Shelbi Walker
Denver,CO
Summary
Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence.
Overview
8
8
years of professional experience
Work History
Olive Garden, 7655 W
09.2022 - Current
- Server, time management, ability to adapt in a fast pace work environment
- Engage in customers to ensure the best experience.
MLSS AR Specialist I
CareSouce Ohio
07.2020 - 04.2022
- Research Accounts Receivable for our contracted providers for both medical and hospital claims
- Resolve any issues for underpaid/overpaid claims
- Resolve ServiceNow tickets for individual issues placed by Health Partner Rep
- Attend provider meetings every week 2 weeks to discuss AR file sent each month
- Adjust/review 200+ claims per week upon provider sending AR files.
Cognizant Technologies Solutions, 2512
06.2017 - 10.2019
- Medical and hospital claims processor
- Senior claims examiner
- Trainer for new and current employees.
- Worked closely with client and joined client calls
- Worked Customer Service Task, adjustments, external claims editing, managed inventory, assigned claims to the team, made sure claims were processed and paid per the contract with Horizon.
Customer Service Representative
General Dynamics Information Technology
08.2016 - 05.2017
- Answer phones and solve inquiries about beneficiaries coverage, bills, premiums, and help enroll into Medicare drug plans or Medicare Advantage plans.
01.2016 - 11.2016
FAX/PAF Processor
Ciox Health
05.2016 - 06.2016
- QA, rightfax, processing, pull list verification, and scanning of medical charts for insurance companies and medical offices
- Achievements / Other Activities
- Proficient in Microsoft Word, PowerPoint, Excel
- Top Medicare Customer Service Representative for the month of January and
- March 2017
- Ranked in the top 5%-10% for all Medicare General Dynamics sites across the
- 1 1
- Medicare Certified
- Facets Expert
- Service Now Expert
- Received Kettering Hospital Accounts Receivable Project in 6 months of working
Education
Estrella Mountain Community College
2018
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Columbine High School
2014
Skills
- Bill Processing
- Research
- State Regulation Compliance
- Data Imports
Timeline
Olive Garden, 7655 W
09.2022 - Current
MLSS AR Specialist I
CareSouce Ohio
07.2020 - 04.2022
Cognizant Technologies Solutions, 2512
06.2017 - 10.2019
Customer Service Representative
General Dynamics Information Technology
08.2016 - 05.2017
FAX/PAF Processor
Ciox Health
05.2016 - 06.2016
01.2016 - 11.2016
- 1 1
Estrella Mountain Community College
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Columbine High School
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