Brian C.

Brian C. Email and Phone Number

Billing and Claims Coordinator @ Washington, DC, US
Washington, DC, US
Brian C.'s Location
Washington DC-Baltimore Area, United States, United States
Brian C.'s Contact Details

Brian C. work email

Brian C. personal email

n/a
About Brian C.

With over a decade of experience in the healthcare and insurance industries, I specialize in driving customer satisfaction, optimizing processes, and managing high-volume communications. My career has centered around improving operational efficiencies, reducing case resolution times, and leading cross-functional collaborations that consistently enhance customer retention and service delivery.In roles spanning from operations management to customer success, I’ve delivered measurable improvements in customer satisfaction (up to 20%) and operational performance (up to 25%). I am adept at problem-solving through data-driven solutions, improving workflows, and navigating complex regulatory environments, saving companies time and significantly reducing errors.Currently pursuing a Bachelor of Science in Healthcare Administration from Western Governors University, I am excited to apply my communication, leadership, and customer relationship management skills to new opportunities. I am driven by a commitment to service excellence and passionate about streamlining processes to create meaningful, long-lasting customer relationships.

Brian C.'s Current Company Details
Ampcus Inc Contractor for Carefirst Blue Cross of MD

Ampcus Inc Contractor For Carefirst Blue Cross Of Md

Billing and Claims Coordinator
Washington, DC, US
Brian C. Work Experience Details
  • Ampcus Inc Contractor For Carefirst Blue Cross Of Md
    Billing And Claims Coordinator
    Ampcus Inc Contractor For Carefirst Blue Cross Of Md
    Washington, Dc, Us
  • Ampcus Inc Contractor For Carefirst Blue Cross Of Md
    Remote Utilization Management Coordinator
    Ampcus Inc Contractor For Carefirst Blue Cross Of Md Mar 2024 - Present
    • Orchestrated 100+ daily communications with healthcare providers, slashing response times by 15% and efficiently resolving authorization issues for over 100 cases weekly.• Served as a crucial liaison between healthcare providers and payors, adeptly managing escalated cases and reducing unresolved issues by 25%.• Spearheaded improvements in communication protocols, resulting in a 10% decrease in processing time for complex authorizations and a 12% increase in overall case throughput.• Demonstrated expertise in utilization management, healthcare regulations, and inter-stakeholder communication in a fast-paced, high-volume environment.
  • Bcforward Contractor For Sc Blue Choice Medicaid
    Remote Medical Management Specialist Ii
    Bcforward Contractor For Sc Blue Choice Medicaid Oct 2023 - Feb 2024
    • Managed 80+ high-volume insurance-related calls daily, providing expert guidance on prior authorizations and claims processing, leading to a 20% improvement in resolution times.• Successfully resolved escalated customer cases, reducing overall case resolution time from 3 days to 2 days on average - a 33% improvement.• Implemented streamlined workflows for managing customer inquiries, boosting response accuracy by 15% and decreasing repeat calls by 10%.• Showcased strong problem-solving skills and in-depth knowledge of insurance processes, enhancing customer satisfaction and operational efficiency.
  • Innova Solutions Contractor For Fep Blue Shield Of Ca
    Correspondence And Inventory Analyst
    Innova Solutions Contractor For Fep Blue Shield Of Ca Jun 2023 - Sep 2023
    • Processed over 200 insurance correspondences weekly, ensuring strict compliance with state and federal regulations while reducing document processing errors by 20%.• Developed and implemented review protocols that accelerated correspondence turnaround time by 18%, enabling the processing of an additional 30 documents per day.• Collaborated effectively with cross-functional teams to expedite resolution of 50+ customer inquiries daily, driving a 15% improvement in overall customer satisfaction.• Demonstrated strong attention to detail, regulatory knowledge, and ability to optimize processes in a high-volume, compliance-focused environment.
  • Select Medical
    Senior Operations Specialist
    Select Medical Jun 2021 - Apr 2023
    Mechanicsburg, Pa, Us
    • Managed 70+ daily calls for insurance verification, scheduling, and authorizations, achieving a 99% accuracy rate and reducing processing time by 20%, impacting over 1,000 patients monthly.• Led cross-departmental collaboration efforts to resolve escalated customer issues, resulting in a 15% improvement in customer satisfaction scores across the organization.• Trained and mentored a team of 10+ specialists on call handling and insurance protocols, boosting team performance and exceeding call center metrics by 10%.• Showcased leadership skills, operational expertise, and ability to drive organizational improvements through effective team management and process optimization
    View
  • Select Medical
    Patient Services Specialist
    Select Medical Aug 2019 - Jun 2021
    Mechanicsburg, Pa, Us
    View
  • Pivot Physical Therapy
    Regional Front Operations Manager
    Pivot Physical Therapy Mar 2017 - Aug 2019
    Towson, Md, Us
    • Directed front-office operations for 10 locations, driving a 15% increase in gross revenue through strategic process improvements in scheduling, insurance verification, and billing inquiries.• Fostered collaborative relationships with insurance providers to expedite scheduling and prior authorizations, improving service delivery times by 25% and boosting customer satisfaction by 10%.• Developed and implemented innovative operational workflows, reducing claim rejections by 10% and saving the company over $100,000 annually.• Demonstrated strong leadership, strategic thinking, and ability to drive significant improvements in multi-location healthcare operations.
    View
  • Nova Medical Billing, Inc
    Administrative Office Manager
    Nova Medical Billing, Inc Jun 2016 - Mar 2017
    Centreville, Virginia, Us
    • Led communication efforts with patients, providers, and insurers to resolve billing issues, achieving a 20% boost in operational efficiency and processing over 200 claims monthly.• Oversaw call management and payment processing, reducing billing errors by 25% and improving the customer experience, contributing to smoother revenue cycles and a 15% increase in collections.• Implemented new verification protocols that reduced claim processing errors by 15%, handling up to 300 claims weekly while maintaining high daily call volumes.• Demonstrated strong leadership skills, attention to detail, and ability to optimize complex billing processes in a fast-paced medical environment.
    View
  • Neurological Center Of Nothern Virginia
    Medical Office Administrator
    Neurological Center Of Nothern Virginia Jul 2011 - Jun 2016
    • Coordinated daily communications and insurance verifications for over 50 patients, improving scheduling efficiency by 30% and enhancing patient satisfaction through effective use of Electronic Medical Records (EMR) system.• Resolved customer complaints and insurance inquiries, reducing error rates by 25% and ensuring seamless service delivery across the office, handling 100+ patient interactions weekly.• Regularly trained staff on compliance and communication standards, ensuring consistent delivery of high-quality customer service and reducing onboarding time for new employees by 20%.• Showcased strong organizational skills, customer service excellence, and ability to manage multiple priorities in a complex healthcare setting.

