Summary
Overview
Work History
Education
Skills
Timeline
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Shanna McGlothin

Knoxville,TN

Summary

Driven Medical Biller with over 20 years of experience . Excelling in claims review and patient account analysis. Proven track record in resolving denied claims and ensuring HIPAA compliance. Adept at managing accounts receivable while maintaining strong communication with patients and insurance providers to enhance billing accuracy and efficiency.

Overview

23
23
years of professional experience

Work History

Medical Biller/AR Specialist

Tn Orthopedic Alliance
12.2024 - 09.2025
  • Processed payments and allocated funds to patient accounts.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Prepared billing statements for patients and verified correct diagnostic coding.

Medical Biller

Team Health
03.2023 - 12.2024
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Filed and updated patient information and medical records.
  • Followed guidelines to maintain confidentiality of patient information.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.

Medical Billing Coordinator

Abercrombie Radiology
07.2002 - 03.2023
  • Generated billing statements for patients with accurate details.
  • Filed and updated patient information and medical records.
  • Verified completeness and accuracy of patient diagnosis codes.
  • Collected payments and applied to patient accounts.
  • Delivered timely and accurate charge submissions.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Liaised between patients, insurance companies, and billing office.
  • Verified insurance of patients to determine eligibility.

Education

High School Diploma -

Cocke County High School
Newport, TN

Medical Billing

Walters State Community College
Morristown, TN

Skills

  • Balance reconciliation
  • Information request
  • HIPAA compliance
  • Patient account analysis
  • Insurance claims processing
  • Patient billing
  • Insurance claims
  • Claim review
  • Accounts receivable management

Timeline

Medical Biller/AR Specialist

Tn Orthopedic Alliance
12.2024 - 09.2025

Medical Biller

Team Health
03.2023 - 12.2024

Medical Billing Coordinator

Abercrombie Radiology
07.2002 - 03.2023

High School Diploma -

Cocke County High School

Medical Billing

Walters State Community College

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Shanna McGlothin