SHALYCE JOHNSON
Pittsburgh,PA
Summary
Highly experienced and detail-oriented medical biller with over 3 years of experience in managing billing operations, ensuring accurate coding, and maximizing reimbursements for healthcare providers. Proficient in various medical billing software and well-versed in ICD-10, CPT, and HCPCS coding systems. Proven track record of improving revenue cycle management and maintaining strong relationships with insurance companies and healthcare providers.
Overview
3
3
years of professional experience
Work History
Medical Biller
HealthFirst Medical Group
08.2022 - 02.2024
- Manage billing operations for multi-specialty medical group with 25+ providers serving thousands of patients.
- Ensure accurate and timely submission of claims to private insurance companies, Medicare, and Medicaid.
- Resolve complex billing issues and manage appeals process to reverse denial of payment decisions.
- Train and supervise a team of five medical billers on policies, processes, and procedures.
- Implemented new billing software, resulting in 20% increase in reimbursements.
Medical receptionist
Long island healthcare pediatric
12.2020 - 08.2022
- Ensured HIPAA compliance by maintaining patient confidentiality.
- Maintained a well-stocked reception area, ensuring patients were comfortable throughout their visits.
- Answered incoming calls promptly, accurately responding to inquiries and directing calls to the appropriate personnel.
- Answered patient inquiries, providing accurate and timely information.
- Resolved patient complaints in a timely and professional manner.
- Processed insurance claims and reimbursement paperwork, ensuring accurate and timely payment.
Education
Medical Office Administration with Billing and Coding Diploma - undefined
Hunter Business school
Levittown03.2025
Skills
- Medical Billing Software
- ICD-10, CPT & HCPCS Coding Systems
- Medical Terminology
- Denials & Appeals
- Electronic Health Records (EHR) / Electronic Medical Records (EMR)
- Private Insurance Plans
- Medicare & Medicaid
- Reimbursement Procedures
- HIPAA Compliance
- Communication Skills
- Problem-Solving
Timeline
Medical Biller
HealthFirst Medical Group
08.2022 - 02.2024
Medical receptionist
Long island healthcare pediatric
12.2020 - 08.2022
Medical Office Administration with Billing and Coding Diploma - undefined
Hunter Business school