Sharon Lesley Sanders-Carter
11015 Moonbug Lane Apt L602 Charlotte,NC
Summary
Hard working individual with outstanding leadership, communication and interpersonal skills. A dedicated professional with a background in multiple industries. Skilled in prioritizing and planning work loads by being detail oriented.
Overview
29
29
years of professional experience
Work History
Child Support Agent II
Alamance County DSS
Burlington , NC
2022.02 - Current
- Assessed child support cases to determine appropriate case action
- Reviewed and maintained child support files and databases
- Maintained current knowledge of child support policies and procedures, North Carolina family law and federal regulations
- Conducted detailed investigations to locate individuals, verify employment and determine assets
- Ability to deal with families and individuals who may not agree with the law, rules or policy of the process
- Ability to analyze situations as to whether or not court action is necessary.
Reimbursement Consultant
Lash Group | SC
Fort Mill , SC
2015.12 - 2021.11
- Collected and reviewed all patient insurance information needed to complete the billing, collections, and appeal process
- Provided training and support to inter-departmental associates
- Determined medical necessity, using individual insurance carrier regulations
- Reviewed uninsured accounts, verifying medical assistance application process, charity care application and drug replacement program availability.
Practice Manager
Novant Healthcare
Charlotte , NC
2012.03 - 2014.07
- Gynecologist
- Created and implemented policies and procedures for effective practice management
- Communicated with patients with compassion while keeping medical information private
- Explained policies, procedures and services to patients
- Responsible for working with vulnerable adults.
Reimbursement Supervisor
Novant Health, Inc
Charlotte , NC
2008.05 - 2012.02
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Issued work schedules, duty assignments and deadlines for office or administrative staff.
- Reviewed reports on employee attendance, productivity and effectiveness to evaluate performance.
- Implemented departmental policies and standards in conjunction with management to streamline internal processes.
- Recruited, interviewed and selected employees to fill vacant roles.
- Researched and prepared reports required by management or governmental agencies.
- Developed work schedules according to budgets and workloads, covering priority tasks.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations
Patient Medicaid Billing Specialist
Carolina Heathcare System
Charlotte , NC
2005.02 - 2008.05
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Completed and submitted appeals for denied claims.
- Submitted appeals using provider portals and phone communication.
- Reviewed claims for coding accuracy.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Handled billing, waivers and claims for private and commercial clients.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
Medicaid Billing Specialist
Piedmont Medical Center
Rock Hill , SC
2002.05 - 2005.02
- Submitted claims to insurance companies.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Processed invoice payments and recorded information in account database.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Performed insurance verification, pre-certification and pre-authorization.
- Checked claims coding for accuracy with ICD-10 standards.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
Medicare/Medicaid Billing Specialist
Mary Black Hospital
Spartanburg , SC
2001.09 - 2002.06
- Applied HIPAA privacy and security regulations while handling patient information.
- Completed and submitted appeals for denied claims.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Submitted appeals using provider portals and phone communication.
- Reviewed claims for coding accuracy.
Insurance Billing Specialist
CaroMont Health
Gastonia , NC
2000.03 - 2001.09
- Submitted claims to insurance companies.
- Managed all payments processing, invoicing and collections tasks.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Checked claims coding for accuracy with ICD-10 standards.
Office Manager
Women Healthcare
Arlington , TX
1997.02 - 2000.06
- Managed office inventory and placed new supply orders.
- Monitored payments due from clients and promptly contacted clients with past due payments.
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
- Administered payroll and maintained proper documentation of employee personnel.
- Reviewed files and records to obtain information and respond to requests.
- Managed, scheduled and coordinated office functions and activities for employees.
- Handled scheduling and managed timely and effective allocation of resources and calendars.
- Used judgment and initiative in handling confidential matters and requests.
- Managed office budget to handle inventory, postage and vendor services.
Radiology Supervisor
Arlington Memorial Hospital
Arlington , TX
1995.08 - 1997.02
- Reviewed employee performance and developed improvement plans.
- Oversaw recruitment and hiring of radiology personnel.
- Developed and enforced radiology policies and standard procedures.
- Scheduled team members based on coverage needs and personal strengths.
- Interviewed potential candidates, provided recommendations and assisted with onboarding.
- Kept team in line with patient privacy requirements and other compliance standards.
- Maintained highest levels of quality, safety and patient confidentiality by following hospital and regulatory guidelines when collecting patient information and conducting imaging procedures.
Education
Bachelor of Business -
Belmont Abbey College
01.2019
Skills
- Organizational Skills
- People Skills
- Team Building
- Customer Service
- Supervision & Leadership
- Training & Development
- Client Management
- Excellent Research Skills
Timeline
Child Support Agent II
Alamance County DSS
2022.02 - Current
Reimbursement Consultant
Lash Group | SC
2015.12 - 2021.11
Practice Manager
Novant Healthcare
2012.03 - 2014.07
Reimbursement Supervisor
Novant Health, Inc
2008.05 - 2012.02
Patient Medicaid Billing Specialist
Carolina Heathcare System
2005.02 - 2008.05
Medicaid Billing Specialist
Piedmont Medical Center
2002.05 - 2005.02
Medicare/Medicaid Billing Specialist
Mary Black Hospital
2001.09 - 2002.06
Insurance Billing Specialist
CaroMont Health
2000.03 - 2001.09
Office Manager
Women Healthcare
1997.02 - 2000.06
Radiology Supervisor
Arlington Memorial Hospital
1995.08 - 1997.02
Bachelor of Business -
Belmont Abbey College
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