Shalva Moore
Dallas,TX
Summary
Enthusiastic and quick-learning AR/Billing/ Collection with 15 years' experience in a healthcare environment demonstrating strong clerical management skills and noteworthy medical coding knowledge. Possess track record of submitting accurate claims in a timely manner. Work positively and professionally at all times and provide exceptional customer relations skills.
Overview
23
23
years of professional experience
Work History
Medical Biller/Office Assistant
ID Specialists, P.A.
01.2017 - Current
- Pulled charts and filed for entire week's schedule
- Scheduled new and reoccurring appointments
- Provided customer service by phone and in person, screen calls, messages taken, directed calls to appropriate individuals or Doctors, paged Doctors for variety of Hospital Facilities
- Entered pertinent patient's data and insurance information into Lytec system
- Submitted and billed hospital claims, office visit for all 7 Physicians
- Facilitate patient check-in, collected copays, set up patient on patient portal, showed patient to room, administrated vitals
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
Medical Billing Specialist
DKing Consulting, Inc
06.2015 - 01.2017
- Performed full-cycle medical billing in a fast paced company
- Promoted continued by evaluating provider charges, including date of services, procedures of care, locations, diagnoses, patient identification, and provider signatures
- Accurate apply payments to patients accounts
- Monthly processing of Patients statements
- Answer and resolve patient billing inquires
Specialist Rev Cycle
CCS Medical
11.2013 - 01.2015
- Entered ADR into Tracker, faxed medical records request to doctor office
- Follow up with doctor office on fax request for Medical Records
- Printed medical records for DOCS team
- Collected, arranged, and input information into database system.
Medical Biller
Dr.Kutnikar
11.2009 - 05.2012
- Billed behavioral health, home health claims, processed and setup payment arrangements
- Work front in & back office filed, scanned patients charts into EMR system
- Worked A/R reports over 90 days from a report
- Posted insurance payment to accounts
- Called on claims status
- Work denial EOB's
CSR/Biller
Accurate Medical Equipment
03.2008 - 10.2009
- Responsible for the auditing process to deliver DME equipment while collaborating effectively with a multifunctional team
- Confirm demographics and insurance are verified correctly to ensure delivery and establish co-pays
- Review all patient documentation to ensure that diagnoses and medical documentation supports why equipment is needed
- Ensure that all paperwork is obtained in a timely manner after delivery for timely filing
Medical Biller/Collector
J&K Professional Medical Services
08.2002 - 12.2006
- Billed third party medical insurance claims to various insurance companies, for payment
- Added or change CPT/DX codes when updated and/ or applicable
- Called on claims status
- Contacted patient if needed
- Handle bulk mailed& special project in a call center environment
Education
Iverson Business School Inc
Skills
- Medical Billing
- Medical Insurance
- DME
- Medical Coding
- Accounts Receivable
- Collections
- Billing
- Filing
- Receptionist
- Claims
- Insurance verification
- CPT knowledge
- Insurance billing
- Medical billing
- Payment posting
- ICD-10
- Insurance claims
- Electronic claims
Additional Information
General offices duties, fast learner, effective listening, oral & written Communication., Finances, several awards, merits, and completion certificates received., Medical terminology, Internet Research, computerized billing software (I.e. Allegra, Brightree, Eclinical, Epic Citrix, IDX, HBOC, Meditech, Patron, Lytec and ClaimMD)
Languages
English
Timeline
Medical Biller/Office Assistant
ID Specialists, P.A.
01.2017 - Current
Medical Billing Specialist
DKing Consulting, Inc
06.2015 - 01.2017
Specialist Rev Cycle
CCS Medical
11.2013 - 01.2015
Medical Biller
Dr.Kutnikar
11.2009 - 05.2012
CSR/Biller
Accurate Medical Equipment
03.2008 - 10.2009
Medical Biller/Collector
J&K Professional Medical Services
08.2002 - 12.2006
Iverson Business School Inc
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