Brianna Gryce
Innovative Healthcare Centers
Baltimore,MD
1
Certification
12
years of professional experience
Healthcare and Insurance Specialist II skilled in healthcare administration, patient eligibility verification, and insurance authorization. Collaborates effectively with healthcare teams to ensure HIPAA compliance and optimize authorization processes. Delivers strong communication and problem-solving capabilities, enhancing patient advocacy and insurance coordination. Experienced with team leadership, strategic planning, and operational management. Utilizes effective communication and organizational skills to drive project success. Track record of fostering productive work environments and achieving set goals. Solid history of managing teams and driving operational success. Skilled in implementing strategic initiatives that enhance productivity and efficiency. Demonstrated ability in problem-solving and decision-making. Results-driven management professional with proven ability to lead teams to success. Strong focus on team collaboration, operational efficiency, and achieving measurable outcomes. Adept at strategic planning, process improvement, and fostering culture of accountability and excellence. Known for adaptability and consistently meeting changing organizational needs.
Work History
Authorizations Manager
4 Years 5 Months- Submitting 20 - 30 prior authorization requests to insurance providers for approval.
- Followed up on pending authorizations to ensure timely processing and reduce delays.
- Communicating with healthcare providers to obtain necessary documentation for approval.
- Resolved authorization denials by successfully appealing decisions and providing necessary information.
- Collaborating with billing departments to prevent claim rejections due to authorization issues.
- Educating patients and staff about insurance authorization procedures and requirements.
- Trained patients and staff on insurance authorization procedures and requirements.
- Reviewing insurance policies and guidelines to ensure compliance with requirements.
- Ensured timely acquisition of referrals and authorizations to facilitate patient care.
- Examine patients' insurance coverage, deductibles, carrier payments and remaining balance not covered under their policies
- Responding to daily influx of telephone-based and written communications from patients and providers pertaining to patients' care, notices, and referrals
- Providing patients with information regarding financial policies and registration requirements
- Managed collection of co-payments and balances to maintain financial accuracy.
- Working closely with Law Firms regarding WC and motor vehicle accident cases
- Maintaining a clear understanding of insurance plans and informing patients of their policy
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Uphold confidentiality requirements and regulatory compliance guidelines.
- Coordinated transportation to get patients to and from medical appointments.
- Trained new staff on filing, phone etiquette and other office duties.
- Engaged with patients to provide critical information.
Clinical Supervisor
11 Months- Conducted 30-40 blood draws to facilitate laboratory testing
- Identified nurses' and staff training needs and devised training programs to close gaps.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Responded to crisis situations with calm and professional approach to optimize support.
- Updating staff with new policy changes
- Communicated with HR and management through phone calls and video chats.
- Identified training needs for nursing and support staff, developing targeted programs to enhance skills and close performance gaps.
- Communicating with patients regarding their results and payment
- Insurance eligibility verification
- Administering vaccines
- Monitored and analyzed staff performance, collaborating with nurse manager to implement corrective actions and elevate standards of practice.
- Secured office by locking doors and turning off equipment at the end of shifts
- Utilized Athena systems, Inuvio, Klara, and other software for patient management
- Collected patient payments from staff cash drawers during transactions
- Creating 'Return to Work' for patients being tested for clearance
- Reconciling the days' cash/card payments into Athena database
- Experience with Athena systems, Inuvio, Klara, etc
- Accelerated handling of PCR test specimens for patients preparing for travel
Phlebotomist/COVID-19 Screener
2 Months- Created a conducive environment for patient testing by preparing rooms
- Swabbing nasal cavities
- Filling out requisition forms for COVID specimens, blood work, and urine
- Managed 50+ incoming phone calls/day to assist patients and staff
- Disinfecting surfaces after each patient
- Executed venipuncture procedures for accurate blood sample collection
- Dropping off 50+ specimens at FedEx and UPS daily
- Discussed test results with patients and advised on quarantine measures
Specimen Accessioner
2 Years 8 Months- Set up station to ensure organized sorting of specimens
- Input data from 100+ requisition forms into database from requisition forms into computer database for processing
- Organized specimens into assigned bins for efficient processing into assigned bin for sorting
- Separated urine and serum samples into designated containers of urine and/or serum and plasma as assigned
- Compiled and recorded data from nightly requisition forms from every requisition form at end of night for data entry records
Mobile Collection Specialist II
1 Year 3 Months- Supervised 8 employees during a blood drive
- Communicated with donors to obtain vitals and health histories
- Coached first-time donors through collection process to enhance comfort and compliance
- Performed vehicle loading and unloading
- Set up and break down of all supplies and equipment
- Reported breaks, lunches and site structure to Team Manager
- Engaged in all in-service training to stay updated on protocols
- Accommodated varying work hours to support team operations
- Worked in Baltimore/Harford Counties and PA
Phlebotomist/Specimen Processor
6 Months- Collected blood & urine specimens from 20-30 patients daily
- Labeled vials with patient names and dates
- Ordered and stocked laboratory supplies to ensure availability for testing
- Mailed or faxed reports and test results to physician for timely patient care
- Coordinated with off-site manager to address operational needs
Phlebotomist/Medical Assistant
4 Months- Opened clinic daily, ensuring readiness for patient care
- Registered new patients, facilitating smooth intake process
- Obtained 20-30 blood specimens and vitals, supporting accurate patient assessments
- Conducted data entry to ensure timely and efficient patient information management.
- Answered 30+ incoming calls and managed filing system
Medical Assistant
2 Months- Registered new patients, ensuring accurate demographic and insurance information for streamlined intake process
- Obtained vitals and medical histories to support accurate assessments and tailored patient care
- Recorded and organized patient information for efficient access
- Responded to 20-30 phone inquiries and ensured proper document filing
Education
Certification of Completion of Medical Assistance - Medical Assistance
High School Diploma
Skills
Insurance prior authorization
Insurance Verification
Medical Billing
Medical billing
AthenaHealth EMR
NextGen
Epic
CPT coding
ICD coding
ICD-10 coding
Clinical documentation
Documentation review
Patient Care
Administering Injections
Phlebotomy
Laboratory experience
Specimen processing
HIPAA
Quality assurance
Data collection
Administrative Oversight
Office management
Administrative support
Microsoft Excel
Microsoft Office
Microsoft Outlook
Microsoft Word
Attention to detail
Organizational skills
Critical thinking
Customer service
Interpersonal skills
Phone Etiquette
Team Leadership
Staff Coordination
Triage
Windows
WebPT
SIS software
Specimen processing
Team Leadership
Venipuncture
Windows
Certification
- BLS/CPR
- 2021-05 - 2023-05
- Driver's License
Timeline
Authorizations Manager
Innovative Healthcare Centers
02.2022 - 07.2026Read More
Clinical Supervisor
MEDICAL ACCESS
01.2021 - 12.2021Read More
Phlebotomist/COVID-19 Screener
HSI Counseling Services, LLC
10.2020 - 12.2020Read More
Specimen Accessioner
LabCorp Laboratory Corporation of America
02.2018 - 10.2020Read More
Mobile Collection Specialist II
American Red Cross
09.2016 - 12.2017Read More
Phlebotomist/Specimen Processor
Precision Toxicology
02.2015 - 08.2015Read More
Phlebotomist/Medical Assistant
MATT Program
09.2014 - 01.2015Read More
Medical Assistant
Saluja Medical Associates
04.2014 - 06.2014Read More
Fortis Institute
Certification of Completion of Medical Assistance from Medical Assistance
Read More
Perry Hall High School
High School Diploma
Read More