Kourtney Shelton
Richmond,VA
Summary
Enthusiastic, ethical and detail-oriented Accounts Receivable Specialist seeking opportunity to expand skills and contribute to company success. Willing to take on any task to support team and help business succeed. Delivers consistent and professional work for every assignment. Offers 10+ years experience, and top-notch abilities in all job duties assigned. Dedicated professional with demonstrated strengths in customer service, time management and trend tracking. Good at troubleshooting problems and building successful solutions. Excellent verbal and written communicator with strong background cultivating positive relationships and exceeding goals. Able to handle all facets of financial management with meticulous attention to accuracy. Skilled in assisting with budgeting, compiling reports, entering invoices, tracking payments and reconciling accounts.
Overview
13
13
years of professional experience
Work History
Accounts Receivable Analyst/Medical Biller
Healing Hearts Counseling
02.2024 - Current
- Submit claims electronically and manually
- Verify insurance benefits
- Create payment plans for patients
- Answer phones/help patients with various needs
- Post payments
- Schedule appointments and check patients in when necessary
- Follow up on all claim denials
- Contact insurance companies in regards to unpaid claims
Claims Resolution Specialist
Virginia Center For Addiction Medicine
11.2020 - 12.2023
- ARTS Program Manager
- Managed Medicaid MCO plans including all outstanding balances due to practice
- Worked with insurance provider representatives on all outstanding coding and payment issues
- Coordinated weekly financial meetings with all management and CEO employees
- Created and presented ideas and solutions for all billing and other financial related issues to all management/staff
- Transferred all records, claims and payment data from previous billing company into new EHR
- Improved claims handling processes by analyzing, tracking and troubleshooting root causes of previously managed claims.
- Prepared reports to be submitted to company’s data processing department.
- Reviewed claim denials and payer requirements for corrective action.
- Reconciled financial accounts, comparing bank statements and canceled checks and resolving discrepancies.
- Communicated with customers to provide account information.
- Managed files storage, including retaining records of canceled checks and customer signatures.
- Supported long-term department goals, giving feedback about billing procedures and collections processes.
- Researched discrepancies and applied analytical approach to tracing and resolving billing challenges.
- Prepared itemized statements and invoices showing amounts due and services rendered.
Medical Coding and Billing Specialist
Virginia Eye Institute
07.2018 - 11.2020
- Ensured healthcare providers met specific documentation requirements essential in proper recordkeeping and claim reimbursement.
- Confirmed coded data accurately reflected service provided, guarding against fraud and abuse.
- Coded medical claims to obtain reimbursement from various insurance companies and governmental health programs.
- Obtained payments by completing and posting bills to medical insurance providers.
- Reviewed claim denials and payer requirements for corrective action.
- Followed up and collected on outstanding balances and receivables.
- Investigated and resolved denials and rejections within standard billing cycle timeframe.
- Oversaw and ran necessary reports for monthly and quarterly reporting.
Accounts Payable/Accounts Receivable Clerk
Care Advantage INC
07.2016 - 07.2018
- Daily use of Quickbooks and Excel
- Kept managers informed with daily activity reports detailing invoicing, payments and notable issues.
- Processed and posted daily cash deposits and wire remittance deposits to appropriate customer accounts and invoices.
- Tracked billing activities and payments with Excel spreadsheets.
- Outlined accounting issues with clear, professional business correspondence.
- Worked closely with management to improve accuracy and resolve receivables variances.
- Reconciled past due customer accounts and brought customers to current status.
- Operated computers programmed with accounting software to record, store and analyze information.
- Minimized aging accounts by monitoring open balances and pursuing payments.
- Received, recorded and banked cash, checks and vouchers.
Financial Reporting Manager/Medical Biller
Mike Kelo Physical Therapy
02.2013 - 06.2016
- Proficient use of Quickbooks and Excel for bookkeeping
- Reconciliation of bank statements
- Assisted with quarterly and annual budgeting processes by preparing and analyzing financial data.
- Received, recorded and banked cash, checks and vouchers.
- Delivered timely payments to vendors based on internal schedules and established payment agreements.
- Completed important business paperwork and license renewals.
- Collaborated positively with peers and other staff members to maintain friendly, supportive and cooperative work atmosphere.
- Identified issues and implemented prompt and successful solutions to eliminate backlog and maximize workflows.
- Offered to assist with additional tasks to keep projects on-task and meet tight deadlines.
- Outlined accounting issues with clear, professional business correspondence.
- Helped make special projects successful by researching topics and coordinating resources.
- Kept finances current and accurate by processing invoices, payroll and payments.
- Verified and obtained required referral, authorization, or pre-certification prior to services being provided
- Scheduled patient appointments in EMR system/Checked in patients at front desk
- Estimated/collected self-pay portions after calculation of deductibles, co-pays and non-covered services.
Education
Nationally Registered Certified Coding Specialist -
Centura College
Richmond, VA08.2012
CPB Certification (Certified Professional Biller)
AAPC
Richmond, VASkills
- Quickbooks
- Microsoft Word/Excel
- Accounting
- Data inputting
- Accounts payable
- Accounts receivable
- Charge/Payment posting
- Excellent customer service skills
- Strong work ethic
- Kind and compassionate
- Claims review
- ICD-10
- Insurance verification
- HIPAA compliance
- Multitasking and organization
- Teamwork and collaboration
- Insurance billing
- Verbal and written communication
- Work prioritization
Timeline
Accounts Receivable Analyst/Medical Biller
Healing Hearts Counseling
02.2024 - Current
Claims Resolution Specialist
Virginia Center For Addiction Medicine
11.2020 - 12.2023
Medical Coding and Billing Specialist
Virginia Eye Institute
07.2018 - 11.2020
Accounts Payable/Accounts Receivable Clerk
Care Advantage INC
07.2016 - 07.2018
Financial Reporting Manager/Medical Biller
Mike Kelo Physical Therapy
02.2013 - 06.2016
Nationally Registered Certified Coding Specialist -
Centura College
CPB Certification (Certified Professional Biller)
AAPC