Shanelle McCormick
Port Saint Lucie,FL
Summary
Detail-oriented Revenue Cycle Management professional with 14+ years of experience in healthcare billing, insurance claims resolution, accounts receivable follow-up, payment posting, and patient account management within fast-paced medical environments. Proven expertise managing payer and patient correspondence, resolving billing discrepancies, documenting account activity, and ensuring HIPAA-compliant workflows. Strong background in denied claims follow-up, insurance verification, appeals coordination, EMR systems, and revenue cycle operations. Recognized for critical thinking, accuracy, communication skills, and ability to independently manage high-volume workloads in remote and onsite environments. Proficient in Microsoft Office Suite, EMR platforms, billing software, SharePoint, ServiceNow, and electronic claims systems.
Overview
16
16
years of professional experience
1
1
Certification
Work History
FC Associate/IT Equipment Coordinator
Amazon Logistics
Port St. Lucie, FL
08.2024 - Current
- Maintain detailed documentation and tracking records for IT equipment, service requests, and issue resolution using internal ticketing and asset management systems.
- Troubleshoot and resolve hardware and software issues while ensuring timely communication and follow-up with end users.
- Coordinate inventory management and equipment tracking to support operational efficiency and accountability.
- Document troubleshooting procedures and resolutions in knowledge management systems to support process consistency and workflow improvement.
- Prioritize multiple assignments in a fast-paced environment while maintaining accuracy and meeting operational timelines.
RCM Correspondence & AR Coordinator
CU Medicine
Remote
02.2023 - 05.2024
- Managed end-end-to end insurance correspondence related to unpaid, denied, and rejected claims while ensuring timely follow-up and resolution.
- Reviewed payer communications, analyzed claim discrepancies, and routed issues appropriately to support reimbursement resolution.
- Communicated directly with insurance carriers via phone, email, and fax to clarify billing issues and resolve outstanding accounts.
- Documented all account activity, correspondence actions, and claim updates within electronic billing and tracking systems.
- Assisted with denied claim resolution and appeals by researching payer requirements and coordinating follow-up actions.
- Utilized EMR and billing platforms to streamline accounts receivable workflows, contributing to an 18% reduction in outstanding AR days within 12 months.
- Collaborated cross-functionally with billing, coding, and clinical teams to improve claim resolution processes and reduce recurring issues.
Medical Billing Manager
Family Practice Associates Medical Practice
Gainesville, FL
07.2020 - 12.2022
- Oversaw daily medical billing operations, including insurance claims processing, payment posting, patient billing, and account reconciliation.
- Managed insurance and patient correspondence regarding billing inquiries, payment discrepancies, and claim status updates.
- Monitored denied and underpaid claims, coordinated appeals, and followed up with payers to maximize reimbursement outcomes.
- Maintained accurate financial and correspondence records within EMR and billing systems to ensure audit readiness and compliance.
- Led process improvement initiatives that enhanced billing efficiency, reduced claim delays, and improved patient satisfaction.
- Supervised and trained an 8-member administrative team on billing procedures, compliance standards, and workflow optimization.
- Ensured full compliance with HIPAA, OSHA, and healthcare revenue cycle regulations.
- Developed patient payment solutions and resolved escalated billing concerns with professionalism and empathy.
Medical Office Specialist
Ambareen Internal Medicine
Gainesville, FL
07.2017 - 10.2019
- Supported front-end and back-end revenue cycle functions including patient scheduling, insurance verification, records management, and billing support.
- Maintained accurate patient and billing documentation within electronic health record systems.
- Assisted with correspondence management and coordination between patients, providers, and insurance companies.
- Trained support staff on workflow procedures, inventory management, and compliance practices.
- Improved operational efficiency through digitization of intake forms and streamlined documentation processes.
Medical Assistant & Billing Specialist
McCauley & Associates Medical Group
Alachua, FL
10.2010 - 01.2017
- Processed patient billing, insurance claims, and invoices while ensuring timely and accurate reimbursement workflows.
- Coordinated directly with providers and insurance carriers to resolve claims issues and reduce reimbursement delays.
- Managed patient records, EMR documentation, and compliance with healthcare privacy regulations.
- Assisted patients with billing inquiries, scheduling, registration, and insurance-related questions.
- Supported office efficiency through strong organization, multitasking, and communication skills in a high-volume medical practice.
Education
High School Diploma -
Lincoln Park Academy
Fort Pierce, FL05-2006
Skills
- Revenue Cycle Management (RCM)
- Insurance & Patient Correspondence
- Accounts Receivable Follow-Up
- Denied Claims & Appeals Management
- Medical Billing & Claims Resolution
- Payment Posting & Reconciliation
- HIPAA & Healthcare Compliance
- Medical Terminology & Coding Knowledge
- EMR/EHR & Billing Software
- SharePoint, Smartsheet & Microsoft Office
- Documentation & Record Management
- Insurance Verification & Eligibility
- Patient Account Resolution
- Workflow Optimization & Process Improvement
- Cross-Functional Team Collaboration
- Written & Verbal Communication
- Critical Thinking & Problem Solving
- Remote Work & Time Management
Certification
- BBP 2024
- HIPAA 2024
Timeline
FC Associate/IT Equipment Coordinator
Amazon Logistics
08.2024 - Current
RCM Correspondence & AR Coordinator
CU Medicine
02.2023 - 05.2024
Medical Billing Manager
Family Practice Associates Medical Practice
07.2020 - 12.2022
Medical Office Specialist
Ambareen Internal Medicine
07.2017 - 10.2019
Medical Assistant & Billing Specialist
McCauley & Associates Medical Group
10.2010 - 01.2017
High School Diploma -
Lincoln Park Academy