Dianne Meighoo Shaw
Wharton,New Jersey
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Driven Medical Biller motivated to perform beyond expectations.
Overview
9
9
years of professional experience
Work History
Billing Specialist
Prime Healthcare
01.2019 - 03.2025
- Medical billing/ collections, Revenue Cycle Analyst
- AR specialist, medical billing, Payor guidelines, Insurance websites, Electronic claims submission, Paper claims submission
- Medical Records
- EMR, Coding, Follow-up, Insurance verifications benefits/eligibility
- WQ edits for consecutive accounts, Credit Balances WQ, DNB WQ, Late Charge WQ, BH WQ, Payment and Review WQ , Open Denial WQ and NO Rules WQ
- Knowledge of all EOBs/RA's
- Posting /Contractual adjustments, Payment tracker
- Program used Excel, Word, Epic, Relay, Palmetto GBA, Coding Issue Tracker, In vision, E-Solution and Navi net
- Worked remotely at times
Senior Accounts receivable
Optum 360
01.2016 - 12.2019
- Medical billing/collections submitted medical insurance claim daily, Inpatient
- Outpatient and emergency room visits to Medicare
- Electronic billing, insurance verification/eligibility
- Hard copy redetermination/ denials
- Review patient records to determine eligibility for Medicare claims
- Resolve outstanding claims and balances efficiently
- Program used Excel, Word, Epic, Relay, Eagle, Medicare Real Time, Palmetto GBA, Keane, In vision, E-Solution and Navi net
Education
Medical Billing Certificate -
York College
Jamaica, New YorkMedical Billing Certificate - undefined
Boston Reed College
Boston, MassachusettsPharmacy Technician Certificate - undefined
Harcourt University
Boston, MassachusettsSkills
- Microsoft Word
- Microsoft Outlook
- Microsoft PowerPoint
- Microsoft Excel
- QuickBooks
- Availity
- Navi net
- Epic
- Way star
- Inovalon
- Pointclick Care
- MatrixCare
- In vision
- E solution
- Palmetto GBA
- Relay
- Keane
- Inovalon
- PointClick Care
- MatrixCare
Timeline
Billing Specialist
Prime Healthcare
01.2019 - 03.2025
Senior Accounts receivable
Optum 360
01.2016 - 12.2019
Medical Billing Certificate - undefined
Boston Reed College
Pharmacy Technician Certificate - undefined
Harcourt University
Medical Billing Certificate -
York College