Shardé Jefferson
Philadelphia,PA
Summary
Goal-driven professional with proven skill in audit supporting, invoicing and payment processing. Skilled in reconciling accounts, identifying discrepancies, and resolving billing issues promptly. Strong attention to detail and numerical accuracy, with a commitment to maintaining confidentiality and upholding the highest standards of integrity in financial transactions.
Overview
16
16
years of professional experience
Work History
Billing/Intake Coordinator
Kaleidoscope Family Solutions ABA
12.2023 - Current
- Perform retrospective and prepayment reviews of records to ensure staff follow appropriate billing practices
- Collaborate with the clinical team to ensure all necessary information is provided before services begin
- Verifying insurance benefits and eligibility utilizing online insurance portals and submitting for prior authorizations
- Reviewing records for quality assurance; Daily tracking of queue volume
- Maintaining the integrity and confidentiality of all client information including electronic and filing system
Billing Specialist
Penn Asian Senior Services
07.2019 - 12.2021
- Confirmed patient eligibility for Medicare and Medicaid reimbursement; Experience with MCO insurance billing
- Creating invoices and reconciling client accounts using various billing systems and software
- Timely processing of company billings and accounts receivables accurately
- Conduct a billing audit process to ensure compliance with all regulations prior to submission of billing
Patient Services Representative
Nemours Pediatrics
06.2016 - 01.2019
- Entered and verified verifying patient/guarantor demographic and insurance information using EPIC
- Collected payments from patients, posted charges, provided receipts and documents all financial transactions
- Prepared daily cash and managed revenue cycle
- Managed charts and maintained a detailed spreadsheet for referrals
Senior Fund Accountant
BNY Mellon
07.2011 - 12.2014
- Reconciled trading and other investment related activity in the subsidiary ledger as well as detailed asset positions to custodian records, ensuring any discrepancies are documented, researched, and resolved
- Managed $3.5 billion in assets; Assisting with monthly, quarterly, and annual financial reporting
- Reconciled general ledger accounts including detailed reconciliations of cash, suspense accounts and miscellaneous income, completing journal entries when necessary
Medical Administrative Assistant
MedNet Healthcare Systems
10.2008 - 04.2010
- Responsible for patient registration and insurance verification
- Scheduled appointments and performed patient follow ups and new patient referrals
- Handled a range of administrative support and office functions including preparing documents, data entry, faxing, filing, and verifying paperwork for Psychotherapists and Psychiatrists billing
Education
Bachelor of Science - Business Administration and Management
Devry University
08.2018
Diploma - Medical Billing & Coding
Lincoln Technical Institute
11.2006
Timeline
Billing/Intake Coordinator
Kaleidoscope Family Solutions ABA
12.2023 - Current
Billing Specialist
Penn Asian Senior Services
07.2019 - 12.2021
Patient Services Representative
Nemours Pediatrics
06.2016 - 01.2019
Senior Fund Accountant
BNY Mellon
07.2011 - 12.2014
Medical Administrative Assistant
MedNet Healthcare Systems
10.2008 - 04.2010
Bachelor of Science - Business Administration and Management
Devry University
Diploma - Medical Billing & Coding
Lincoln Technical Institute