Summary
Overview
Work History
Education
Skills
Timeline
Generic

Schwan Gunter-Jones

North Las Vegas,NV

Summary

Results-driven Accounts Receivable Specialist with 25 years of extensive experience in managing accounts receivable functions. Demonstrates exceptional proficiency in resolving billing disputes, delivering outstanding customer service, and efficiently applying payments. Recognized for strong leadership abilities and a proven track record of consistently achieving organizational objectives. Committed to enhancing financial processes and fostering positive client relationships to drive business success. Experienced with managing accounts receivable processes and ensuring timely collections. Utilizes strong analytical skills to resolve billing discrepancies and enhance cash flow. Track record of effective financial analysis and customer service, contributing to overall business success.

Overview

25
25
years of professional experience

Work History

Referral Specialist

Intermountain Healthcare
03.2025 - Current
  • Coordinated patient referrals with healthcare providers to streamline access to specialty services.
  • Managed referral tracking systems, ensuring timely follow-ups and accurate documentation.
  • Facilitated communication between patients and providers to clarify referral processes and requirements.
  • Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
  • Verified insurance benefits and eligibility for procedures before referring clients.
  • Managed high-volume referral requests by prioritizing tasks and maintaining organized records.
  • Contributed to the development of referral policies and procedures, enhancing departmental operations.
  • Responded to patient inquiries to offer timely updates regarding referral status.
  • Processed referral requests from patients, doctors and other health care professionals.

AR Specialist Billing /Collections

Parkway Surgery Center
01.2017 - 03.2024
  • Performs a variety of Medical Records duties such as chart analysis
  • Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues and request
  • Understands and adheres to all policies and procedures, as well as local, state and federal regulations, relevant to their area of operation
  • Accountable for proper billing and follow-up to payers and patients
  • Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards
  • Trained team member on systems
  • Performs research and analysis of account issues and strives to resolve problems timely and accurately
  • Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families
  • Assists in continuous quality improvement processes
  • Initiate any and all payer redetermination, appeals, and/or reconsideration as needed
  • Reimbursement contract rate
  • Verified health benefits with health insurance
  • Counseled patients regarding financial resources, explained insurance benefits and copays, performed benefit education of out of pocket expenses
  • Follow up of Third party Liability claims
  • Implemented process improvements that enhanced efficiency in claim submissions and follow-ups.
  • Coordinated with external collections agencies when necessary, ensuring seamless handoff of delinquent accounts while protecting company interests at all times.
  • Reviewed accounts on monthly basis to assess aging and pursue collection of funds.

Medical Biller/Financial Counselor/AR Collections

North Vista Hospital
05.2015 - 03.2016
  • Completed A/R reports as assigned
  • Accountable for proper billing and follow-up to payers and patients
  • Trained team member on systems (Emdeon and Epic training)
  • Liaison assistant with provider for HPN
  • EOB Reading
  • Responsible for incoming and outgoing calls from insurance companies and patients
  • Reimbursement contract rates
  • Verified health benefits with health insurance
  • Counseled patients regarding financial resources
  • Explained insurance benefits and copays
  • Performed benefit education of out of pocket expenses
  • Monitored various work lists and hospital census
  • Submitted notification of hospital admits

Medicaid Eligibility Specialist

Adreima
02.2013 - 04.2015
  • Review referrals and screen for potential eligibility for County and NV Medicaid
  • Contact patient or their representative to complete the application and acquire all necessary releases, signatures, and documents
  • Advise the applicant of all additional required documentation needs and time frames for compliance
  • Thoroughly enter all actions taken in the hospital account and in the internal system
  • Follow up with agencies regarding eligibility status and submission of necessary documentations for approvals

Patient Account Representative

Las Vegas Urology
02.2012 - 11.2013
  • Responsible for A/R collection for various payors, including Medicare, Medicaid, Workers’ Compensation, HMO, and PPO
  • Research and initiate collection and billing follow-up as appropriate
  • Set up payment arrangements for patient liability
  • Review and follow up on all correspondence (appeals, underpayment, medical records, and attorney requests)
  • Post all payments, charges, and review EOB’s for accuracy
  • Responsible for incoming and outgoing calls from insurance companies and patients

Patient Account Representative II

Valley Health Systems
02.2006 - 01.2011
  • Monitored high dollar insurance claims by running appropriate reports starting at 31-60 days
  • Followed up with insurance and federal payors
  • Handled all collections for patient balances
  • Audited medical records and submission of clean claims to be billed
  • Collaborated with attorneys regarding liens
  • Followed up as appropriate for resolution on HMO, PPO, and managed care insurance claims

Medicare Billing Specialist

HCA PAS
10.2003 - 02.2006
  • Audited and adjusted claims for discrepancies through billing system
  • Communicated between 19 hospitals nationally regarding account correction and adjustments
  • Prepared and submitted daily and monthly statistics
  • Successfully completed annual billing education regarding Medicare guidelines

Admissions Rep/Unit Coordinator/Medical Biller

Healthsouth Hospital At Tenaya
08.2000 - 10.2003
  • Handled all billing aspects including posting charges and payments
  • Managed collection accounts through correspondence with various insurance companies
  • Completed and submitted appeals for consideration
  • Entered patient demographics into system and spreadsheets
  • Answered all incoming calls and managed appointment setting
  • Audited medical charts
  • Obtained insurance information and verified benefits and eligibility
  • Attained pre-authorization for treatment when needed
  • Collection of co-pays and deductibles upon admission

Education

Associates Degree - Business Administration

Davenport University
Flint, MI
07.2000

Skills

  • SOFTWARE & SYSTEMS
  • Meditech, Medisoft, Alteer, Allscripts, OPUS, SMS, EVS, EPremis, SSI Billing, Emdeon
  • Starz, Lawson, Outlook, Waystar (Orcale) Perfect, Epic EHR, Careport, Navihealth

Timeline

Referral Specialist

Intermountain Healthcare
03.2025 - Current

AR Specialist Billing /Collections

Parkway Surgery Center
01.2017 - 03.2024

Medical Biller/Financial Counselor/AR Collections

North Vista Hospital
05.2015 - 03.2016

Medicaid Eligibility Specialist

Adreima
02.2013 - 04.2015

Patient Account Representative

Las Vegas Urology
02.2012 - 11.2013

Patient Account Representative II

Valley Health Systems
02.2006 - 01.2011

Medicare Billing Specialist

HCA PAS
10.2003 - 02.2006

Admissions Rep/Unit Coordinator/Medical Biller

Healthsouth Hospital At Tenaya
08.2000 - 10.2003

Associates Degree - Business Administration

Davenport University

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