Brenda Dawson Email and Phone Number

Own and operate a small business on the side. I am responsible for sales, inventory, marketing material and events. Manage all appointments. Explain the process and maintenance of a spray tan. I complete all spray tan sessions. Maintain all tax documents for yearend tax filing.

Answer all incoming calls and resolve concerns from Ambulatory and Outreach inquiries. Educated outreach clinics RE lab test and color tubes, stability time frames on certain tests/specimens. Manage location by provider spreadsheet for lab technicians to validate providers by their location for incoming lab orders. Process add-on orders, locate and pull specimen via barcode number and place in machine for processing. Manage office supply inventory, place and receive orders from Coleman’s. Manage floor stock orders to keep coffee, creamer, cups, lab snacks, etc. stocked for employees and patients. Perform all other duties as assigned.

Responsible for verifying insurance eligibility and patient copay, deductible and coinsurance amounts for all upcoming appointments. Answered incoming calls from patients, inter-departments, insurance carriers, drug sales representatives, etc. Called patients to prepare them for their upcoming estimated patient liability for upcoming appointments and any balances over $50. Worked with patients to establish payment plans and discussed the charity application for uninsured patients. Collected patient payments. Managed a cash drawer. Prepared cash deposits for the bank and delivered deposits to the bank. Process all incoming mail for insurance correspondence and payments. Receive and complete all requests for medical records and itemized bills. Faxed documents for all staff. All other duties as assigned.

Leader of two teams with a total of 9 associates under my leadership. We worked together to find trends that resulted in overpayments. Managed associates’ timecards and PTO requests. Audited daily productivity requirements compared to actual productivity numbers and reported back to each individual associate on their progress. Provided feedback on growth opportunities. Set and maintained meeting schedules with upper management and other ancillary departments including our clients (cash posting, coding, customer service and oncology) to discuss monthly credit balance concerns and set in motion resolutions. Compiled weekly credit balance reports for all three clients and delegated the reports to each associate and communicated the goals with clear deadlines. Created content for daily DIB meetings with my team to discuss any current roadblocks on accomplishing our department goals. Communicated monthly KPI expectations and updated the team on our progress. Performed all other duties as assigned.

Ensured that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet medical necessity and appropriateness per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/prior authorizations per payer guidelines prior to services being rendered. Counseled patients regarding their financial responsibility for treatment, educates and initiates enrollment in third party assistance programs that reduce patients' out-of-pocket expenses. Initiated enrollment in the Baptist Financial Assistance Program for self-pay patients and serves as a liaison between the patient and the Patient Assistance Team. Collects deductibles, co-insurance and prior balances and initiates payment plans. Performed other duties as assigned.

Processed incoming referrals for treatment. Answered all incoming calls. Created and maintained patient charts. Scheduled, checked-in and discharged patients in EPIC. Verified insurance eligibility and patient copay, deductible and coinsurance amounts for all upcoming appointments. Called patients for appointment reminders and directions to our department. Initiated and completed pre-certifications/prior authorizations for treatment. Worked with patients to establish payment plans and discussed the Baptist Financial Assistance Application for uninsured patients. Collected patient payments. Managed a cash drawer. Prepared cash deposits for our accounting department. All other duties as assigned.

Organized AR report for Government payers by Age, high dollar and insurance and collected on outstanding balances. Created my own follow up method to ensure timely follow up to ultimately resolve accounts as quickly and efficiently as possible. Worked with inter-departments to resolve adjustment errors, denials, records request, credit balances and cash posting errors. Answered incoming calls and reviewed patient balances.

Responsible for analyzing patient accounts and ensuring insurance payments were made in accordance with the contract matrix the provider and insurance company set forth. Served as a liaison between the provider, insurance company and Optum corporate office. Assisted the provider in identifying trends in billing errors resulting in overpayments.

Performed a variety of moderately complex to complex tasks related to posting, reconsiderations, and adjustments of all payment types. Transferred payments to other Central Business Offices when needed. Processed zero pay explanation of benefits with appropriate reason and adjustment codes. Verified payments and matched outstanding balances. Created, reviewed, and processed charge backs and bad checks. Notified appropriate department management of trends, with specific payers, contracts, or fee schedule adherence. Applied appropriate adjustments.