Shamonica Cannon
La Grange,GA
Summary
With over 15 years of experience in accounts receivable and billing functions, this efficient Billing Coordinator and Insurance Follow-up Specialist excels in collections and claims procedures. Expertise lies in handling billing and collection on claims payments. Skilled in providing exceptional customer service, resolves customer complaints and addresses claim queries utilizing strong communication skills.
Overview
16
16
years of professional experience
Work History
insurance billing specialist/billing coordinator
Trubridge
01.2010 - Current
- Verified health insurance benefits to ensure coverage and eligibility prior to claim submissions
- Identify and resolve all outstanding issues preventing claim resolution
- Communicate with patients, hospital staff and insurance companies to resolve patient accounts
- Answer patient incoming calls regarding insurance denials and statements
- Initiate appeals on denied hospital claims requiring research for claim resolution
- Claim adjustments
- Zero pay posting
- Work with management on a weekly basis to provide issues found regarding denials or billing issues and trends
- Identify and/or correct any COB benefit problems
- Identify authorizations, cash posting and registration errors on patient accounts
- Submit unbilled claims after verifying and clearing claims edits
- Correct errors within billing guidelines that may prevent claims from being submitted using electronic software
- Set up payment arrangements
- Review and grade other follow-up representatives call monitoring and claims to determine if guidelines were followed based on hospital and company HIPAA compliance
- Assist team in billing questions, edits and claim issues
- Train new hires based on company guidelines
- Evaluate department performance and make recommendations accordingly
Call center representative
AEROTEK
06.2009 - 01.2010
- Answered incoming calls and made outbound calls on patient accounts
- Advised patients of outstanding claims balances after insurance payments
- Set up payment arrangements based on hospital guidelines and limitations
- Sent out billing statements based on patient billing cycles
- Received and processed credit card payments
Education
associate degree - Medical Billing And Office Administration
West Georgia Technical College
La Grange, GA10.2010
Skills
- Team Development
- RCM
- Medicare
- Medicare Managed Care Plans
- DDE FISS system
- Medicaid
- Commercial Payers
- Type 35 WPM
- Excel
- Excellent organizational skills
- Strong attention to detail
- Data Entry
- Excellent communication
- Organizational skills
- Customer service support
- Verbal and written communication
- Adaptability and flexibility
- Decision-making
- Relationship building
- Microsoft office
- Medical billing software proficiency
- HIPAA compliance
- HCPCS coding
- ICD-10 knowledge
- Claim submission
- Insurance verification
- Denial management
- Teamwork
- Payment posting
- Customer service
- Problem-solving
- Attention to detail
- Reliability
Timeline
insurance billing specialist/billing coordinator
Trubridge
01.2010 - Current
Call center representative
AEROTEK
06.2009 - 01.2010
associate degree - Medical Billing And Office Administration
West Georgia Technical College
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