Sharon Cividanis
I am an experienced Medical Records and Billing Technician with a solid background in managing patient data and processing insurance claims. I have developed skills in reviewing and analyzing health records to help ensure accuracy, completeness, and compliance with VA, The Joint Commission, CMS, and hospital guidelines. I am comfortable working with electronic systems like VISTA and CPRS, as well as paper based records. My experience includes identifying and tracking record deficiencies, assisting clinicians with documentation, and preparing compliance reports.
I have handled third party insurance claims, including Tricare and other federal and commercial plans. My work has involved maintaining and updating billing records, verifying insurance eligibility, preparing itemized statements, and reconciling patient accounts. I do my best to resolve billing discrepancies and communicate with patients and insurance companies about unpaid claims or account questions. I strive to pay close attention to detail, solve problems as they come up, and maintain confidentiality and accuracy in all aspects of my work.
Work History
Billing Technician
1 Year 4 Months- Process third-party insurance claims, including Tricare and other federal or commercial plans, ensuring compliance with regulations and hospital policies.
- Maintain and update patient billing records, verify insurance eligibility, and prepare itemized statements for services rendered.
- Review, analyze, and reconcile patient accounts; identify discrepancies and resolve billing errors.
- Conduct follow-up communications with patients, insurance companies, and other stakeholders to address denials, unpaid claims, and account inquiries.
- Generate and submit reports on billing activity, collections, and cost recovery efforts for medical and pharmacy services.
- Collaborate with clinical staff and administration to clarify charges, support audits, and improve billing accuracy.
- Maintain confidentiality of sensitive patient and financial information, ensuring adherence to HIPAA and other data protection standards.
- Apply strong attention to detail, customer service, and problem-solving skills to maximize revenue recovery and support the hospital’s financial goals.
Substitute
7 Months- While at Yokosuka Middle School, my responsibilities included organizing and filing important documents, answering phone calls from parents and staff at the front desk, and updating students' documents in their folders. I also utilized my customer service skills to greet parents for child pick-ups and principal conferences throughout the school year.
- As a substitute teacher/ para at Yokosuka Middle School, I held diverse responsibilities catering to the needs of the students. This included assisting students with mild to severe learning impairments or emotional difficulties by helping them comprehend their schoolwork, maintain focus, and manage their emotions. Additionally, I assumed the role of a substitute teacher, providing guidance and support to classes while ensuring discipline. I also took on the responsibility of monitoring students during lunchtime to ensure compliance with school rules and assisted with traffic control to ensure the safe departure of buses and to prevent reckless driving after school hours.
Education
Bachelor of Science - Accounting
Associates - Accounting
transferred for my bachelors degree
- 3.6 GPA
High School Diploma
Skills
Timeline
Billing Technician
Substitute
University of Maryland Global Campus
Los Angeles City College
Kinnick Highschool
PERSONAL INFORMATION
- Citizenship: U.S Citizen
- Sponsorship: SOFA
- Completed: (Tier 1 Investigation) and (Background check IAW DoDI 1402.5)
- Sharon.c.quray@gmail.com
- Cell number: +81 080-7465-6379