Jan Shafer
Gilbert,AZ
Summary
Certified Medical Billing Specialist with 20 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Competent medical billing professional manages busy medical office and delivers excellent customer service to patients. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
34
34
years of professional experience
Work History
Customer Service Representative (temporary)
Nike
10.2022 - 12.2022
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Streamlined call center processes for improved efficiency and reduced wait times.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Assisted customers in navigating company website and placing online orders, improving overall user experience.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
Senior Medical Biller
Wee Pee Pediatrics
07.2006 - 01.2009
- Enhanced revenue by efficiently processing medical billing claims and ensuring accuracy.
- Reduced claim denials by diligently reviewing patient information and verifying insurance coverage.
- Streamlined billing processes for increased efficiency while maintaining compliance with regulations.
- Collaborated with healthcare providers to obtain necessary documentation for accurate billing.
- Maintained up-to-date knowledge of coding standards, resulting in fewer errors and improved claim acceptance rates.
- Improved cash flow by promptly following up on outstanding accounts receivable balances and initiating collection efforts when needed.
- Managed high-volume workloads while maintaining attention to detail, resulting in increased accuracy and reduced errors in submitted claims.
- Successfully appealed denied claims by providing thorough documentation supporting the necessity of billed services.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
Medical Billing Assistant
Cardiology Consultants
06.2000 - 07.2006
- Improved patient satisfaction by accurately processing medical bills and promptly addressing inquiries.
- Reduced billing discrepancies by diligently reviewing medical coding and ensuring accuracy in data entry.
- Enhanced revenue collection rates with timely follow-ups on outstanding claims and appeals.
- Streamlined billing processes, implementing efficient methods for tracking payments and managing accounts receivable.
- Collaborated with healthcare providers to obtain necessary documentation for accurate claim submissions.
- Supported the reduction of claim denials by maintaining up-to-date knowledge of insurance guidelines and regulations.
- Maximized reimbursement opportunities by staying current on industry trends and new billing procedures.
- Assured accurate charge capture by working closely with clinical staff to verify services provided before submitting claims.
- Posted payments and collections on regular basis.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Collected payments and applied to patient accounts.
- Prepared billing statements for patients and verified correct diagnostic coding.
Office Manager/Biller
Dr. Judith Moore
06.1989 - 05.2000
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Maintained computer and physical filing systems.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
- Reduced billing errors by implementing strict policies and systematic procedures.
- Streamlined the billing process by automating data entry tasks, leading to improved efficiency and accuracy.
- Maintained accurate client records, ensuring proper billing and payment tracking.
- Conducted regular audits of billing records, identifying issues and implementing corrective actions.
- Executed billing tasks and recorded information in company databases.
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
- Determined proper codes for medical records and patient services.
- Researched and resolved billing discrepancies to enable accurate billing.
- Monitored customer accounts to identify and rectify billing issues.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Education
Certificate - Computers/Medical Billing
Michigan Computer Institute
Flint, MI04.1989
Diploma - GenerL
Grand Blanc Community High School
Grand Blanc, MI06.1974
Skills
- Medicare and Medicaid Process
- Payment Posting
- Claim Submission
- Accounts Payable
- Insurance Verification
- HIPAA Compliance
- Patient Billing
- Medical Terminology
- Data Entry Accuracy
- Claims Processing
- Claims Review
- Commercial and Private Insurance
- Medicaid and Medicare Knowledge
- Insurance Claims
- Patient Collections
Languages
English
Full Professional
Timeline
Customer Service Representative (temporary)
Nike
10.2022 - 12.2022
Senior Medical Biller
Wee Pee Pediatrics
07.2006 - 01.2009
Medical Billing Assistant
Cardiology Consultants
06.2000 - 07.2006
Office Manager/Biller
Dr. Judith Moore
06.1989 - 05.2000
Certificate - Computers/Medical Billing
Michigan Computer Institute
Diploma - GenerL
Grand Blanc Community High School