Shakeita Baker

• Maintained a clean and organized workspace, promoting a welcoming environment for customers.
• Handled high-pressure situations calmly, maintaining composure during busy periods or difficult interactions.
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
• Processed customer orders and accurately handled payment transactions.
• Resolved customer complaints with professionalism and empathy, resulting in increased customer loyalty.
• Met customer service goals and exceeded customer expectations.
• Promoted a positive shopping experience by greeting customers warmly upon entry and providing assistance as needed.
• Developed and managed relationships with customers to increase customer loyalty.
• Enhanced customer satisfaction by efficiently handling transactions and addressing inquiries.
• Answered product questions using knowledge of sales and store promotions.
• Assisted in training new employees, ensuring they were knowledgeable about company policies and procedures.
• Utilized POS system to handle customer cash and credit card transactions.

• Input financial data and produced reports using [Software].
• Supported month-end closing process by preparing journal entries, account reconciliations, and variance analysis reports.
• Assisted auditors during annual audits, providing necessary documentation and addressing inquiries promptly.
• Increased efficiency in accounts payable and receivable management, reducing processing time and minimizing errors.
• Insured provider(s) credentials were up to date i.e. state licensure, malpractice insurance was current.
• Confirmed and re-enrolled in insurance plan(s).
• Confirmed out of network vs. in network enrollment.

• Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
• Inbound patient calls
• Insurance verification via carrier site(s), Availity
• Made necessary outbound call for verification of residency, income house hold status.
• Posted and accepted credit card and electronic check payments.
• Updated demographics.
• Discussed financial obligations and re-payment options.
• Reviewed surgical CPT and diagnosis code(s) for correct reimbursement from insurance carrier(s).
• Obtained referral(s/authorization(s) for upcoming surgical procedure(s), labs, office visit(s).
• Enhanced patient satisfaction by effectively explaining financial options and answering billing inquiries.
• Negotiated payment plans with patients, maintaining a high rate of successful payments.
• Developed strong relationships with insurance providers, facilitating prompt resolution of claim issues and disputes.
• Provided compassionate assistance to financially challenged patients, identifying potential sources of funding or discounts when applicable.
• Improved cash flow by proactively monitoring aging accounts receivables and implementing effective collection strategies.
• Conducted thorough audits of patient accounts to identify discrepancies and prevent potential revenue loss.
• Leveraged advanced problem-solving skills to address complex cases involving multiple payers or coordination of benefits.
• Assisted in the development of new policies and procedures to improve overall patient financial experience.
• Developed customized payment solutions based on individual patient needs, promoting long-term account sustainability.
• Maintained up-to-date knowledge on evolving healthcare regulations, sharing insights with colleagues for continuous improvement.
• Facilitated timely resolution of outstanding balances by connecting patients with appropriate resources and support.
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*Corporate specialty billing and collections for Hip Preservation, Shoulder Center, Spine Center, Palliative Care and Transplant Services.

*Assisted colleagues during peak periods or absences,

showcasing teamwork skills while maintaining personal workload demands efficiently.

• Posted payments and processed refunds.
• Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
• Worked with outside entities to resolve issues with billing, claims, and payments.
• Appealed denied or under paid claim(s).
• Requested via EPIC medical supportive documentation for review of accurate coding.
• Confirmed correct NPI's for group and individual specialty provider(s).

* Insurance verification

* Verify and updated patient demographics.

* Reviewed and prepared bad debt spreadsheets for office manager review for collection agency placement and/or bad debt write-off.

* Set-up payment arrangements

• Posted payments and processed refunds.
• Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
• Worked with outside entities to resolve issues with billing, claims, and payments.
• Facilitated smooth communications between patients, providers, and insurers, fostering an atmosphere of trust and collaboration.
• Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
• Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
• Electronically submitted bills according to compliance guidelines.
• Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
• Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
• Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
• Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
• Prepared reports detailing billing actions, flags, and other key information.
• Responded to patient, family, and external payer inquiries.

• Examined claims forms and other records to determine insurance coverage.
• Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
• Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
• Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
• Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
• Verified accepted injuries.
• Audited and billed internal Baylor employees workers compensation claims.
• Demonstrated excellent communication skills when interacting with patients, case managers, peer review teams and other adjuster(s).
• Liaison between claimants and adjuster with regards to accepted injuries.
• Appealed with supportive documentation for descriptive and intricate catastrophic medical injury claims. That included x-rays, ct/cat/mri imagery
• Verification of providers(s), group enrollment with various in-network plan(s) in various states for agreed contract reimbursement.