Shaina Byler
Apex,NC
Summary
Dedicated Medical Billing Specialist with 12+ years of experience in accurately processing medical claims, ensuring timely payment, and managing patient accounts. Adept at multitasking, problem-solving, and ensuring overall efficiency in a fast paced healthcare environment. Committed to maintaining patient confidentiality and delivering exceptional customer service.
Overview
13
13
years of professional experience
Work History
Senior Director of Clinical Administration
Renew Physiotherapy
Raleigh, NC
05.2022 - Current
- Management of 18 practice locations and 37 providers
- Managing all functions of the practice locations, including organization and planning of the services provided by the practice
- Coordinates the operation of day-to-day activities, and assures that quality, performance, and production standards are maintained
- Implementation of comprehensive programs to ensure delivery and management of efficient and financial responsible quality of care
- Responsible for planning, assigning, and directing work flow
- Participates in budgetary planning, implementation, and monitoring of financial aspects of the practice
- Oversaw compliance with billing, accounting procedures and financial requirements
- Responsible for patient scheduling and staff productivity
- Demonstrates excellent customer service skills when interacting with patients and insurance companies
- Demonstrates leadership in communication and teamwork
Practice Manager
B.E.S.T. Physical Therapy
Raleigh, NC
11.2020 - Current
- Management of 8 practice locations and 14 providers
- Oversaw all functions of the practice locations, including organization and planning of the services provided by the practice
- Coordinates the operation of day-to-day activities, and assures that quality, performance, and production standards are maintained
- Managed all authorizations
- Oversaw compliance with billing
- Responsible for patient scheduling and staff productivity
- Demonstrates excellent customer service skills when interacting with patients and insurance companies as well as communication and teamwork
Office Manager
Advanced Physical Therapy and Professional Massage
Raleigh, NC
04.2012 - 05.2020
- Greets patients as they arrive to clinic
- Obtains necessary demographic and insurance information
- Reconciles billing with kept appointments/procedure logs
- Identifies procedures and principal diagnosis performed on each patient and properly codes each procedure
- Provided administrative support to providers and interpret data to assign ICD-10
- Follows up, research, and correct all claim related denials or issues within an appropriate timeframe
- Managed all worker's compensation and insurance company authorizations
- Corresponded with lawyers and 3rd party insurance companies for all MVA patients
Education
High school or equivalent - General
Lake Norman High School
Mooresville, NC05.2008
Skills
- Medical Billing
- Practice Management
- CPT Coding
- Accounts Receivable
- Insurance Verification
- ICD-10
- Workers' Compensation
- EMR Systems
Timeline
Senior Director of Clinical Administration
Renew Physiotherapy
05.2022 - Current
Practice Manager
B.E.S.T. Physical Therapy
11.2020 - Current
Office Manager
Advanced Physical Therapy and Professional Massage
04.2012 - 05.2020
High school or equivalent - General
Lake Norman High School