Shari Loyd
Marengo,IL
Summary
An experienced professional knowledgeable in laws and ethics crucial to healthcare, supporting organizational goals. Detail-oriented with a strong work ethic and effective communication skills.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Financial Resource Specialist
Mercy Health System
Janesville, WI
07.1998 - 08.2024
- Reviewed accounts and insurance payments; aligned customers with financial assistance programs for costly infusions, injections, and medications.
- Processed applications for financial assistance programs, collaborated with customers and providers' offices to gather necessary information, and ensured all prerequisites were met before submitting for processing.
- I have reviewed the accounts and submitted all required documents to the financial assistance program for reimbursement.
- Generated estimates before appointments and contacted customers in compliance with the federal No Surprises Act. Provided customers with estimates, discussed details, and arranged payment options.
- Prior to customer appointments, I reviewed their accounts to ensure compliance with the company's financial policies. Based on the circumstances, I either arranged a payment plan or provided details about available financial assistance.
- I review insurance claims and Explanations of Benefits for customers who need clarification on reimbursements. I resolve errors and ensure that claims are resubmitted to insurance companies. If necessary, I appeal claims and follow up with the insurance company.
Education
Some College (No Degree) - Business
Elgin Community College
Elgin, ILSkills
- HIPAA Compliance
- Medical Insurance
- Insurance Verification
- Insurance Authorization
- Financial Counseling
- Financial Policy Enforcement
- Knowledge of Community Services and Programs
- Revenue Cycle Management
- Healthcare regulations
- Explaining Policy and Procedures
- Documentation
- Claims Resolution Skills
- Patient Communication
- Time Management
Certification
- Certified Revenue Cycle Specialist – American Association of Healthcare Administrative Management
Timeline
Financial Resource Specialist
Mercy Health System
07.1998 - 08.2024
Some College (No Degree) - Business
Elgin Community College
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