Shannon Eller
Sunman,IN
Summary
Organized Business Office Manager with over 20 years of experience in medical field. Prioritize projects and multitask effectively to achieve project goals. Methodical and detail-oriented team player with expertise in medical billing and collections of all payers. Offering these skills and strong work ethic.
Overview
29
29
years of professional experience
Work History
A/R Coordinator
Providence Health Care
Cincinnati, OH
03.2024 - Current
- Reduced outstanding receivables for enhanced cash flow by consistently monitoring and reconciling customer accounts.
- Improved A/R collections by streamlining invoice processing and diligently following up on overdue payments.
- Managed the timely and accurate preparation of month-end A/R reports.
- Maintained strict adherence to internal controls, industry regulations, and accounting principles during all A/R activities.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Reviewed documentation for compliance with requirements and accuracy of information.
- Negotiated with customers regarding payment arrangements when necessary, balancing firmness with empathy to maintain positive relationships without sacrificing revenue collection targets.
- Worked with multiple departments to check proper billing information.
- Researched and resolved billing discrepancies to enable accurate billing.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Processed eligibility and benefits verification and authorization requests.
- Followed up on denials, late payments, extensions and other special circumstances.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Acted as subject matter expert, answering internal, and external questions and inquiries.
- Researched and resolved routine and complex issues.
- Monitored changes in insurance industry to stay compliant with relevant laws and regulations.
- Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.
- Collaborated with medical staff to obtain necessary documentation, enabling timely submission of accurate claims.
- Ensured strict adherence to HIPAA guidelines while handling sensitive patient information during the billing process.
- Increased revenue collection by diligently pursuing outstanding claims and negotiating with insurance companies.
- Assisted patients in understanding their coverage benefits, providing clear explanations and addressing any concerns or questions.
- Improved cash flow by promptly posting payments and reconciling accounts on a daily basis.
- Facilitated training sessions for new employees, sharing best practices and promoting consistency across the team''s work output.
- Handled account payments and provided information regarding outstanding balances.
- Assisted colleagues during peak workload periods, demonstrating strong teamwork and commitment to overall departmental success.
Business Office Manager
Norwood Towers
Cincinnati, OH
12.2019 - 02.2024
- Oversaw all aspects of business office of 170-bed AL-skilled nursing facility
- Trained and managed three business office associates according to company standards
- Responsible for Medicare/Medicaid/Insurance/Private billing
- Handled personal needs petty cash account for long-term residents
- Assisted residents and families with private pay spend down and Medicaid application
- Completed annual and bi-annual Medicaid renewals
- Monthly accounts receivable meetings with AR Director
- Weekly interdepartmental Utilization Review meetings to determine discharge plans and possible long-term care placement residents
- Performed month end close of all billing and collections and generated all necessary reports for corporate accounting department
- Facilitated successful internal and external audits through sound and thorough documentation
- Posted and adjusted payments from insurance companies
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing
- Contacted patients regarding unpaid and underpaid private pay balances to resolve AR
- Applied for representative payee for social security for residents at facility
- Appealing claims that have been denied for various reasons and continue follow up until claim is resolved
- Tracking of initial and follow up reviews for managed care authorizations
- Processed Accounts payable and consolidated billing invoices as back up
- Balancing of Resident Trust on daily and monthly basis
- Oversaw the proper allocation of payments received from various sources, ensuring accurate posting to relevant accounts and facilitating efficient reconciliations at monthend.
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted other buildings as needed with Medicaid pending cases.
