Traci A. Brun

Traci A. Brun has more than 20 years of experience in the medical billing and coding field. She has a strong ability to analyze with a deep knowledge of terminology and coding with proven ability to efficiently process medical claims for government and private insurance carriers including HMO/PPO, Blue Cross/Blue Shield, No Fault and Worker’s Compensation, Medicaid, Medicare, and Tricare. A highly skilled individual with demonstrated knowledge of medical terminology, ICD-9, CPT, and HCPCS codes. She quickly recognizes, investigates, and resolve issues that impact cash flow within a medical practice. She has knowledge of electronic, CMS 1500, and UB04 billing.

Skills:

• Personnel Management
• Inventory control and purchasing
• Payroll processing and distribution
• Accounts payable and receivable
• Budget control
• Policy and procedure development . . .
• Special Project Coordination
• Patient/Physician Relations
• Regulatory Compliance
• MS Office, including Word, Excel, Publisher, and PowerPoint
• Quickbooks 2007, 2011
• Experienced with many practice management, claims management, and electronic health record systems, including, Misys (Compudata), Lytec, Medinotes, NueMD, IngenixCaretracker, Florida Shared Systems, Medisoft, and eClinical Works

Certificates:

• Certified Patient Account Representative (CPAR)
• Certified Professional Coder (CPC)

Experience:

Billing and Coding Specialist

• Worked as a consultant for several different companies and medical practices, providing support in business planning, strategy, organization, credentialing, and office set-up
• Initial and subsequent credentialing and contracting with insurance carriers and hospitals
• Evaluated, selected, and implemented practice management and electronic health record software based on available budget and practice needs; provided on-going training and support for all office staff
• Coded and posted all charges, patient payments, and insurance payments on daily basis, ensuring that all charges and payments balanced; maintained a 98% rate of payment upon the first submission of the claim
• Followed up with past due patient accounts to expedite the recovery of payment obligations
• Answered staff and patient questions related to office financial, billing, and HIPAA policies and served as the HIPAA Compliance Officer
• Insurance billing and coding for three office locations, six physicians, two ambulatory surgical centers, a physical therapy unit, and anesthesia personnel, including claims resolution, submitting electronic and paper claims on HCFA-1500 and UB92 (later UB04) forms as appropriate
• Developed, implemented, and monitored a compliance plan for offices and surgical centers, including quarterly analysis of documentation compliance
• Identified and resolved claims denials, including written, telephone, and electronic appeals
• Dealt with all aspects of Medicare, Medicaid, commercial insurance, and managed care contracting and credentialing
• Involved in all aspects of insurance, patient, and self-pay collections for clients ranging from large multi-physician practices, small hospitals, large hospitals, durable medical equipment and home health care providers, and several ambulatory surgery centers
• Responsible for all aspects of patient and insurance billing for a three-physician pediatric practice, including all charge and payment posting, electronic and paper claim submission, insurance follow-up on claims not paid in a timely manner, insurance claims appeals as needed, preparing patient statements, resolving any patient questions via telephone or in writing as appropriate, and collection of overdue patient balances
• Evaluated several practice management software companies based on the needs of the practice and available budget and made recommendations to the physician
• Responsible for implementation of new practice management software, training staff on new software, and practice set-up of electronic scheduling, providers, and procedure and diagnosis codes on new system
• Maintained credentialing of physicians with insurance companies and hospitals; evaluated new insurance contracts as needed