Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brittney Bolton

Shreveport

Summary

Dynamic Medical Insurance Representative with extensive experience at PFS Group, adept in claims processing and HIPAA compliance. Proven ability to resolve patient inquiries and verify eligibility efficiently. Strong customer service skills complemented by proficiency in multiple billing systems, ensuring accurate and timely processing of claims.

Overview

16
16
years of professional experience

Work History

Medical Insurance Representative

PFS Group
08.2014 - Current
  • Assisted clients in understanding medical insurance coverage options and benefits.
  • Processed claims submissions using electronic health record systems and billing software.
  • Responded to inquiries about policy details and claims statuses, ensuring clear communication.
  • Verify patient eligibility for services and treatments.
  • Work and solve 85 or more patient accounts daily
  • Trained and mentored new personnel hired to fulfill various roles.
  • Profiecient in using Epic, Meditech, and Cerner Billing systems for verification and billing
  • Research payer billing policies and medical bulletins to accurately troubleshoot denials and unpaid balances.


Front Desk and Intake Coordinator

St. Anthony's Hospital
11.2012 - 07.2014

· Worked as an admitting clerk in the emergency room (patient access)

· Registered new and established patients using M-Systems

· Verified patient insurance eligibility information and collected co-payments

· Responsible for all monies collected from patient office visits in clinic

· Filed, answered phones, created charts for new patients, and updated charts for established patients

· Assign psych patients to certain groups for group therapy

· Orders breakfast and lunch for psych patients

· Responsible for typing patient face sheets for new and established patients

· Determines whether a patient can be admitted into PHP based on insurance information

· Keeps records of all patient information including face sheets, sign-in sheets, personal care home information, and drivers’ logs

Medical Billing and Coding Extern

St. Anthony's Hospital
09.2012 - 10.2012

· Scheduled new and established patients to include soliciting new patients

· Checked insurance benefits for new and established patients daily

· Registered patients using B + and M Systems software

· Initiated discharge and B+ billing procedures, ensuring timely and accurate records

Recorded coding and billing procedures for hypertension with Medicaid and Medicare providers

Cashier

Target
11.2011 - 06.2012

· Provided customer service while performing product assistance, transactions, and proper sanitation

· Calculated total purchases and processed cash and credit payments in a high-volume environment.

· Greeted customers and ascertained customers’ needs.

· Exceeded daily credit card application goals.

Customer Service Representative

Teleperformance USA
04.2011 - 08.2011

· Resolved customer issues quickly and efficiently through comprehensive customer service

· Resolved up to 60 product/ policy issues and marketed the benefits of new technology daily

· Resolved customer issues with professional guidance.

· Asked open-ended questions to assess customer needs.

Housekeeper

Days Inn Hotel
03.2010 - 04.2011

· Trained 10 new employees with appropriate policies and procedures.

· Selected to ensure daily employee responsibilities meet standards.

· Exceed standard of organization and time management.

Record accurate room activities to include items cleaned and goods

Education

No Degree - Nursing

Bossier Parish Community College
Bossier City, LA
12-2026

Certificate - Medical Billing And Coding

Texas School of Business
Houston, TX
10-2012

High School Diploma -

Natchitoches Central High School
Natchitoches, LA
05-2007

Skills

  • HIPAA compliance
  • Claims processing
  • Microsoft office
  • CPT and HCPCS coding
  • Medical Terminology
  • Office support (phones, faxing, and filing)
  • Familiar with ICD-10
  • Multiple billing systems
  • Customer service skills

Timeline

Medical Insurance Representative

PFS Group
08.2014 - Current

Front Desk and Intake Coordinator

St. Anthony's Hospital
11.2012 - 07.2014

Medical Billing and Coding Extern

St. Anthony's Hospital
09.2012 - 10.2012

Cashier

Target
11.2011 - 06.2012

Customer Service Representative

Teleperformance USA
04.2011 - 08.2011

Housekeeper

Days Inn Hotel
03.2010 - 04.2011

No Degree - Nursing

Bossier Parish Community College

Certificate - Medical Billing And Coding

Texas School of Business

High School Diploma -

Natchitoches Central High School
Brittney Bolton