Shamya Wright
Healthcare
Cedar Hill,TX
Summary
Knowledgeable and trust-worthy Healthcare professional seeking a challenging and rewarding position. Allowing me to enhance and utilize my skills in data analysis, medical billing, collecting, and effective communication. Outstanding problem solving and self-motivation skills with multitasking abilities.
Results-oriented professional with extensive experience in eligibility determination and client assessment. Proven track record of accurately processing applications and maintaining compliance with policies. Known for collaborative efforts, reliability, and adaptability in dynamic settings.
Overview
25
25
years of professional experience
Work History
Eligibility Advisor
State Of Texas - Health And Human Services Commission
Grand Prairie, TX
08.2025 - Current
- Conducted eligibility assessments for various health and human service programs.
- Reviewed and verified client information to ensure compliance with state regulations.
- Implemented process improvements to enhance accuracy in eligibility determinations.
- Resolved discrepancies with client applications to verify eligibility.
- Ensured compliance with local, state, and federal regulations during all phases of the eligibility determination process.
Billing Team Lead
Accommodating Healthcare Services
Fort Worth, TX
08.2023 - 07.2024
- Led billing team to ensure timely invoicing and collections processes.
- Streamlined billing operations, resulting in improved accuracy and reduced discrepancies.
- Mentored staff on best practices for client account management and dispute resolution.
- Developed training materials to enhance team understanding of billing software systems.
- Implemented process improvements that increased operational efficiency within the team.
- Collaborated with cross-functional teams to resolve complex billing issues effectively.
Management Analyst II
State Of Arizona
Phoenix, AZ
01.2017 - 09.2022
- Analyzed monthly encounter processing results for the Contractors and identified areas of potential risk and opportunities for improvement.
- Processed Contractors override requests, tracked and prioritized Reinsurance related request and completed in a timely manner.
- Provided clear communication and worked to resolve Encounter issues that arise to find appropriate solutions.
- Collect, monitor, and analyzed the Contractors quarterly encounter deliverables.
- Coordinated Encounters Meeting with all Contractors, working with internal staff to ensure notifications, scheduling, room set-up, and meeting materials are accurate and timely.
Revenue Cycle Specialist/Collector
Phoenix Children’s Hospital
Phoenix, AZ
04.2012 - 01.2017
- Used medical terms, coding techniques and HCFA guidelines as well as Medicare, Medicaid, and Commercial payers billing standards and policies.
- Demonstrated knowledge of healthcare revenue cycle, medical billing and collection practices to bring down A/R.
- Worked high dollar hospital claims $50,000 and up.
- Resolved claim denials while working A/R trends above 60 days to 366 days plus.
- Contributed to meeting monthly collection goals which were always met and/or exceeded.
- Acted as a team player/liaison for other departments by helping with their workload when able.
- Increased revenue by identifying and resolving billing errors in a timely manner.
A/R Representative
Next Care Urgent Care
Mesa, AZ
09.2010 - 04.2012
- Answer correspondence from insurance companies and patient requests.
- Reviewed denials for coding, demographic coverage issues while using time management skills.
- Responsible for legal aspects of patient and insurance collections.
- Handled large volume of inpatient calls concerning billing statements.
- Worked all government and commercial payer groups, involving claims & denials.
Patient Account Representative
University of Iowa Hospitals & Clinics
Iowa City, IA
11.2002 - 07.2010
- Communicate regularly with the Business Office Department, addressing strategies and concerns about A/R, as well as setting goals and discussing trends.
- Submitted medical claims for oral pathology physicians using electronic submission software, PCAP on weekly basis.
- Amended biopsy and pathology reports using Telcor system.
- Applied and set up payment plans according to the business office policies.
Office Manager/Coordinator
Healthcare Information Services
Chicago, ILL
01.2001 - 11.2002
- Monitored to make sure that practices were in compliance with revenue cycle procedures.
- Ensured that all medical claims and documents fall within state and federal regulations.
- Remarkable experience of appointment scheduling and using IDX charge entry.
- Reviewed medical charts to confirm diagnosis and subsequent procedures.
Education
Bachelor of Science - Health Care Administration
University of Grand Canyon
Phoenix, AZ03-2027
Diploma - Business Administration
Jones Metropolitan High School
Chicago, ILL05.1990
Skills
- Medical Terminology
- Medical Billing
- Medical Coding
- 60 WPM
- ICD-9/CPT
- Insurance Collections
- Claims Processing
- HIPAA & JCAHO
- Effective communication skills
- Microsoft office
- Problem-solving
- Telephone etiquette
Timeline
Eligibility Advisor
State Of Texas - Health And Human Services Commission
08.2025 - Current
Billing Team Lead
Accommodating Healthcare Services
08.2023 - 07.2024
Management Analyst II
State Of Arizona
01.2017 - 09.2022
Revenue Cycle Specialist/Collector
Phoenix Children’s Hospital
04.2012 - 01.2017
A/R Representative
Next Care Urgent Care
09.2010 - 04.2012
Patient Account Representative
University of Iowa Hospitals & Clinics
11.2002 - 07.2010
Office Manager/Coordinator
Healthcare Information Services
01.2001 - 11.2002
Diploma - Business Administration
Jones Metropolitan High School
Bachelor of Science - Health Care Administration
University of Grand Canyon