Remittance Processing Specialist
SHAKEISHA HAMMONDS
MHRC
Jacksonville,FL
16
years of professional experience
Detail-oriented Medical Billing and Coding Specialist with over 10 years in healthcare operations, specializing in medical billing, claims processing, and revenue cycle management. Expertise in validating patient information, insurance coverage, and diagnosis codes to ensure compliance and accuracy. Experienced in payment reconciliation, accounts receivable, and denial resolution, delivering timely reimbursements while managing high-volume workloads.
Work History
Remittance Processing Specialist
2 Years 8 Months- Process and reconcile payments across multiple insurance payer types, ensuring accuracy and compliance with financial procedures.
- Posted insurance payments, adjustments, and contractual allowances in patient accounting system to ensure accurate financial records.
- Reconcile daily deposits, payment wires, and electronic remittance advice (ERA/EOB) transactions.
- Researched and resolved payment discrepancies, unapplied cash, and account variances to maintain financial integrity.
- Generated and analyzed reports on cash collections, denials, unbilled claims, and accounts receivable to support strategic financial decisions.
- Maintain accurate financial records and support month-end accounting and reconciliation processes.
Medical Billing Specialist
1 Year 11 Months- Monitored claims, collections, denials, and outstanding insurance balances to ensure timely resolution and minimize financial discrepancies.
- Processed claims and posted payments within the patient accounting system.
- Maintained accurate records of cash collections and account reconciliations.
- Communicated with insurance carriers to resolve billing issues, expediting reimbursement timelines and enhancing cash flow.
- Verified and updated patient demographics and insurance information.
- Assigned appropriate medical codes and reviewed billing information for accuracy.
- Collaborated with physicians and administrative staff to verify documentation and coding accuracy, ensuring compliance and reducing errors.
Medical Billing Specialist
2 Years 2 Months- Oversaw insurance claims processing, payment posting, and revenue cycle reporting to ensure accurate revenue collection.
- Verified patient insurance benefits and secured authorizations for medical services, facilitating timely patient care.
- Communicated with insurance companies to research claim denials and resolve billing discrepancies.
- Managed insurance claims processing, payment posting, and revenue cycle reporting.
- Investigated claim denials and resolved billing discrepancies through effective communication with insurance companies, enhancing claims approval rates.
- Completed provider credentialing and re-credentialing applications and follow-ups.
Client Service Representative
1 Year 11 Months- Managed billing records, financial reports, and patient account documentation to ensure accurate financial tracking.
- Assisted with patient account inquiries and billing-related issues.
- Maintained billing records, financial reports, and patient account documentation.
- Resolved patient account inquiries and billing-related issues, enhancing patient satisfaction and trust in services.
Medical Coding Specialist
3 Years 3 Months- Audited medical records for compliance with insurance and regulatory requirements, ensuring accuracy in coding.
- Verified diagnosis codes and reconciled services rendered to maintain billing integrity.
- Reviewed medical documentation for coding and billing accuracy.
- Processed insurance claims and managed patient payments.
- Processed insurance claims and managed patient payments to facilitate timely reimbursements.
- Followed up on outstanding accounts to reduce unpaid balances.
Medical Coding Specialist
1 Year 4 Months- Submitted CMS-1500 insurance claim forms and resolved billing inquiries to facilitate timely reimbursements.
- Submitted CMS-1500 insurance claim forms and handled billing inquiries.
- Verified insurance coverage and maintained accurate patient records.
- Assisted with medical billing, coding, and insurance documentation to ensure compliance and accuracy.
Education
Associate of Science - Health Administration
Certificate - Medical Billing and Coding
Skills
Insurance Claims Processing
Payment reconciliation
Accounts Receivable Management
Denial resolution
Patient Account Management
Verification and authorization
Remittance advice
CMS-1500 Claim Forms
Medical Billing and Coding (ICD-9
ICD-10
CPT)
Healthcare Revenue Cycle Management
Billing Software
EHR Systems
Compliance documentation
Timeline
Remittance Processing Specialist
MHRC
03.2024 - CurrentRead More
Medical Billing Specialist
1st Step
04.2022 - 03.2024Read More
Medical Billing Specialist
Exact Billing Solutions
04.2020 - 06.2022Read More
Client Service Representative
TeamHealth
04.2018 - 03.2020Read More
Medical Coding Specialist
Intercare Clinic (Dr. Humaira Khan, MD)
10.2013 - 01.2017Read More
Medical Coding Specialist
Dr. Raheel Bengali, MD
09.2010 - 01.2012Read More
Everest College
Certificate from Medical Billing and Coding
Read More
Florida Career College
Associate of Science from Health Administration
Read More