Sherrie Scales
Summary
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Competent with over 17 years of experience in handling wide variety of billing tasks. Team-oriented person with great decision-making skills.
Overview
24
24
years of professional experience
Work History
Medical Billing Specialist
United Healthcare Group
01.2016 - Current
- Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies.
- Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function.
- Manage the preparation of claims and complete reconciliation of billing with accounts receivable.
New Patient Coordinator/ Team Lead
HeartPlace
12.2009 - 11.2014
- Tracked patient progress over time, ensuring appropriate follow-up appointments were scheduled as needed.
- Scheduled surgery procedures, trained new employees for multiple positions in the office.
- Financial counseling for patients, referrals from Primary Care Physicians, medical records.
Account Manager
United Healthcare Group
10.2007 - 12.2009
- Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
- Addressed problems with accounting, billing, and service delivery to maintain and enhance client satisfaction.
- Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.
Medical Billing Specialist
Dr. Walter Leon M.D. Pediatrics
09.2004 - 12.2007
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies, located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Claims Adjuster
Aetna, A CVS Health
10.2000 - 09.2004
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Documented all investigation activity and presented reports to management. Verified insurance claims and determined fair amount for settlement.
Education
Certified Medical Coder
AAPC
2025
GED -
State of Texas
05.1994
Skills
- HIPAA Compliance
- Payment posting
- Claim submission
- Insurance Verification
- CPT Knowledge
- Medicare and Medicaid process
- ICD-10 Proficiency
- Patient Billing
- Accounts Payable
- Medical Billing
- Medical Terminology
- ICD-10 Coding
- Teamwork and Collaboration
- Knowledgeable in Citrix, EMR, OnBase, FACETS, Mainframe, Salesforce, BPM, Allscripts
Timeline
Medical Billing Specialist
United Healthcare Group
01.2016 - Current
New Patient Coordinator/ Team Lead
HeartPlace
12.2009 - 11.2014
Account Manager
United Healthcare Group
10.2007 - 12.2009
Medical Billing Specialist
Dr. Walter Leon M.D. Pediatrics
09.2004 - 12.2007
Claims Adjuster
Aetna, A CVS Health
10.2000 - 09.2004
Certified Medical Coder
AAPC
GED -
State of Texas