Summary
Overview
Work History
Education
Skills
Timeline
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Shannon Cobb

Columbus,GA

Summary

Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Driven Medical Biller motivated to perform beyond expectations.

Overview

18
18
years of professional experience

Work History

Medical Biller II

Hughston Clinic
Columbus, GA
10.2021 - Current
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted payments and collections on regular basis.
  • Filed and updated patient information and medical records.
  • Collected payments and applied to patient accounts.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Prepared accounts with past due balances and transferred those cases to collection agency.
  • Adhered to established standards to safeguard patients' health information.
  • Delivered timely and accurate charge submissions.
  • Assisted in reconciling deposit and patient collections.
  • Corrected, completed and processed claims for multiple payer codes.
  • Processed billing calls and answered questions from patients and third-party carriers.

Customer Service Representative II

Aflac
Columbus
02.2020 - 10.2021
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Answered constant flow of customer calls with minimal wait times.
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Responded to customer requests for products, services and company information.
  • Provided primary customer support to internal and external customers.
  • Collected customer feedback and made process changes to exceed customer satisfaction goals.
  • Cultivated customer loyalty, promoted repeat business and improved sales.

Medical Claims Processor

Anthem/ Blue Cross Blue Shield
Columbus, GA
10.2004 - 09.2019
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
  • Managed large volume of medical claims on daily basis.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Responded to correspondence from insurance companies.
  • Used administrative guidelines as resource or to answer questions when processing medical claims.
  • Evaluated accuracy and quality of data entered into agency management system.
  • Collaborated with claims department and industry anti-fraud organizations to resolve claims.
  • Checked documentation for accuracy and validity on updated systems.
  • Followed up on potentially fraudulent claims initiated by claims representatives.
  • Reviewed provider coding information to report services and verify correctness.
  • Reported policy changes and company conditions affecting customer satisfaction.

Education

Pre Nursing

Southern Union Community College
Opelika, AL

High School Diploma -

Central High School
Phenix City, AL
06.2022

Skills

  • System Updates
  • Itemized Statement Preparation
  • Professional Development
  • Customer Contact
  • Records Management
  • Medical Transcription
  • Discrepancy Resolution

Timeline

Medical Biller II

Hughston Clinic
10.2021 - Current

Customer Service Representative II

Aflac
02.2020 - 10.2021

Medical Claims Processor

Anthem/ Blue Cross Blue Shield
10.2004 - 09.2019

Pre Nursing

Southern Union Community College

High School Diploma -

Central High School

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Shannon Cobb