AMANDA SHELTON
MARLBOROUGH,USA
Summary
I earned my diploma in Medical Billing and Coding from Clark University in 2004. Since that time, I have consistently worked as a Billing Specialist working my way up to Revenue Cycle Manager of a remote Billing Team. In my position as Revenue Cycle Manager, I have provided training and support to two offshore billing teams that process many different service lines: Emergency Department, Inpatient, Addiction Medicine and Detox, Orthopedics, General Surgery, OBGYN, Behavioral Health/Mental Health Services. We consistently processed 11,000 claims per month adhering to strict medical billing, coding, and payer regulations. We strive for accuracy and timeliness in the billing and collections processes. I oversee the submission of insurance claims and make sure that outstanding claims are followed up on a timely basis. Working remotely, I supervise a highly integrated team that relies on each other for support. Our primary focus is providing both accuracy and expediency. My team works closely with health care providers to resolve any issues that may arise. To identify trends, I have analyzed billing data from various sources. If a trend is noted that claims to increase revenue, I will investigate further. My focus has always been on supporting and training the best billing practice while still concentrating on patient education and patient care as regards their medical bills. We constantly monitor submitted claims to ensure there are no billing issues and work closely with health care providers to resolve any issues that may arise. We also constantly monitor making sure the front-end processes do not add to the back-end denial management.
Overview
11
11
years of professional experience
Work History
Billing Team Manager
Symphony Medical, PC
Dobbs Ferry, New York
01.2022 - Current
- Working remotely, I manage a Billing Team of (enter number).
- In this past year we have increased revenue from $00,000 to $00,000.
Telemynd
Maynard, Massachusetts
01.2021 - 01.2022
- Charged with the development of a functional Revenue Department and getting the billing system in-house instead of working virtually with an overseas company.
Accounts Receivable Billing Specialist
Boston Endoscopy Center
Wellesley Hills, MA
01.2014 - 01.2021
- Responsible for Accounts Receivable including monthly billing and Reports.
- Work on resolution of billing issues with Medicaid.
Education
diploma - Medical Billing and Coding
Clark University
01.2004
Skills
- Medical Billing
- Coding
- Revenue Cycle Management
- Team Management
- Data Analysis
- Athena
- RXNT
- Nextgen
- Meditech
- MedGen
Accomplishments
- 2024, Increased revenue by $541,000
- 2024, On target to increase an additional $200,000
Timeline
Billing Team Manager
Symphony Medical, PC
01.2022 - Current
Telemynd
01.2021 - 01.2022
Accounts Receivable Billing Specialist
Boston Endoscopy Center
01.2014 - 01.2021
diploma - Medical Billing and Coding
Clark University