Brenda Birungi

Highly skilled and experienced in administrative services, operations, human resources, management, and banking services. Proficient in customer service, financial analysis, problem-solving, research, and compliance. Holds a Master's in Healthcare Administration with extensive job training in customer service, staff training/supervision, and office management.

A dedicated team leader committed to fostering positive and collaborative employee relationships to support an engaged, productive workforce.

Senior Administrative Assistant at HonorHealth (2021-02 – Present)

• Create and edit correspondence and reports, transcribe dictation
• Prepare, collate, and distribute reports; handle department projects
• Screen calls and visitors, provide information based on department and company policies
• Perform administrative functions, type, proof, and assemble reports, transcribe meeting minutes
• Manage supervisor's calendar, schedule meetings and appointments
• Organize meetings and training classes, prepare materials, reconcile invoices, arrange travel
• Open, screen, and respond to mail; delegate tasks to subordinate managers
• Provide clerical support, maintain confidentiality, manage supply inventories
• Support supervisor, interact with employees, physicians, patients, visitors, community agencies, and vendors
• Submit invoices, track expenses, and manage contracts renewal and submission
• Manage digital TV communication, community boards, CEO newsletters, and campus-wide communication
• Oversee general administrative functions of the entire campus and support all departments

Admitting Service Representative at HonorHealth (2019-08 – Present)

• Greet patients and the public, providing necessary information in a courteous and professional manner while adhering to HIPAA regulations and HonorHealth confidentiality standards
• Ensure a positive patient experience by empathetically addressing patient questions and concerns
• Process pre-registered accounts by completing registration and admissions information, including obtaining patient demographic, insurance, financial, and medical details in accordance with revenue cycle criteria
• Obtain required signatures on all medical, financial, and compliance documents. Scan all appropriate documents into the electronic medical and financial record, including patient identification, insurance cards, patient advanced directives, Conditions of Admissions, Financial Agreements, physician orders/scripts, and other pertinent paperwork
• Adhere to all third-party payer requirements, including Medicare, Medicaid, managed care, Blue Cross, and commercial plans. Verify insurance eligibility and coverage, and execute appropriate insurance notification procedures
• Obtain prior authorization to avoid non-compliance, denials, and penalties for the patient, hospital, and physician(s). Initiate notifications to insurances as required. Keep supervisor and/or lead informed of all unique situations and problem accounts
• Request and accept payments for balances due on accounts upon admission or at the time of discharge, including patient co-payment, deductible, co-insurance responsibilities, and pre-payments for uninsured or underinsured patients
• Collaborate within the multi-disciplinary healthcare team to facilitate and ensure patient satisfaction and maximization of reimbursement

Authorization Representative at HonorHealth (2017-11 – 2021-02)

• Obtain prior authorization for non-private insurance for testing, ensuring compliance with insurance requirements
• Verify and understand insurance benefits, communicate with physicians, clinic, and hospital staff to resolve outstanding issues
• Order outgoing referrals and tests, ensuring proper documentation in Excel and Banner systems
• Overturn any denials, ensuring that necessary tests and referrals are approved
• Set up peer-to-peer doctor meetings as required, facilitating direct communication between physicians
• Conduct monthly recalls to follow up on pending authorizations and tests
• Accept all incoming calls regarding authorizations, tests, and referrals, providing necessary information and support
• Serve as backup for test scheduler and patient final services representative, ensuring continuity of services
• Schedule appointments and follow-ups, coordinating with patients and healthcare providers

Referral Coordinator at HonorHealth (2017-11 – 2021-02)

• Request records for referral coordination by obtaining appropriate forms and communicating with referral entities
• Schedule appointments with referral entities, communicate scheduled dates to patients, and arrange follow-up care as ordered by providers
• Ensure referrals are addressed promptly, maintain a referral log to ensure the referral loop is closed appropriately
• Contact patients regarding pending referrals, work to reduce or eliminate barriers as needed
• Maintain timely, ongoing verbal communication to ensure good patient care and effective clinic operations
• Gather information concerning patients' clinical backgrounds and referral needs
• Provide appropriate clinical information to specialists per referral guidelines
• Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis
• Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians

Senior Account Receivable Specialist at HonorHealth (2017-06 – 2017-10)

• Monitor receivables on patient accounts in a long-term care setting to ensure financial services are handled properly
• Help patients understand their pharmaceutical charges and assist in resolving any resident questions or concerns
• Collect payments, schedule payments, and review residents' statements of account for accuracy of charges and proper account handling
• Contact customers by phone to reconcile account balances and retrieve copies of invoices for account

Master's in Healthcare Administration – University of Phoenix

Bachelor of Arts in Education – Uganda Christian University

Certificate in Customer Service Professional (CSP) – MedCerts

Certificate in Personal Financial Management and Communication Skills – Akamai Global Business and Financial Advisors

Certificate in Impairment of Loans and Advances – Ernst and Young

Certificate in Customer Care – Tig Marketing Consult