Bernadette Badrina

I am a highly experienced and detail-oriented Medical Biller with over 5 years of hands-on experience in full-cycle medical billing, specializing in behavioral health, ambulance billing, and multi-specialty practices. I have extensive knowledge of CMS-1500 and UB-04 claim forms and a deep understanding of insurance guidelines including Medicare, Medicaid, and commercial payers such as AETNA, Cigna, UHC, BCBS and more. I have successfully handled data entry, charge entry, claims submission, accounts receivable follow-up, denial management, and payment posting.

My expertise includes verifying patient insurance eligibility and benefits, researching and resolving denied or rejected claims, preparing and submitting appeals, and processing refunds and overpayments. I am proficient in reading and interpreting EOBs, ERAs, and remittance advice to ensure claims are paid correctly and on time.

I have experience working across various EMR and billing platforms including NueMD, CollaborateMD, and Kipu EMR. I am also familiar with payer portals such as Availity, NaviNet, Novitasphere, and UHC provider portals.

In addition to my technical skills, I am known for my strong analytical thinking, attention to detail, and ability to communicate clearly and professionally with patients, providers, and insurance companies via phone and email. I have also assisted with processing patient statements, following up on unpaid balances, and maintaining accurate documentation in compliance with HIPAA regulations.

I am capable of working independently, managing multiple priorities, and delivering high-quality results under tight deadlines. I take pride in my ability to help practices improve their revenue cycle, reduce claim denials, and maximize reimbursements.