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Laura Branough

@laurabranough

I drive complex provider enrollment and payer approvals to protect healthcare revenue.

At Envision Physician Services, I drive high-volume provider enrollment through completion, working across complex client sites, payors, clinicians, billing teams, and internal staff.

I monitor pending enrollments, resolve payer and billing issues, maintain application and held A/R reporting, and help maximize billing opportunities. I also guide Enrollment Coordinators and support training and problem solving.

My background includes provider enrollment, Medicare claims examination, customer service, credentialing, and clinical support. I bring 10 years of provider/payer enrollment experience, strong communication, and careful handling of confidential information.

Experience

Work history, roles, and key accomplishments

Current

Enrollment Specialist II

Current

Envision Physician Services

Mar 2016 - Present (10 years 7 months)

Works with highly diverse and/or complex client sites and payors; provides guidance to Enrollment Coordinators and acts as a resource for training and problem solving. Monitors pending provider enrollment processes that affect revenue and handles high-volume enrollments.

Provider Enrollment Payor Relations Communication Skills Problem Solving Excel Database Management Multitasking Time Management

Customer Service Rep

United American

Jan 2015 - Jan 2016 (1 year)

Serviced inbound calls from policyholders, answered questions regarding coverage and premiums, and made outbound calls to collect delinquent payments. Used sales techniques to increase policyholder retention.

Customer Service Communication Skills Sales Retention Data Entry

Phlebotomist

Family Health Center of Lake Forest

Mar 2013 - Jan 2015 (1 year 10 months)

Prepared and administered medications as directed by physician, authorized prescription refills, documented medical history, and collected lab specimens including blood draws and EKG testing.

Phlebotomy EKG Medication administration Medical Documentation

Medicare Claims Examiner/Customer Service Rep/Provider Enrollment

Blue Cross Blue Shield

May 1989 - Nov 2012 (23 years 6 months)

Processed Medicare Part A & B claims efficiently and accurately, determined medical necessity, and resolved provider billing questions. Credentialed providers and trained them on CMS 855 forms and Medicare appeals.

Medicare Claims ICD 9 ICD 10 Electronic Health Records (EHR)PECOS Provider Enrollment Customer Service