Summary
Overview
Work History
Education
Skills
Timeline
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Shannon O’Shea

Altoona,PA

Summary

Administrative professional with over 10 years of experience in dynamic environments. Proven ability to manage multiple tasks efficiently while maintaining high standards of quality. Seeking opportunities to leverage expertise in a growth-oriented organization that values continuous learning and development.

Overview

12
12
years of professional experience

Work History

Bartender

Scotch Valley Country Club
Hollidaysburg, PA
07.2025 - Current
  • Served high customer volumes during special events, nights, and weekends.
  • Managed cash handling duties responsibly, ensuring accurate accounting at the end of each shift.
  • Performed opening and closing duties, printing sales reports, setting up for incoming shift, preparing cash drawers, and taking inventory.
  • Efficiently opened or closed the bar according to established procedures, ensuring preparedness for each shift.
  • Maintained a clean and organized workspace, ensuring compliance with health and safety regulations.
  • Developed loyal clientele by consistently delivering outstanding service and engaging in friendly conversation.
  • Followed alcohol awareness procedures for preventing excessive guest intoxication.
  • Trained new bartenders on drink preparation, product promotion, garnish preparation, and sanitation protocol.

Billing Supervisor and Credentialing Specialist

Blair Family Solutions
Altoona, PA
09.2022 - 04.2025
  • Reviewed claim data to verify compliance with legal and insurance regulations.
  • Created weekly billing spreadsheets using Google Drive and Microsoft tools.
  • Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
  • Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
  • Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant.
  • Enrolled providers in Medicaid, Medicare, and private insurance plans.
  • Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
  • Updated and maintained accurate records in credentialing databases, ensuring timely renewals and verifications.
  • Conducted thorough background checks and primary source verifications to uphold high standards of care.
  • Submitted electronic and paper claims to insurance companies to collect medical payments.
  • Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
  • Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
  • Reviewed outgoing bills for eligibility and accurateness.
  • Led patient account reconciliations by identifying and rectifying discrepancies within patient accounts.
  • Collaborated with physicians and other healthcare providers to resolve complex billing issues promptly.
  • Complied with HIPAA privacy and security regulations to protect patients' medical records and information.

Bartender/Server

Applebee’s
Altoona, PA
01.2018 - 02.2025
  • Provided outstanding customer service amidst fast-paced, high-pressure scenarios.
  • Conducted thorough ID checks to confirm legal drinking age compliance.
  • Vigilantly monitored guests for intoxication signs to ensure safety.
  • Processed food and beverage orders accurately for kitchen fulfillment.
  • Followed exact recipes when preparing drinks to ensure quality.
  • Complied with PLCB laws during all operational activities.
  • Consistently maintained RAMP certification, meeting professional requirements.

Patient Accounts

ENT Associates
Altoona, PA
04.2017 - 01.2019
  • Collected unpaid debts and processed payments on patient accounts effectively.
  • Set up payment plans, ensuring accessibility for patients.
  • Verified insurance coverage for upcoming appointments to prevent service delays.
  • Completed insurance preauthorizations swiftly to facilitate timely services.
  • Submitted electronic claims, expediting reimbursement from insurance providers.
  • Maintained high levels of data accuracy with meticulous attention to detail in processing insurance claims and updating patient records.
  • Posted payments and processed refunds.
  • Assisted patients in understanding their financial responsibilities by explaining healthcare benefits, coverage limitations, and out-of-pocket costs clearly and concisely.
  • Worked with outside entities to resolve issues with billing, claims, and payments.
  • Contacted patients after insurance was calculated to obtain payments.

Admissions Technician

Meadows Psychiatric Center
Centre Hall, PA
10.2013 - 05.2015
  • Streamlined scheduling of outpatient appointments to improve operational efficiency.
  • Ensured verification of insurance coverage for seamless appointment experiences.
  • Executed new patient referrals promptly to reduce wait times.
  • Acquired necessary preauthorizations for efficient treatment initiation.
  • Handled step-down processes for inpatient clients transitioning to outpatient care.

Education

Medical Billing and Coding

YTI Career Institute
02.2015

High School Diploma - undefined

Altoona Area School District
08.2012

Skills

  • Billing and credentialing expertise
  • Budget oversight
  • Terminology in healthcare
  • Medical coding skills
  • Customer support excellence
  • Attention to detail proficiency
  • Work ethic commitment
  • Organizational abilities
  • EMR software knowledge
  • Microsoft Office tools

Timeline

Bartender

Scotch Valley Country Club
07.2025 - Current

Billing Supervisor and Credentialing Specialist

Blair Family Solutions
09.2022 - 04.2025

Bartender/Server

Applebee’s
01.2018 - 02.2025

Patient Accounts

ENT Associates
04.2017 - 01.2019

Admissions Technician

Meadows Psychiatric Center
10.2013 - 05.2015

Medical Billing and Coding

YTI Career Institute

High School Diploma - undefined

Altoona Area School District
Shannon O’Shea