Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shannon Montgomery

Melrose,FL

Summary

Knowledgeable medical office professional experienced in correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.

Overview

14
14
years of professional experience

Work History

Billing Specialist

Legacy Home Health Care
09.2024 - Current
  • Research and work to resolve billing discrepancies to enable accurate information on all managed care claims billed out.
  • Identify, research, and resolve billing and claim variances to maintain system accuracy to prevent denied or rejected claims.
  • Work with multiple offices to ensure proper billing.
  • Assist colleagues in resolving billing issues, promoting teamwork and knowledge sharing within the department.
  • Process payments as received by payers and allocate the payment to the correct claim billed.
  • Dispute denied claims by phone and online through insurance portals, providing all needed information to overturn the determination.
  • Verify eligibility at the beginning of each month for all managed care insurance payers and provide a list of any changes to the team so, they may make the necessary changes.

Medical Office Coordinator

HCA Florida Gainesville Surgical Group
01.2021 - 09.2024
  • Perform select administrative duties that include, overseeing front office and clerical staff in developing and implementing short and long-term plans and objectives.
  • Oversee processes to prepare patients for examination and treatment. Screen phone calls for referrals to physicians.
  • Develop guidelines for prioritizing work activities, evaluating effectiveness, and modifying activities as necessary to ensure appropriate staffing levels are maintained.
  • Assist with scheduling tests and treatments for patients to avoid any delay in care.
  • Assist with hiring, training, and development of clerical and clinical staff.
  • Ensure office and clinical supply inventory is current and replenishes supplies when needed, mail processed, offices are opened and closed according to established procedures.
  • Oversee timeliness and accuracy of patient charge entry into the billing system.
  • Assist front staff with ensuring point-of-service collections are made when applicable.
  • Ensure that patients are treated courteously by the staff and that other visitors are screened and properly directed.
  • Work with other administrative staff to ensure efforts are coordinated and high-quality patient care is provided. Participates in professional development activities. Maintains strict confidentiality.
  • Ensure staff and providers are properly trained to fulfill the values of HCA, while maintaining a high level of confidentiality by handling sensitive patient information with discretion and care.

Transfer Center Coordinator

UF Health & Shands Hospital
01.2019 - 01.2021
  • 24 hour call center with rotating shifts, take calls in a timely manner to assist with coordinating emergent and non-emergent Hospital to Hospital transfers, Unscheduled Direct Admissions and Bed Control calls for UF Health & Shands Hospital
  • Facilitated smooth interdepartmental transfers by coordinating logistics and communicating necessary information to relevant parties.
  • Gather and upload pertinent information from the caller who is initiating the request from a referring facility or within our own facility.
  • Triage the information appropriately to determine which service the referring provider is seeking for their patient and connect them with our On-Call physicians, creating the intake to document thoroughly the calls in our EM Epic.
  • Work with our UF Health Admissions department to assist with financial authorizations for the inpatient hospital transfers when needed; communicate with our UF Health ShandsCair to connect with referring facilities to assist with transportation of patients.
  • Working closely as a team along with other Transfer Center Coordinators, Physicians and Nursing Coordinators to see the Hospital transfers and Direct Admissions through to completion.
  • Provided training and mentorship to new Bed Control Coordinators, fostering a skilled workforce capable of delivering exceptional service levels.

Practice Manager/Medical Office Coordinator

HCA - Physicians Services Group
07.2016 - 01.2021
  • Practice Manager of Primary Care Practice and Practice Manager in a new Cardiothoracic Surgery Practice to assist with creating a clinical flow for the surgical practice, then transitioned into a Medical Office Coordinator position for the opportunity to work more closely with patients.
  • Ensure staff and providers are properly trained to fulfill the values of HCA.
  • Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
  • Ordered all office supplies and kept check on inventory levels.
  • Daily review of accounts payable, visit volume and billing practices.
  • Provided leadership to clinical and clerical staff; maintained and updated monthly, quarterly and yearly reports.
  • Worked diligently to ensure the patient experience was a positive one.
  • I continued working with HCA/PSG PRN as a Medical Office Coordinator for other practices throughout the time I worked as a Transfer Center Coordinator at UF Health & Shands.
  • Oversaw the hiring process for new employees, selecting candidates who aligned with the practice''s mission and values.
  • Provided supervision and management to team of support personnel.

Clinical Service Rep III

University of Florida Dept of Surgery
10.2011 - 07.2016
  • Worked closely with patients and providers to schedule ancillary testing working with multiple different departments within UF Health & Shands Hospital, pre and post-op clinic appointments and surgeries.
  • Utilized/worked within the Epic EMR system for most all patient related ordering of studies.
  • Enhanced patient satisfaction by providing exceptional clinical service and addressing individual needs.
  • Collaborated with other departments in the organization to optimize resource allocation and improve overall operational efficiency.
  • Answer patient calls/questions directly or through our Access Center(call center).
  • Coordinated for multiple departments of surgery and provided coverage as a float coordinator in other departments of surgery during absences as well as travel to different clinic locations.
  • Worked with providers to process Home Health Care orders and disability forms/FMLA forms; worked diligently to fulfill the values of The University of Florida.
  • Supported the coordination of multidisciplinary care teams to ensure comprehensive care for complex cases.

Education

High School Diploma -

P.K. Yonge Developmental Research School
Gainesville, FL
06.2000

License of Massage Therapy - undefined

Florida School of Massage
Gainesville, FL
03.2001

CPC-A - Medical Coding

MCHC Coder Class
Online Course
02-2025

Skills

  • Meticulous attention to detail
  • Knowledge of clinical terminology
  • Energetic work attitude
  • Task prioritization
  • Independent problem solver
  • Supportive team participant
  • Data entry proficiency
  • Medical coding
  • Insurance claim processing

Timeline

Billing Specialist

Legacy Home Health Care
09.2024 - Current

Medical Office Coordinator

HCA Florida Gainesville Surgical Group
01.2021 - 09.2024

Transfer Center Coordinator

UF Health & Shands Hospital
01.2019 - 01.2021

Practice Manager/Medical Office Coordinator

HCA - Physicians Services Group
07.2016 - 01.2021

Clinical Service Rep III

University of Florida Dept of Surgery
10.2011 - 07.2016

License of Massage Therapy - undefined

Florida School of Massage

High School Diploma -

P.K. Yonge Developmental Research School

CPC-A - Medical Coding

MCHC Coder Class

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