Summary
Overview
Work History
Education
Skills
Certification
Timeline
CustomerServiceRepresentative

SHALISA MEDLOCK

Inpatient Coder
Denton,TX

Summary

Experienced Collections Specialist bringing 15-years of success in Revenue Cycle & Collections positions. Eager to take on new role with long-term growth and advancement potential. Dynamic problem solver with first-rate skills in building relationships and resolving problems.

Overview

5
5
years of professional experience
1
1
Certification

Work History

Billing/Collections

Home Care Home
04.2020 - Current
  • Monitored accounts for compliance with established payment plans and flagged non-compliances
  • Researched, analyzed and settled 30-40 disputes per day
  • Researched accounts and completed due diligence to resolve collection problems
  • Delivered exceptional customer service on collection calls and maintained calm and professional demeanor

Aveanna Healthcare Payer Collections/Denials
07.2019 - 04.2020
  • Reviewed, research and resolve coding issues
  • Contacted payers regarding appeals and reimbursement
  • Knowledge of carrier specific claims
  • Made necessary adjustments as required by plan reimbursement
  • Resubmitted Corrected claims
  • Uploaded batches for billing

New Patient Scheduler

Advanced Pain Solutions
09.2018 - 07.2019
  • Verified insurance by phone and online
  • Coordinate patient files for provider review
  • Ran Daily patient Stat reports
  • Schedule patients via E-Clinicals

Denials Specialist II

University of Texas Southwestern Medical Center Clinical
12.2016 - 09.2018
  • Review, research and resolve coding issues
  • Contact payers regarding reimbursement
  • Knowledge of carrier specific claims
  • Full Revenue Cycle Billing

Education

Billing & Coding Diploma - Medical Insurance Coding

Bryan & Stratton University
New York, NY
03.2022

Skills

  • Medical Billing and Collections
  • Filing Appeals
  • Account Adjustment
  • Vital Signs Measurement
  • Patient Relations
  • Collection Processes
  • Word Processing
  • Diagnostic Codes
  • Organizational Skills
  • Accounts Payable and Accounts Receivable
  • Account Resolutions
  • Patient Account Reviews

Certification

  • Certified Certified Coding Associate Certificate, AHIMA - 3/2022

Timeline

Billing/Collections

Home Care Home
04.2020 - Current

Aveanna Healthcare Payer Collections/Denials
07.2019 - 04.2020

New Patient Scheduler

Advanced Pain Solutions
09.2018 - 07.2019

Denials Specialist II

University of Texas Southwestern Medical Center Clinical
12.2016 - 09.2018

Billing & Coding Diploma - Medical Insurance Coding

Bryan & Stratton University
SHALISA MEDLOCKInpatient Coder