Shadell Unamba Dunham
Melbourne
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
13
13
years of professional experience
Work History
PSC/Authorizations Coordinator
Cora Physical Therapy
01.2023 - Current
- Recognized for consistently achieving high levels of accuracy in processing complex authorization requests under tight deadlines.
- Submitted for prior authorization with required documentation to appropriate funding source.
- Managed high-volume caseloads, prioritizing urgent requests to ensure prompt service delivery.
- Expedited approval process by developing strong relationships with insurance companies and key stakeholders.
- Maintained accurate records of all authorization requests, ensuring timely follow-up and resolution.
- Maintained consistent follow-up on status of prior authorization requests.
- Skilled at working independently and collaboratively in a team environment.
Billing Assistant
Fogarty Chiropractic Life Clinic
10.2021 - 01.2023
- Used data entry skills to accurately document and input statements.
- Maintained accurate records of customer payments.
- Audited and corrected billing and posting documents for accuracy.
- Produced and mailed invoices, payment reminders, and financial notices.
- Improved billing accuracy by diligently reviewing and verifying invoice data before submission.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Monitored outstanding invoices and performed collections duties.
- Handled account payments and provided information regarding outstanding balances.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Worked effectively in fast-paced environments.
- Reduced errors in billing documentation by implementing a thorough double-check system.
- Utilized various software programs to process customer payments.
Assistant Business Office Manager
Avante Group
01.2018 - 10.2021
- Record daily collection of cash receipts and deposit to appropriate accounts
- Prepare deposits, posting entries in the accounting system
- Establish and maintain communication with resident, family members and others responsible for payment for resident care services
- Assure all are kept current about account status
- Analyze account activity and prepare interest calculation and summary reports
- Generate timely billing of payor classes
- Responsible for the generation and submission of all network and insurance, claims, statements on a timely basis
- Produce UB04’s for all Medicare and contract resident as well as for Medicare demand billings
- Run Medicaid, Medicare, and Managed Care eligibility
- Complete month end close in a timely manner
- Keep up to date with current provider/pay status
- Adhere to established reporting procedures to ensure that the numbers balance
- Maintain current and accurate computer data
Billing Specialist
Segos Home Medical Equipment
11.2016 - 12.2018
- Verified accuracy of billing data and revised any errors
- Arranged for debt repayment
- Received payments and posted amounts paid to accounts
- Contacted insurance companies to check on claim status
- File Appeals
- Reviewed records for completeness, accuracy, and compliance with regulations
- Transcribed medical reports
- Posted payments and remits for billing
- Identified, compiled, and coded patient data, using standard classification systems
Billing Coordinator/Front Office Admin.
Titusville Chiropractic & Injury Center
01.2013 - 01.2015
- Researched and resolved billing discrepancies to enable accurate billing.
- Utilized various software programs to process customer payments.
- Completed appeals of denied claims on patient bills.
- Audited and corrected billing and posting documents for accuracy.
- Used data entry skills to accurately document and input statements.
- Updated documentation, reports, and spreadsheets with financial information.
- Coordinated with clients to resolve outstanding balances, resulting in a higher percentage of on-time payments.
- Kept vendor files accurate and up-to-date to expedite payment processing.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Organized accounts for financial audits and supported audit process.
- Monitored accounts receivable aging reports, identifying trends and proactively addressing potential collection issues.
- Handled account payments and provided information regarding outstanding balances.
- Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
Clinical Assistant
Waypoint Home Healthcare
10.2011 - 12.2013
- Help train and assist new hire employees
- Coordinate schedules for Nurses, LPN, Physical therapist, Occupational therapist, CNA, HHA'S
- Help provide adequate staffing for weekly meetings, and patient if needed doctor appointments
- Register Patients
- Triage
- Provide ongoing world class customer service by treating the patients with professionalism and compassion
Education
Associates Degree -
Eastern Florida State College
CNA License - Patient Care Technician, CNA
Casel Healthcare
Melbourne, FLHighschool Diploma - High school Diploma Class of 2007
Space Coast High
Port St. John, FL01.2007
Skills
- Scheduling
- General Office Skills
- Customer Service
- Insurance Billing
- Data Entry
- Accounts Receivable
- Accounts Payable
- Medical Coding
- Office Support
- Create Spreadsheet for Schedule
- Microsoft Word, Microsoft Excel
- Microsoft PowerPoint, Microsoft Access, Microsoft Outlook
- Healthcare regulations
- Attention to detail
- Payment collection
Certificationsandlicense
License, CNA249902
Notary of Public no. 1335700
References
References are available on request.
Timeline
PSC/Authorizations Coordinator
Cora Physical Therapy
01.2023 - Current
Billing Assistant
Fogarty Chiropractic Life Clinic
10.2021 - 01.2023
Assistant Business Office Manager
Avante Group
01.2018 - 10.2021
Billing Specialist
Segos Home Medical Equipment
11.2016 - 12.2018
Billing Coordinator/Front Office Admin.
Titusville Chiropractic & Injury Center
01.2013 - 01.2015
Clinical Assistant
Waypoint Home Healthcare
10.2011 - 12.2013
CNA License - Patient Care Technician, CNA
Casel Healthcare
Highschool Diploma - High school Diploma Class of 2007
Space Coast High
Associates Degree -
Eastern Florida State College
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