Brielle Schmidt, Hitcm-Pp Email & Phone Number

Canton, Ga, Us

Maryland, United States

- Oversees day-to-day operations of Onshore and Offshore Charge Entry Billers, Auditors, and Certified Coders (50+ individuals) for the Behavioral Health and Mental Health Division (100+ facilities) spanning 30+ states- Increased Clean Claim Rate by 5% within 6 months from 88% to 93%- Maintained an average Clean Claim Rate of 96% in Q1'24 with an average of 35,000 claims billed- Prepares and distributes to the VP of the division weekly and monthly billing metrics tracking payer mix and billing census trends that are then communicated to the facilities to help them make informed decisions supporting the growth of their business- Reviews the monthly Aging Report and collaborates with all departments (Utilization Review, Verification of Benefits, Credentialing, Collections and Payment Posting) to determine the root cause of claim denials and set standards to resolve delays in processing- Successfully navigated our facilities through the Change Healthcare cybersecurity incident of February 2024 by providing excellent customer service while maintaining the highest degree of professionalism and transparency

Delray Beach, Florida, United States

- Managed and trained an Onshore Team and an Offshore Team totaling 25 individuals- Wrote and maintained the SOP manual for the Billing Department as well as the individualized guidelines for each of our 80+ facilities located in 30+ states which includes requirements for Commercial, Medicare, Medicaid, and Tricare payers- Doubled total claim volume year-on-year to over 560k with 81% of claims paying within my first year of being the Billing Manager- Collaborated with Senior Financial Analysts to both create and revamp existing reports, making the readability of metrics more user-friendly- Reviewed invoices and discovered issues such as incorrect payer set up causing Clearinghouse to drop claims to paper, saving hundreds monthly- Built and ran weekly reports capturing claim detail and cross-checked them with contracts, standard payer guidelines to ensure the highest quality and clean claims submission- Knowledge of payer requirements (OON, INN, Medicaid and Medicare) across more than 30 states- Facilitated the set-up and utilization of Ebridge to serve as a centralized upload platform for resubmissions that improved tracking and communication- Implemented monthly "Bridging the Gap" meetings with other departments to ensure interdepartmental communication

- Thorough knowledge of Substance Abuse, & Mental Health coding- Identified, compiled, and abstracted patient data from multiple EMRs and assigned ICD-10 CPT/HCPCS codes for billing to manually enter- Analyzed patient’s medical charts to determine billable and non-billable dates of service- Understands and complies with all HIPAA rules and regulations

- Thorough knowledge of Substance Abuse, & Mental Health billing- Ability to thrive in a fast paced / high volume environment- Manually entered billing into CollaborateMD for multiple Substance Abuse and Mental Health Facilities including one which brought in 100k per week and worked their rejections and resubmissions to ensure fast turnaround time- Understands and complies with all HIPAA rules and regulations

Delray Beach, Fl

Managed the Locations Department, supervised Junior Copywriters, and trained new team members.Researched and composed more than 800 captivating pieces of fact-based location-driven copy available on the five-star movie trivia app, “PopcornTrivia”.Wrote promotional pieces of copy designed to gain brand exposure for a variety of consumer products.Proofread over 1,000 pieces of copy featured in the “PopcornTrivia” app, which is played by over 5,000 unique daily users.

Delray Beach, Fl

Implemented online search optimization tools by highlighting key items, understanding target audience, and navigating HTML code.Analyzed product quality, evaluated sales probability, and linked products to high-traffic websites.Utilized Photoshop and graphic design skills to create visually appealing graphics for the “PopcornTrivia” app.Collaborated with management and helped design the UI for the company’s latest software, “One Screen”.

Delray Beach, Fl

Trained and managed team members to produce the highest quality of work in a time-sensitive environment.Developed and maintained a constantly evolving departmental specification to enhance efficiency and quality.Reviewed the audio and visuals of over 500 creatively-edited presentations constructed from hundreds of feature films.

Immersed in a rigorous training program to learn company’s custom-built proprietary non-linear software editing programs, product specifications, and quality control standards.Responsible for the creation of over 1,000 character-centric videos from over 700 feature films.Promoted after 90-day test period.

Deland, Fl

Chosen to effectively manage and mentor a classroom of 20 design students.Facilitated the instruction and training of Adobe Photoshop and Illustrator as students developed digital images that addressed contemporary issues in art and technology.

Developed strong client relations and management skills while designing a new introductory page for Stetson University's DuPont Ball Library and their pre-existing website.Utilized Photoshop and Dreamweaver to create an aesthetically pleasing website resulting in a faster and more user-friendly experience.Constructed a fresh new design layout applying image, color and typography techniques to entice a wider audience.

Constructed & designed visually appealing print materials facilitating new ideas to gain membership growth.Built team rapport by consulting with colleagues regarding issues relating to student media.

Organized, maintained and responsible for creating tape logs.Wrote DVD promo scripts and developed interview questions for talent.Gained a vast amount of knowledge from colleagues regarding the graphic design structure utilized in popular mainstream shows.Collaborated with supervisors on editing show footage and production decisions utilizing AVID Media Composer and After Effects.

Member of Video Operation Team, Video Editing Team and Creative Team at one of the top computer-product retailers.Utilized Adobe Photoshop and Adobe Premiere creating graphics for online and on-air promotional videos for Tiger Direct’s YouTube channel reaching almost 100,000 viewers daily.Combined color, typography and functionality to create logos and banners for the corporate website, magazines and store fronts.Wrote insightful and detailed product scripts published on the corporate website raising consumer awareness for a multitude of products. Entrusted to periodically supervise production studio and consult with clients and talent.