RONETTA BRANDON

Researched denied claims to identify root causes and correct errors.

• Utilized ICD-10 and CPT coding systems for efficient claims processing.
• Collaborated with healthcare providers to clarify documentation and coding inquiries.
• Conducted audits of medical records to identify missing or incorrect documentation.
• Managed claims and refund processing in compliance with financial regulations.
• Identified and requested appropriate adjustments to accounts as needed.

• Addressed inquiries on insurance and hospital charges to enhance patient comprehension.
• Managed processing of third-party eligibility and charity care applications, ensuring timely approvals.
• Reviewed patient records for accurate medical coding and billing compliance.
• Researched denial reasons and payment issues affecting the University of Chicago and UCPG patients.
• Facilitated onboarding and training of new employees to improve operational readiness.

Identified and corrected coding errors to ensure accuracy in billing.

• Researched claim denials, rejections, and underpayments to enhance billing processes.
• Reviewed medical records for compliance with coding and billing standards within EPIC EHR system.
• Utilized ICD-10 and CPT coding systems for effective claims processing.
• Analyzed patient financial information to develop tailored payment solutions.
• Investigated and communicated billing discrepancies to ensure accurate reimbursement.
• Submitted electronic claims for reimbursement and tracked payments received from insurers.
• Gained knowledge of Medicare and Medicaid rules and regulations to ensure compliance in medical billing.

• Mentored new hires during onboarding, fostering their efficiency and confidence.
• Collaborated with leadership, resulting in increased team productivity.
• Streamlined patient communication, enhancing data accuracy and care quality.
• Assisted in verifying patient insurance eligibility before appointments.
• Handled billing inquiries while clearly explaining charges to patients.
• Updated patient files in compliance with company policies and procedures.