Shajuanda Burrow
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
15
15
years of professional experience
Work History
Revenue Cycle Specialist
Atlantic Vision Partners
02.2022 - Current
- Reached out to insurance companies to verify coverage.
- Balanced and reconciled accounts.
- Identified and resolved payment issues between patients and providers.
- Generated receivables reports and offered improvement recommendations.
- Contacted responsible parties for past due debts.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Compiled and tracked outstanding balances owed to medical facilities.
- Corrected, completed and processed claims for multiple payer codes.
- Processed online and paper appeal submissions and refund requests.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Submitted electronic/paper claims documentation for timely filing.
- Reviewed provider coding information to report services and verify correctness.
- Answered telephone calls to schedule eye exams and answer pre-screening questions or inquiries.
Schegistrar
VCU Health System
08.2018 - 02.2022
- Responsible for scheduling, registering, verifying pre-authorization and referrals are on file
- Confirmed and maintained patient diagnostic appointments, surgeries and/or medical consultations for VCU
- Accurately obtained required information for hospital and physician records, governmental requirements, billing and third-party payer needs
- Provided courteous and efficient services to patients and accurately documents/verifies patient pre- registration information in a professional and timely manner with the care team
- Gathered demographic and insurance information to register patients for medical appointments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
Sr. Risk Coordinator
Capital One
09.2010 - 08.2018
- Responsible for escalated collections calls, customer disputes, reconciliation of customer problems
- Effectively resolved open items by negotiating settlements, submitting adjustments, providing additional information
- Arranged for debt repayment or establish repayment schedules, based on customers' financial situations.
- Advised customers of necessary actions and strategies for debt repayment.
- Located and monitor overdue accounts, using computers and a variety of automated systems
- Recorded information about financial status of customers and status of collection efforts
- Resolved customers' service or billing complaints by performing activities such as refunding money, or adjusting bills
- Investigated missing checks, misapplied payments, payment histories, held funds, returned checks, or other related issues to resolve client or creditor problems
- Received payment by check, credit cards, gift cards or automatic debits
- Issued receipts, refunds, credits, or change due to customers.
Customer Service Specialist
Vangent
08.2008 - 08.2010
- Centers for Medicare & Medicaid Services
- Provided timely responses to telephone inquiries in a courteous and professional manner, using pre-scripted responses
- Followed policies and standard operating procedures such as filling out timesheets, adhering to privacy and HIPAA rules
- Utilized standard technology such as telephone, e-mail, and web browser to perform job duties
- Assisted caller(s) with filling out online applications and submitting electronically to plan provider for processing
- Completed basic call log related to the phone inquiries such as clicking radio buttons to confirm which scripts were read to the caller
- Referred calls as required to CSR Lead
- Maintained up-to-date knowledge of client regulations and policies
- Reported problems that occur via the online system so they can be addressed by the appropriate parties
Education
High School Diploma -
Matoaca High School
Chester, VA06.2007
Skills
- Debt Collection Procedures
- Word Processing
- Deals Execution
- Mail Sorting and Correspondence
- Process Payments
- Negotiation and Resolution
Timeline
Revenue Cycle Specialist
Atlantic Vision Partners
02.2022 - Current
Schegistrar
VCU Health System
08.2018 - 02.2022
Sr. Risk Coordinator
Capital One
09.2010 - 08.2018
Customer Service Specialist
Vangent
08.2008 - 08.2010
High School Diploma -
Matoaca High School
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