Hispanic Serving Health Profession Schools Intern
Health Services Research and Evaluation Branch
1600 Clifton Road, NE
MAIL STOP E-02
Atlanta,
GA
USA
30333
Email:
brendahernandez25@gmail.com
Biographical Sketch:
June 2009-Ausgust 2009-- Intern, CDC, Health Research and Evaluation Branch, Atlanta, GA
Analyzed medical records data for syphilis, chlamydia and gonorrhea using Statistical Analysis Software (SAS).
Participated in syphilis surveillance groups and conferences to ensure knowledge transfer and elaborate on new research ideas.
Identified national trends in cases of sexually transmitted diseases and the different approaches by public health research to improve outcomes.
Evaluated literature review on HIV-infected men with asymptomatic sexually transmitted diseases for a manuscript.
Presented results periodically and at a final presentation for the division staff members.
May 2002-Present--Billing Supervisor, Gastroenterology Associates, Norfolk, VA
Create financial reports for the status of claim payments.
Review Blue Cross Blue Shield (BCBS) open claims report for timely claim resolution.
Analyze various accounts receivables reports and report findings and provide suggestions to Manager.
Monitor claim denials for possible appeals and growing trends in order reduce errors in claim submission.
Coordinate relationships with managed care and other insurance companies for timely payments.
Conduct medical records review to determine appropriateness of ICD-9 codes being billed.
Manage denied Medicare claims and resubmit electronically for payment.
Address patient billing disputes and questions while maintaining patient confidentiality.
Conduct performance evaluations and make recommendations to Manager regarding staff and assist in recruitment processes.
Developed training document and assessment of insurance payers for staff to use as reference.
Train staff on new policies regarding billing procedures and coding.
May 2005-Present--Financial Coordinator, Inova Mount Vernon Hospital, Alexandria, VA
Collect patient payments including, but not limited to: non-covered services, insurance deductibles, and co-payments.
Maintain financial collection target of $1500 per shift.
Obtain patient eligibility, benefits and authorization with medical insurance electronically or by phone while maintaining patient confidentiality in accordance with HIPPA Privacy Rule.
Ensure coordination of benefits and Medicare Secondary Payer guidelines to determine primary and secondary payer status.
Determine patients who are uninsured or undocumented in order to make appropriate referrals to County Medicaid, hospitals’ financial assistance and/or Medicredit application.
Assist in data collection in support of quality performance improvement initiatives.
Demonstrated computer proficiency with all systems’ functionally and appropriately, including IDX, Medipac, Pisces, and Passport.