Shawne Nivens-Mosley
Glen Allen,VA
Summary
Ambitious, observant Medical Biller with 20 + years of experience in staying current with industry regulations and guidelines to ensure efficient and compliant billing practices. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving.
Overview
5
5
years of professional experience
Work History
Reimbursement Technician
Richmond Behavioral Health Authority
09.2022 - 08.2023
- Processed online and paper appeal submissions and refund requests.
- Corrected, completed and processed claims for multiple payer codes.
- Assisted in reconciling deposit and patient collections.
- Audited and corrected billing and posting documents for accuracy.
Reimbursement Technician
Robert Half & RBHA
09.2020 - 09.2022
- Processed online and paper appeal submissions and refund requests.
- Monitored outstanding invoices and performed collections duties.
- Corrected, completed and processed claims for multiple payer codes.
- Audited and corrected billing and posting documents for accuracy.
Medical Collections Specialist
Blue Staffing & Praxis
01.2020 - 04.2020
- Processed online and paper appeal submissions and refund requests.
- Processed billing calls and answered questions from patients and third-party carriers.
- Corrected, completed and processed claims for multiple payer codes.
- Researched billing errors and discrepancies to initiate corrective action.
Occupational Health Collections Specialist
Quadrant & Patient First
11.2018 - 11.2019
- Managed time efficiently in order to complete all tasks within deadlines.
- Worked well in a team setting, providing support and guidance.
- Proved successful working within tight deadlines and a fast-paced environment.
- Excellent communication skills, both verbal and written.
Education
High School Diploma -
Huguenot High School
Richmond, VASkills
- HIPAA Compliance
- Computational Abilities
- Insurance Coverage Verification
- Reconciling Accounts
- Claim Submission
- Customer Service
- Communication With Medical Professionals and Clinical Staff Members
- Inpatient and Outpatient Claims Processing
- Operation of Billing and Coding Software
- Problem-Solving Skills
- Collections Procedures
- Reimbursement Management
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Supervised a team of 6-8 staff members.
- Documented and resolved outstanding balances which led to a 30-40% increase in revenue.
- Created and implemented developmentally-appropriate curriculum which addressed individual learning styles.
- Leveraged diverse instructional strategies and hands-on activities to engage students and boost understanding of material.
- Completed month-end and year end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Timeline
Reimbursement Technician
Richmond Behavioral Health Authority
09.2022 - 08.2023
Reimbursement Technician
Robert Half & RBHA
09.2020 - 09.2022
Medical Collections Specialist
Blue Staffing & Praxis
01.2020 - 04.2020
Occupational Health Collections Specialist
Quadrant & Patient First
11.2018 - 11.2019
High School Diploma -
Huguenot High School
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