Shannon Taylor
Portland,OR
Summary
Proven expertise in medical billing and coding at Pearl Health Center, adept at reducing claim denials and optimizing reimbursement rates through meticulous verification and accurate ICD-10 assignment. Demonstrates exceptional multitasking abilities and patient scheduling, enhancing workflow efficiency and patient care. Achieved significant improvements in patient account management and data security, embodying high ethical standards and dedication to patient privacy.
Overview
6
6
years of professional experience
Work History
Medical Biller and Coder
Pearl Health Center
09.2021 - 11.2024
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Optimized workflow efficiency within the office by cross-training in additional administrative tasks such as scheduling appointments or managing phone calls during peak periods.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Caregiver
DHS - Aging And People With Disabilities
07.2018 - 10.2022
- Assisted clients with activities of daily living, promoting independence and quality of life.
- Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
- Assisted with dressing guidance, grooming, meal preparation, and medication reminders.
- Performed light housekeeping duties to maintain cleanliness standards while respecting the patient''s personal space.
- Built strong relationships with clients to deliver emotional support and companionship.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
- Maintained a safe and clean environment for patients, reducing risks and ensuring optimal health outcomes.
- Assisted patients with self-administered medications.
- Administered medications as prescribed, ensuring accurate dosage and timely administration for maximum efficacy.
- Maintained clean personal areas and prepared healthy meals to support client nutritional needs.
- Prioritized patient dignity, privacy, and autonomy during all aspects of care provision.
- Transported individuals to events and activities, medical appointments, and shopping trips.
- Managed patient appointments and transportation needs, ensuring punctual arrival at medical visits and other engagements.
Education
Medical Biller - Medical Billing
Concorde Career College
Portland, OR06-2006
GED -
Pcc
Portland, OR07-2003
Skills
- Payment posting
- Patient account management
- Claim submission
- Appeals processing
- Anatomy and physiology
- Medical billing procedures
- Medical claims coding
- Insurance coding (ICD-9 and CPT)
- Patient data compilation
- Medical record security
- Patient data identification
- Data entry and management
- Ethical standards
- Medical Billing
- Multitasking Abilities
- Medical Documentation
- Patient Scheduling
Timeline
Medical Biller and Coder
Pearl Health Center
09.2021 - 11.2024
Caregiver
DHS - Aging And People With Disabilities
07.2018 - 10.2022
Medical Biller - Medical Billing
Concorde Career College
GED -
Pcc
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