Shannon Chamberlain
Huber Heights
Summary
Dynamic Claims Grievance and Appeals Specialist at CareSource with a proven track record in optimizing claims processing and ensuring HIPAA compliance. Adept at fostering teamwork and collaboration, I excel in problem-solving and documentation, driving organizational growth through effective communication and a continuous learning mindset.
Overview
15
15
years of professional experience
Work History
Claims Grievance and Appeals Specialist
CareSource
Dayton, OH
08.2011 - Current
- Evaluated and assessed appeals submissions, ensuring adherence to regulatory standards.
- Facilitated collaboration among cross-functional teams to efficiently resolve complex case issues.
- Optimized claims processing systems to monitor appeal statuses and outcomes.
- Designed and implemented training materials for new staff on appeals procedures and best practices.
Education
Medical Billing And Coding - Medical Coding
American Academy of Professional Coders (AAPC)
American Academy Holdings LLC PO Box 675362 DallasSkills
- Organizational growth
- HIPAA compliance
- Effective communication
- Professionalism and ethics
- Medical terminology
- Data entry proficiency
- Strong analytical skills
- Continuous learning mindset
- Problem-solving capacity
- Documentation expertise
- Medical coding
- Insurance policies
- Healthcare regulations expertise
- Appeals process proficiency
- Teamwork
- Teamwork and collaboration
- Problem-solving
- Attention to detail
- Problem-solving abilities
- Time management
- Multitasking
- Claims investigation
- Multitasking Abilities
- Organizing and prioritizing work
- Reliability
- Critical thinking
- Team collaboration
Timeline
Claims Grievance and Appeals Specialist
CareSource
08.2011 - Current
Medical Billing And Coding - Medical Coding
American Academy of Professional Coders (AAPC)