.
TECHNICAL SKILLS
Facets System, MS Office Suite, FAF Imaging System, Managed Care, TQM, Medical Terminology,
CPT Coding, Telephone Coaching and Monitoring
SELECTED ACCOMPLISHMENTS
 Discovered $600,000 Community Blue billing error after conducting persistent and
exhaustive investigation triggered by technical claims knowledge as to the difference
between a capitated provider vs. a fee for service one.
 Identified and reported problem claims issue that resulted in the recouping of $35,762.52 of
overpayment in Hyperbaric Chamber Account
RELEVENT EXPERIENCE
Health Care Solutions Cheektowaga, NY 2007 -2010
Medicaid Billing Representative
 Analyze medical claims to ensure they are paid correctly.
 Identify and forward claim problems to appropriate staff for further action.
Blue Cross and Blue Shield of WNY Buffalo, NY 1971 – 2006
Analyst, Performance Audit (90-06)
 Audited Managed Care / HMO claims processed through Facets System to ensure accuracy
and timeliness of claim payments.
 Identified and collected on overpayments.
 Prepared monthly and quarterly audit performance reports that included statistical data and
narratives for Management using Word and Excel.
 Monitored customer telephone calls to all service areas for accuracy of response and for
correct resolution of complaint.
Special Claims Clerk (78-90)
 Processed health insurance claims for Federal Employees program and responded to
customer complaints.
Authorizer and Billing Clerk, Member Services (72-78)
 Prepared, coded and processed claims and member applications.
Clerk Typist, Special Claims (71-72)
OTHER EXPERIENCE
Macy’s Department Store Part-Time Sales Associate 2001 - present
EDUCATION
Lackawanna Senior High School
Graduate: Business