Summary
Overview
Work History
Education
Skills
Timeline
Generic

SHANNA YOSHIWARA-THOMAS

Moorpark,CA

Summary

Organized and hardworking billing representative offering over 27 years of healthcare experience, the prior 18 years being in a hospital setting. Highly accurate and efficient with strong time management skills and reliable, hard-working nature. Excellent internal and external customer service skills obtained from a diverse background ranging from insurance company, physician office to hospital employment. Current and working knowledge of medical billing processes. Building knowledge of Medi-Cal,Medicare, and OIG guidelines. Consistently surpassed objective within current job assignment.

A dedicated academic professional with expertise in overseeing student registration and academic record management. Proficient in handling confidential information and ensuring compliance with institutional policies. Known for strong collaborative skills and delivering consistent, high-quality results.

Overview

22
22
years of professional experience

Work History

Registrar

Los Robles Hospital & Medical Center
07.2017 - Current
  • Greeted every guest with personable approach and provided knowledgeable service.
  • Processed registrations with attention to detail as well as proper insurance coding.
  • Processed Inpatient and Outpatient Admissions, status changes, and MD changes.
  • Trained new staff on registration, office procedures and regulatory requirements.
  • Ensured accurate records by diligently maintaining and updating information in the database.

Medical Billing Manager

Anther Pediatric And Adult Sleep Center
01.2017 - 01.2018
  • Created Master Superbill for Pulmonary/Sleep Lab as well as all patient intake documents.
  • Built insurance information into system, Office Ally.
  • Negotiated contract rates for MD
  • Established EDI/ERA/EFT connections
  • Managed CRM database, including troubleshooting, maintenance, updates and report generation.
  • Reviewed billing problems, researched issues and resolved concerns.
  • Trained and mentored staff on procedures, compliance requirements and collections techniques.

Central Billing Lead, Revenue Cycle

Valley Children's Hospital
08.2010 - 08.2016
  • Responsible for Abstraction, Charge Entry, pharmacy and supply charges for Outpatient and Therapy clinics, totaling over 22 clinics/practices.
  • Adhered to all department specific coding guidelines.
  • Worked daily with department contacts and staff to ensure all charges are entered in a timely manner.
  • Weekly and monthly reports of all outstanding accounts including a reconciliation, resolution, and follow-up process.
  • Integral part of the development of the Central Office Department via collaboration with Coders, Patient Accounting, IT and Executive Director.
  • Simplified complex billing data for management reports, aiding in strategic decision-making processes.
  • Increased accuracy in financial reporting by reconciling billing discrepancies and adjusting entries as needed.
  • Assisted in external audits by providing accurate documentation related to the billing process, helping to maintain a clean financial record for the company.

Ambulatory Service Rep.

Valley Children's Hospital
06.2008 - 08.2010
  • Proficient in all front office tasks including check-in and registration, scheduling new referrals and follow-up appointments, verifying insurance and obtaining necessary urgent referrals and authorizations.
  • Possesses advanced computer skills along with the ability to train others on system usage and department processes.

Registrar

Valley Children's Hospital
09.2006 - 06.2008
  • Registered patients which included verification of demographics, insurance information as well as collecting payment.
  • Assisted in the reimbursement process of ER patients.
  • Consistently put on special project committees involving patient throughput to improve performance and efficiency of the registration department within the ER.

Medical Coding Auditor

Med Temps Inc
01.2006 - 07.2006
  • Audited diagnosis code specific Medicare patient charts for accuracy and proper documentation based on current coding guidelines and Medicare compliance.
  • Data entry of audit results into hospitals health information database.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Worked one on one with providers to amend and/or addend documentation.

Client Services Associate

Blue Cross of California
01.2004 - 03.2006
  • Responsible for daily completion of Home Banking, which entailed processing and reconciliation via spreadsheets and internet research.
  • Several extended projects generated greater financial accuracy.
  • Received a score of I00% on all audits of my work.
  • Performed daily retrieval and completion of high volume and high priority reports involving underwriting applications.

Education

Certificate of Completion: Advanced Medical Insurance Coding/Billing -

Conejo Valley Adult School
2005

Certificate of Complete, Beginning Medical Insurance Coding/Billing -

Conejo Valley Adult School
2004

Skills

  • Time allocation planning
  • Understanding of insurance principles
  • Analytical problem-solving
  • Experienced in using Medi-tech, Athena, and Office Ally software
  • Understanding of accounting principles
  • Efficient spreadsheet maintenance
  • Effective time management
  • Medical billing expertise
  • Employee training programs
  • Strong work ethic

Timeline

Registrar

Los Robles Hospital & Medical Center
07.2017 - Current

Medical Billing Manager

Anther Pediatric And Adult Sleep Center
01.2017 - 01.2018

Central Billing Lead, Revenue Cycle

Valley Children's Hospital
08.2010 - 08.2016

Ambulatory Service Rep.

Valley Children's Hospital
06.2008 - 08.2010

Registrar

Valley Children's Hospital
09.2006 - 06.2008

Medical Coding Auditor

Med Temps Inc
01.2006 - 07.2006

Client Services Associate

Blue Cross of California
01.2004 - 03.2006

Certificate of Completion: Advanced Medical Insurance Coding/Billing -

Conejo Valley Adult School

Certificate of Complete, Beginning Medical Insurance Coding/Billing -

Conejo Valley Adult School