Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
BusinessAnalyst

Shana Huckabee

Columbus,OH

Summary

Dynamic professional with a proven track record working remotely, excelling in reimbursement and Insurance processes and relationship building. Recognized for enhancing team output and maximizing claims payments through meticulous documentation and effective communication. Adept at time management and fostering supportive environments, ensuring compliance and optimizing operational efficiency. Additionally, having an extended history of working with little supervision resulting in excellent and accurate output, client relations and team building. Transitioning from healthcare environment with focus on accuracy and efficiency to more client focused operations. Developed skills in managing complex interpersonal situations and resolving conflict. Seeking to apply these transferrable skills in new role within dynamic and challenging environment. Adaptable and analytical with strong aptitude for managing financial data and resolving discrepancies. Knowledge of insurance claims processing and proficient in data entry and medical billing software. Committed to ensuring accurate reimbursement processes and improving financial operations. Experienced with managing reimbursement processes and resolving billing issues. Utilizes analytical skills and attention to detail to optimize reimbursement strategies and ensure compliance. Knowledge of industry standards and effective communication enhances process efficiency and accuracy. Proven ability to manage complex billing systems, ensure compliance, and maximize revenue recovery. Skills include claims processing, coding, payer relations, and problem-solving. Reliable and responsive to evolving needs in fast-paced environments. Detail-oriented with an understanding of bookkeeping principles and customer service. Experienced in developing and managing efficient billing and payment posting processes. Considered focused and organized. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Proactive and goal-oriented professional known for reliability with swift capacity to apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm. Offering a foundation in financial data management and quick learner eager to excel in healthcare reimbursement environment. Delivers foundational understanding of insurance claims processes and proficiency in data entry. Ready to use and develop analytical skills and attention to detail in this role. Efficient Accounts Receivable and payment posting. Competent in keeping records accurate and current and proactively managing account problems. Excellent customer relations skills combined with analytical approach to handling routine and complex delays.

Overview

11
11
years of professional experience

Work History

Resident Assistant

Cornerstone Project
12.2021 - 11.2024
  • Offered assistance to people experiencing withdrawal issues due to drug addiction.
  • Participated actively in discussions focused on residents' medication needs at monthly meetings.
  • Mediated discussions to resolve client conflicts.
  • Strengthened harmony within the facility by addressing issues efficiently.
  • Delivered mentorship to Resident Assistants for effective problem-resolution techniques.
  • Encouraged positive rapport by leading efforts in resolving disputes between clients.
  • Ensured safety within the building by monitoring nighttime access and cultivating resident trust.
  • Partnered with leadership and proprietor to ensure resident safety.
  • Facilitated access to relevant support services for individuals managing mental health issues.
  • Strengthened resident-management relationships through frequent information sharing.
  • Implemented standards for residents promoting safety and respect.
  • Improved resident satisfaction with prompt and empathetic resolution of conflicts and concerns.
  • Guaranteed adherence to safety standards through consistent monitoring and enforcement.
  • Coordinated accountability measures to secure the well-being of all individuals during evacuations.
  • Tracked thorough documentation of incidents and corrective actions to support policy advancements in residences.
  • Mediated disputes to foster better communication.
  • Improved accessibility of support services by acting as liaison between residents and Medical and Psychiatric staff.
  • Executed strategic actions in critical circumstances.
  • Enforced policies and safety standards through building and room rounds.
  • Established, applied, and assessed rules to enhance residential practices.

Reimbursement Specialist

OhioHealth Group
11.2018 - 07.2020
  • Provided exceptional support addressing patient reimbursement queries remotely from home office.
  • Maintained compliance with relevant medical billing standards, supporting organizational goals.
  • Studied denial trends in reimbursements and advised on process optimizations to avoid recurrence.
  • Enhanced team output by consistently surpassing individual targets.
  • Kept abreast of evolving healthcare billing regulations to ensure accuracy and compliance.
  • Partnered with insurance firms to authenticate customers' coverage for claim processing.
  • Enhanced precision in the department through careful examination of claims submissions.
  • Performed audits on billing records to uncover inconsistencies.
  • Followed rigorous HIPAA protocols to secure and manage confidential patient records.
  • Promptly managed errors and concerns with insurers, guaranteeing on-time claim settlements.
  • Built proactive, client-specific edits into system to prevent future denials.
  • Monitored overdue payments to improve overall financial health.
  • Collaborated with cross-functional teams to develop strategies for maximizing revenue recovery efforts.
  • Delivered timely information to insurance representatives to resolve common and complex issues.
  • Followed up on denied and unpaid claims to resolve problems and obtain payments.
  • Effectively handled multiple priorities under tight deadlines while maintaining accuracy and quality.
  • Employed clinical and billing codes expertise to correct billing inconsistencies.
  • Clarified benefits coverage for patients, ensuring comprehension of out-of-pocket costs and reimbursements.
  • Reduced claim denial rates by thoroughly reviewing documentation before submission to insurance providers.
  • Streamlined reimbursement processes by implementing efficient filing and tracking systems.
  • Established strong working relationships with insurance providers, fostering open communication channels for smoother claim resolutions.
  • Adapted swiftly to new software systems and process changes.
  • Helped minimize escalations by reaching out to clients in advance of expected problems.
  • Used data entry skills to accurately document and input statements.
  • Responded to customer concerns and questions on daily basis.
  • Facilitated dispute resolution by collaborating with customers.

Lead Billing Specialist - Autism Billing

Nationwide Children's Hospital
02.2006 - 04.2009
  • Maintained strong relationships with clients through regular communication and prompt issue resolution.
  • Improved efficiency in the billing department, reducing errors and increasing invoice accuracy.
  • Ensured compliance with all relevant regulations, including industry-specific guidelines for accurate billing practices.
  • Conducted periodic audits of billing data to identify inconsistencies or discrepancies requiring correction.
  • Independently and completely developed a defunct billing department with new credentials for electronic filing to commercial insurance and Medicaid, payment processing, coding, filing systems, tracking claims, correction and refiling denials and staff duties.

Education

The Ohio State University
Columbus, OH

Brookhaven Community College
Dallas, TX

Franklin University
Columbus, OH

Diploma - English

Eastmoor Academy
Columbus, Ohio

Skills

  • Time management
  • Team player
  • Compassionate
  • Task prioritization
  • Documentation
  • Insurance verification
  • Accounts Receivable
  • Eligibility verification
  • Medicaid billing
  • Commercial insurance
  • Customer service
  • Problem-solving
  • Decision-making
  • Denial management

Additional Information

Proficient in:

Microsoft 10, 11 OS, Word, Excel, Publisher

CRM

Avatar Billing Systems

EPIC

Timeline

Resident Assistant

Cornerstone Project
12.2021 - 11.2024

Reimbursement Specialist

OhioHealth Group
11.2018 - 07.2020

Lead Billing Specialist - Autism Billing

Nationwide Children's Hospital
02.2006 - 04.2009

The Ohio State University

Brookhaven Community College

Franklin University

Diploma - English

Eastmoor Academy
Shana Huckabee