Shameia Mills
Philadelphia,PA
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
10
10
years of professional experience
Work History
Financial Services Representative
University of Pennsylvania
Philadelphia, PA
10/26/23 - Current
- Responsible for rejections, edits, and accounts receivable for specific payer group(s) work queues as assigned.
- Initiates and coordinates follow-up activity on assigned accounts with the goal of maximizing reimbursement and ensuring timely cash flow.
- Resolves rejections related to, but not limited to, correction of registration, submission of documentation, acceptable Correct Coding Guidelines, timely filing, appeal reviews, verification of duplication claims, maximum benefits, rejections due to precertification/ authorization/referral, provider eligibility and other miscellaneous rejections.
- Demonstrates success by achieving acceptable collection rates and days in A/R for each type of insurance payer assigned. • Demonstrates success in completing target level or above averaged number of accounts per week.
- Demonstrates knowledge and ability to use third party carrier computerized inquiry systems.
- Uses worksheets from Microsoft Excel and Word.
- Initiates communication with patients and third party insurance representatives to resolve account balances and performs appropriate action in response to the inquiry.
- Calls Insurance Companies to verify details of enrollment, benefits and coverage for in-patient, outpatient and office procedures.
- Maintains updated knowledge and the use of CPUP EPIC APM billing system including, BAR, Registration, PCS, Scheduling and the SMS hospital systems to view account information.
- Researches and resolves missing charges.
- Maintains knowledge and ability to use SMS for entity EPIC APM, Navinet etc.
- Maintains current knowledge of third party carrier regulations.
- Non-essential Accountabilities • Maintain systems necessary for proper organization of work.
- Adapts to change(s) in workflow to meet the demands of the Department. Demonstrates adaptability by adjusting the workflow to meet current priorities.
- Provides back-up coverage for co-workers during absences.
- Ability to access accounts via automated systems and websites, UPHS Registration, Navinet, etc.
- Reports major insurance practice changes to supervisor as they occur.
- Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
- Other duties as assigned to support the unit, department, entity, and health system organiza
- Shared service model to include Orthopedics, Neurology and Rheumatology. Primary duties include viscosupplementation injection authorizations and scheduling in addition to managing referral reports and preregistration workqueues.
Patient Service Representative
HRSI (Crozer, Mercy FitzGerald)
Philadelphia, PA
09.2019 - 05.2023
- Greeted patients upon arrival and directed them to the appropriate area.
- Provided customer service by answering patient questions and addressing concerns.
- Verified insurance information, collected payments, and scheduled appointments.
- Assisted with the completion of medical forms and records.
- Maintained a clean and organized reception area.
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
- Inputted patient demographic data into electronic health record system.
- Scanned documents into electronic health record system as needed.
- Assisted with scheduling follow-up appointments according to provider availability.
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
- Scanned completed forms, identification and insurance cards, maintaining patient documents folder.
- Scheduled and confirmed patient appointments with patients and healthcare professionals.
- Scheduled patient appointments and procedures.
- Obtained insurance verification and authorization to submit financial clearance of patient accounts.
- Verified patients' insurance and payment methods during admissions or check-in processes.
Customer Support Representative
WSFS Bank
Philadelphia, PA
05.2019 - 03.2020
- Maintained an up-to-date knowledge of products and services offered by the company.
- Identified opportunities to improve customer experience and suggested changes accordingly.
- Processed refunds and credits when appropriate.
- Conducted follow-up calls to ensure customer satisfaction.
- Handled escalated customer service issues with professionalism and empathy.
- Followed established policies and procedures while providing excellent customer service.
- Performed administrative duties such as data entry, filing, and document preparation.
- Collaborated with other departments to resolve customer issues quickly.
Teller Supervisor/Customer Service Representative
PNC Bank
Philadelphia, PA
12.2013 - 12.2018
- Supervised team of Customer Service Representatives to ensure effective customer service and adherence to departmental policies.
- Resolved conflicts between customers and representatives when appropriate.
- Created weekly and monthly reports summarizing key performance indicators for management review.
- Delegated work to staff, setting priorities and goals.
- Balanced cash drawers on a daily basis.
- Verified customers' identification to ensure compliance with laws and regulations.
- Received and processed customer transactions, including deposits, withdrawals, loan payments and other banking services.
- Assisted customers in opening new accounts and completing required paperwork.
- Explained account information to customers in detail as needed.
- Cross-sold additional bank products when applicable to meet customer needs.
- Performed daily reconciliation of teller drawer within established limits.
- Maintained confidentiality of all customer records and information according to company policies.
- Continuously updated knowledge about banking products, services, policies and regulations.
- Maintained confidentiality of bank records and client information.
Education
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy - Clearwater
Clearwater, FL09.2018
High School Diploma -
Edward W. Bok Technical High School
Philadelphia, PA06.2005
Skills
- Medical Insurance
- Eligibility Determination
- HIPAA Compliance
- Patient Interviewing Skills
- Insurance Verification
- Customer Service
- Medical Filing
- Medicaid
- DPW/Compass, Navinet, Passport, Promise, Experian Health, Epic
- Data Entry
- Electronic Health Records
- Computer Skills
- Microsoft office (Word, Excel, Office)
Timeline
Patient Service Representative
HRSI (Crozer, Mercy FitzGerald)
09.2019 - 05.2023
Customer Support Representative
WSFS Bank
05.2019 - 03.2020
Teller Supervisor/Customer Service Representative
PNC Bank
12.2013 - 12.2018
Financial Services Representative
University of Pennsylvania
10/26/23 - Current
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy - Clearwater
High School Diploma -
Edward W. Bok Technical High School
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