Shannon Scalise
Stuart,FL
Summary
Knowledgeable medical office professional talented at 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
1
1
Certification
Work History
Medical-billing-and-coding-specialist
First Source Medical Resources
04.2021 - Current
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Improved billing accuracy by thoroughly reviewing and updating patient information in the system.
- Boosted patient satisfaction with transparent explanations regarding their billing statements, addressing any concerns promptly.
Medical Receptionist
Treasure Coast Imaging
Stuart, FL
01.2011 - 03.2013
- Checked patient insurance, demographic, and health history to keep information current.
- Managed multi-line phone system and pleasantly greeted patients.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Adhered to strict HIPAA guidelines to protect patient privacy.
Patient Care Coordinator
Coastal Oncology And Hematology
Stuart, FL
01.2010 - 12.2011
- Managed front office operations effectively during peak hours, maintaining a professional environment for both staff and patients.
- Facilitated clear communication between patients and healthcare providers, ensuring accurate information exchange.
- Streamlined insurance verification processes, resulting in reduced wait times and increased patient satisfaction.
- Developed strong relationships with patients and families, fostering trust and enhancing overall experience at the clinic.
Education
Medical Billing And Coding -
Career Step
06.2021
Skills
- Experienced in Pediatrics, Primary Care, Acupuncture, Infectious Disease coding and billing
- Claims Processing and Submission
- HIPAA Compliance
- Revenue Cycle Management
- Appeals processing
- Medicare and Medicaid Billing
- Commercial Insurance Billing
- Denial Management
- Proficient in IMS, Practice Fusion, Open Practice, Tebra
Certification
- CPC - Certified Professional Coder
Timeline
Medical-billing-and-coding-specialist
First Source Medical Resources
04.2021 - Current
Medical Receptionist
Treasure Coast Imaging
01.2011 - 03.2013
Patient Care Coordinator
Coastal Oncology And Hematology
01.2010 - 12.2011
Medical Billing And Coding -
Career Step
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