Brian C. Skills

Leadership Appointment Scheduling Customer Experience Practice Management U.s. Health Insurance Portability And Accountability Act Interviewing Insurance Training And Development Sales Data Entry Microsoft Powerpoint Complaint Management Front Office Collaboratemd Hipaa Data Analysis Sales Operations Electronic Medical Record Business Development Communication Medical Terminology Records Management Eclinical Healthcare Office Administration Team Leadership Icd 9 Cm Ehr Vendor Management Team Management Customer Relationship Management Process Improvement Customer Service Management Front To Back Office Medical Records Medicare/medicaid Reimbursement Insurance Verification Microsoft Office Relationship Building Microsoft Word Sales Effectiveness Emr Microsoft Excel Revenue Cycle Management Healthcare Information Technology Training Time Management Microsoft Outlook Workers Compensation Customer Service Invoicing Quickbooks Interpersonal Skills Allscripts Prior Authorization Management Scheduling Analytical Skills Problem Solving Pre Approval Healthcare Management Icd 10 Cm Performance Improvement It Management Nextgen

Brian C. Education Details

  • Western Governors University
    Western Governors University
    Health/Health Care Administration/Management
  • Southern New Hampshire University
    Southern New Hampshire University
    Health/Health Care Administration/Management

Frequently Asked Questions about Brian C.

What company does Brian C. work for?

Brian C. works for Ampcus Inc Contractor For Carefirst Blue Cross Of Md

What is Brian C.'s role at the current company?

Brian C.'s current role is Billing and Claims Coordinator.

What is Brian C.'s email address?

Brian C.'s email address is bc****@****cal.com

What schools did Brian C. attend?

Brian C. attended Western Governors University, Southern New Hampshire University.

What skills is Brian C. known for?

Brian C. has skills like Leadership, Appointment Scheduling, Customer Experience, Practice Management, U.s. Health Insurance Portability And Accountability Act, Interviewing, Insurance, Training And Development, Sales, Data Entry, Microsoft Powerpoint, Complaint Management.

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