Summary
Overview
Work History
Education
Skills
Timeline
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Ivory Sheridan

Hammond,LA

Summary

Dynamic Billing Specialist with expertise in medical billing and insurance verification at Optum. Proven track record in resolving discrepancies and enhancing customer satisfaction through effective communication. Skilled in CPT, ICD-10, and HCPCS coding, while maintaining compliance with industry regulations. Adept at utilizing billing systems to streamline processes and improve efficiency.

Overview

15
15
years of professional experience

Work History

Billing Specialist

Optum
10.2022 - Current
  • Respond to inbound patient and insurance calls regrading medical billing inquiries in a professional and courteous manner.
  • Review and explain charges, account balances, and insurance payments to patients.
  • Researched and resolved billing discrepancies, denials, and claim rejections to enable accurate billing.
  • Verify insurance eligibility and benefits when needed.
  • Assist patients with setting up payment plans and understanding payment options.
  • Document all customers interactions and maintain accurate account notes.
  • Escalate unresolved issues to the appropriate department or supervisor as necessary.
  • Maintain up-to-date knowledge of billing policies, payer requirements, and HIPAA compliance.

Claims Representative

Teleperformance USA
02.2021 - 10.2022
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Followed up with customers on unresolved issues.
  • Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
  • Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.

Pharmacy Claims

MCI Telecommunications
09.2018 - 02.2021
  • Skilled at working independently and collaboratively in a team environment.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Learned and adapted quickly to new technology and software applications.

Director of Material Management

PAM Specialty Hospital
04.2010 - 09.2018
  • Streamlined procurement procedures for increased efficiency and reduced lead times.
  • Conducted regular risk assessments to proactively address potential issues within the material management process.
  • Optimized warehouse organization for faster order fulfillment and improved space utilization.
  • Introduced robust demand planning methods to accurately predict future inventory requirements.
  • Created detailed reports on inventory levels, forecasted demands, and purchasing trends for informed decision-making by senior leadership.
  • Maintained strict adherence to regulatory requirements, ensuring compliance with industry standards and best practices in material handling safety protocols.

Education

Delgado Community College
New Orleans, LA

General Studies

Hammond High School
Hammond, LA
05-2009

Skills

  • Billing systems and software
  • Insurance verification
  • Customer service
  • Medical billing expertise
  • Knowledge of CPT, ICD-10 AND HCPCS coding
  • Familiarity with EHR/EMR systems
  • Claim submission
  • Claims processing

Timeline

Billing Specialist

Optum
10.2022 - Current

Claims Representative

Teleperformance USA
02.2021 - 10.2022

Pharmacy Claims

MCI Telecommunications
09.2018 - 02.2021

Director of Material Management

PAM Specialty Hospital
04.2010 - 09.2018

Delgado Community College

General Studies

Hammond High School

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Ivory Sheridan