Business Office Manager
Waldron Health And Rehab
Waldron, Indiana
11.2014 - 12.2019
- Responsible for Medicare/Medicaid/Insurance/Private billing including obtaining authorization, initial and follow up billing
- Oversaw all aspects of business office of 72-bed skilled nursing facility
- Trained and managed two business associates according to company standards
- Assisted families with Medicaid application from start to approved
- Processed Accounts Payable on timely manner with reporting to corporate office
- Weekly interdepartmental Utilization Review meetings to determine discharge plans or long-term care placement
- Entering all new residents in Ascend for level one and level of care when applicable
- Processing of payroll for 80 employees through payroll software
- Performed month end close of all billing and collections and generated all necessary reports for corporate accounting department
- Facilitated successful internal and external audits through thorough documentation
- Verified insurance coverage to prepare for upcoming patient admits and monthly once patient has admitted
- Completed annual Medicaid renewals on timely basis so no lapse in coverage for residents
Government Analyst
IU Health Revenue Cycle
Indianapolis, IN
03.2011 - 11.2014
- Efficiently collected payments and communicated with clients regarding claim issues
- Maintained strict confidentiality with all personal data as per company guidelines
- Research on denied claims for all billing offices in Indiana University network
- Completion of researched denials and editing of claims to make claims payable to providers
- Corrected payment posting errors caused by other departments and miss application of funds
- Consistently complied with applicable laws and regulations and ensured billing adhered to Medicare and Medicaid regulations
- Obtained prior authorizations for Medicare replacement policies and Medicaid for certain part B procedures
- Communicated with provider offices regarding issues with NCCI edits to insure payment for claims that had been rejected previously
Business Office Manager
Rawlins House
Pendleton, IN
03.2009 - 06.2010
- Oversaw all aspects of business office of 110-bed AL and skilled nursing facility
- Responsible for Medicare/Medicaid/Insurance/Private billing including obtaining authorization, initial and follow up billing and processing accounts for collections and legal action
- Assisted residents and families with private pay and Medicaid application for state of Indiana
- Processed Accounts Payable and consolidated billing invoices
- Reconciled daily census bed board and balanced with corporate spreadsheets
- Performed month end close of all billing and collections and generated all necessary reports for corporate accounting department
- Completed annual Medicaid renewals and reported any changes in residents income when occurred
- Trained and managed one business associate according to company standards
Medical Billing Representative
Ranac Corporation
Indianapolis, IN
04.2005 - 05.2006
- Performed input of all new patient registration
- Verifying of insurance coverage for billing providers
- Posting of payments and denials for each provider serviced
- Follow up on denied claims using appeal process with 80% success rate
- Reporting of revenue collections for each provider serviced
- Detailed summary presented monthly with outcome of each collection attempt
- Communication to provider regarding information needed to be successful in collecting denied claims
Billing Supervisor
Accustat Medical Lab
Indianapolis, IN
01.1996 - 04.2005
- Coordinated with other internal departments and customers to keep operations running smoothly and solve both routine and complex problems
- Maintained accurate, current and compliant financial records by monitoring and addressing variances
- Billing of all payers for medical lab services
- Facility billing to skilled nursing facility providers for skilled lab services completed for month for consolidated billing
- Oversaw all aspects of billing office for over 60 nursing homes serviced
- Reviewed and worked all denial claims through all medical payers
- Demographics entered for each resident being serviced by lab with verification of medical coverage
- Solved any discrepancies with provided billing information with business office directly in professional and courteous manner
Education
High School Diploma -
Noblesville High School
Noblesville, IN05.1989
Skills
- Workflow planning
- Credit and collections
- Team Leadership
- Payroll and budgeting
- Strategic Planning
- Excellent customer service
- Attention to detail
- Organized
- AP/AR understanding
- Payment reconciliation
- Successful Appealing process
- Medical Billing
Accomplishments
- Achieved placing Waldron Health and Rehab in overall collections within the company at number two out of 52 buildings. Facility was number 32 with collections before I started and within 2 years of being with the company was number two overall.
- Norwood Towers had 22 Medicaid pending cases when I started in December of 2019 and Norwood is currently sitting at two Medicaid pending cases. My persistent in resolving the pending issue has resulted in only two cases remaining but see in the near future those to be resolved as well.
- Norwood Towers has consistently been in the top ten in collections amongst the other buildings owed by Providence Health Care. The DSO being under the company standard with an excellent record of bad debt.
- Promotion within in the company to the A/R coordinator position with success in now maintaining collections and bad debt for three buildings.
Timeline
A/R Coordinator
Providence Health Care
03.2024 - Current
Business Office Manager
Norwood Towers
12.2019 - 02.2024
Business Office Manager
Waldron Health And Rehab
11.2014 - 12.2019
Government Analyst
IU Health Revenue Cycle
03.2011 - 11.2014
Business Office Manager
Rawlins House
03.2009 - 06.2010
Medical Billing Representative
Ranac Corporation
04.2005 - 05.2006
Billing Supervisor
Accustat Medical Lab
01.1996 - 04.2005
High School Diploma -
Noblesville High School