Summary
Overview
Work History
Education
Skills
Timeline
Generic

Sharon Burton

Summary

Proven Medical Insurance Specialist with a track record of enhancing patient experience at Princeton Community Hospital. Skilled in ICD-10 and HIPAA compliance, demonstrating exceptional customer service and appeals handling. Increased patient retention rates through effective communication and meticulous attention to insurance verification.

Overview

21
21
years of professional experience

Work History

Medical Insurance Specialist

PCH WVU MEDICINE
03.2013 - Current
  • Collaborate with medical staff to obtain authorization for high dollar testing.
  • Contributed to positive relationships with insurance companies.
  • Provided exceptional customer service, assisting patients in understanding their insurance benefits and financial responsibilities.
  • Work with other WVU facilities, radiology departments answering questions and assisting where needed
  • Trainer for new hires
  • Conducted thorough reviews of denied claims, identifying errors or missing information before resubmitting corrections for payment approval.
  • Verified patient insurance coverage and benefits for medical claims.

Office Manager

Willis Chiropractic
03.2008 - 03.2013
  • Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
  • Created, maintained and updated filing systems for paper and electronic documents.
  • Maintained computer and physical filing systems.
  • working directly with patient therapies.
  • Maintained detailed records of patient treatments, progress, and outcomes to facilitate effective care coordination
  • Increased patient retention rates through ongoing follow-up appointments and consistent monitoring of progress towards health goals.
  • Promoted a positive clinic environment by maintaining clear communication with staff members and addressing concerns proactively.
  • Regularly attended professional development workshops to stay current on industry best practices and insurance changes.
  • Regularly attended workshops on customer service.
  • Updated reports, managed accounts, and generated reports for company database.
  • Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.

Office Manager

Chipley Chiropractic
03.2003 - 03.2008
  • Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
  • Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
  • Maintained computer and physical filing systems.
  • Updated reports, managed accounts, and generated reports for company database.
  • direct patient care with physical therapies.
  • Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
  • medical billing
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
  • Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
  • Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
  • Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns

Education

High School Diploma -

Princeton Senior High School
Princeton WV
06.1987

Skills

    ICD-10 Proficiency

    Appeals Handling

    HIPAA Compliance

    Patient confidentiality

    Insurance Verification

    Denial Management

Timeline

Medical Insurance Specialist

PCH WVU MEDICINE
03.2013 - Current

Office Manager

Willis Chiropractic
03.2008 - 03.2013

Office Manager

Chipley Chiropractic
03.2003 - 03.2008

High School Diploma -

Princeton Senior High School
Sharon Burton