Shalyce Johnson
New York
Summary
Detail-oriented professional skilled in accurate claims processing and data accuracy. Experience in training staff and resolving billing discrepancies has led to improved patient satisfaction and compliance with industry standards.
Overview
6
6
years of professional experience
1
1
year of post-secondary education
Work History
Medical Biller Supervisor
Femmpro OBGYN
New York
06.2023 - 09.2025
- Oversaw the medical billing department, ensuring accurate submission and follow-up on claims to maximize reimbursement rates.
- Developed and implemented training programs for staff to enhance knowledge of billing procedures and compliance regulations.
- Collaborated with healthcare providers to resolve billing discrepancies and improve overall patient satisfaction.
- Monitored key performance indicators, achieving a 15% reduction in claim denials through targeted process improvements.
- Conducted regular audits of billing practices to ensure compliance with industry standards and regulations.
Medical Biller
City MD
New York
03.2020 - 12.2022
- Accurately processed and submitted Medicaid, Medicare, and commercial insurance claims using ePACES and other billing portals.
- Verified eligibility, authorization, and waiver codes (including Code 60) to ensure claims were compliant and billable.
- Reviewed, corrected, and resubmitted denied or rejected claims, resolving errors related to coding, dates of service, and client information.
- Communicated with service coordinators, providers, and supervisory staff to obtain missing documentation and resolve billing discrepancies.
- Ensured accuracy by cross-checking claim data, remittances, and system entries prior to submission.
Education
Graduate Certificate - Office Administration With Billing And Coding
Hunter Business School
Levittown, NY, United States 11.2024 - 06.2025
High School Diploma -
Academy Of Medical Technology
Queens, United StatesSkills
- Customer service
- Problem-solving
- Communication skills
- Attention to detail
- Claims management
- Claim submission
- Billing software
- Billing discrepancies
- Data accuracy
- Staff training
Hobbies and Interests
I am passionate about healthcare administration and enjoy working with medical billing systems, data entry, and Excel to keep information accurate and organized. I'm detail-oriented and interested in problem-solving, researching billing issues, and improving workflow processes. I also enjoy learning new software, collaborating with teams, and staying updated on healthcare billing guidelines. Outside of work, I'm committed to personal development, community service, and maintaining a balanced, wellness-focused lifestyle.
Timeline
Graduate Certificate - Office Administration With Billing And Coding
Hunter Business School
11.2024 - 06.2025
Medical Biller Supervisor
Femmpro OBGYN
06.2023 - 09.2025
Medical Biller
City MD
03.2020 - 12.2022
High School Diploma -
Academy Of Medical Technology