Sharon Claytor
Pompano Beach,FL
Summary
Medical Billing with 10 plus years providing administrative and patient support in hospital settings. Advanced knowledge of private insurance processes and codes.
Certified Medical Biller with 10 plus years of experience in hospital and nursing facilities. Accurate and detail-oriented with knowledge of benefits, eligibility and appeals practices. Expert in billing and reliable in handling high volumes of practice billing.
Organized Medical Biller skilled at accurately auditing patient charts and billing corresponding parties.
Competent Research Biller with 7 plus years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Competent medical billing professional manages busy medical office and delivers excellent customer service to patients.
Familiar with preparing and distributing customer statements, maintaining thorough and compliant records and resolving customer issues. Positive and upbeat when answering questions and offering information. First-rate oral and written, multitasking and decision-making abilities.
Detail-oriented Medical Biller with 10 plus years of experience in finance and accounting. Focused, dedicated and skillful in quickly identifying errors to minimize losses.
Results-oriented Biller with proven track record of success in keeping finances up-to-date and accurate. Dedicated to performing on-time staff, vendors and supplier payments. Offering 15 plus years of functional experience in providing clerical, financial and administrative services in medical industry. As well as Moving and Storage.
Seasoned accounting professional with over 40 years of experience in finance settings. Proficient in all facets of accounting reports and account reconciliations. Adept at generating year-end schedules and additional documents for accounting audits.
Organized Medical Biller and Co-owner in Moving and Storage Company boasting 40 plus years of comprehensive experience. Committed to maintaining 100% accuracy in processing invoices. Proficient in vendor management and bank reconciliation. Proactive and self-motivated with high degree of professionalism and strong problem-solving capabilities.
Efficient and detail-oriented Medical Billing with over 10 plus years of experience. Expert in accounting principles, reconciliation procedures, report generation and processing payments on account.
Diligent billing professional offering proven success in invoice reconciliation and financial reporting.
Results-driven Medical Biller with strong attention to detail and desire to help transform business operations. Dedicated to quickly increasing profitability and reducing expenditures through general ledger entries and account reconciliations. Expert in processing payments to minimize outstanding debt, excess fees and interest. Knowledgeable in verifying information within accounting ledger against vendor information to maintain payment accuracy.
Overview
46
46
years of professional experience
Work History
Co-Owner/Operator
Southern Pride Movers
Fort Lauderdale, Florida
08.1984 - 10.2001
- Did payroll and taxes
- Sold jobs over the phone and set estimates , delivered packing materials
- Reconciled daily sales, returns and financial reports in QuickBooks.
- Remained up-to-date on current trends and attended industry trade shows and markets to view and order inventory.
- Devised processes to boost long-term business success and increase profit levels.
- Founded and managed Type business, growing revenue to $Amount in first year.
- Used knowledge of market trends to create value-added solutions resulting in significant increase in revenues.
- Trained and developed team members to build human capital.
- Developed sales presentations and promotion initiatives to key accounts to drive product sales and increase brand awareness.
- Generated revenues yearly and effectively capitalized on industry growth.
- Maximized efficiency by coaching and mentoring personnel on management principles, industry practices, company procedures and technology systems.
- Aligned branding initiatives and sales strategies with client goals.
- Cultivated forward-thinking, inclusive and performance-oriented business culture to lead industry in innovation and push progress.
- Reduced personnel turnover and promoted employee development by recruiting team-oriented candidates and implementing new training practices.
- Established and administered annual budget with controls to prevent overages, minimize burn rate and support sustainability objectives.
- Discovered areas of improvement by generating quarterly operational and sales reports.
- Improved records management systems for leases and contracts to boost renewals timeliness.
- Optimized team hiring, training and performance.
- Maintained up-to-date administrative records to monitor operational conditions.
- Monitored market conditions to set accurate product pricing and take advantage of emerging trends.
- Developed key operational initiatives to drive and maintain substantial business growth.
- Assessed supplier quality to maintain tight cost controls and maximize business operational performances.
- Pre-certified medical and radiology procedures, surgeries and echocardiograms.
- Directed successful operational turnaround, eliminating over $Amount in debt within Timeframe.
Front Desk Receptionist
Dr. Steven Silverstein
Pompano Beach, FLorida
03.2002 - 05.2004
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
- Maintained files and records by implementing effective filing systems that boosted efficiency and organization.
- Verified Insurance
- Set Apointments and collected Co-pays
Customer Service Representative
Holy Cross Hospital, Inc.
Fort Lauderdale, Florida
09.2004 - 01.2019
- Consulted with outside parties to resolve discrepancies and create expert solutions.
- Leveraged sales expertise to promote products and capitalized on upsell opportunities.
- Evaluated account and service histories to identify trends, using data to mitigate future issues.
- Answered average of Number calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
- Communicated professionally with colleagues, freelancers and clients.
- Quickly and accurately answered customer questions, suggested effective solutions and resolved issues to increase customer satisfaction Number%.
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
- Managed timely and effective replacement of damaged or missing products.
- Trained staff on operating procedures and company services.
- Cross-trained and provided back up for customer service managers.
- Effective liaison between customers and internal departments.
- Applied highly effective selling skills while properly engaging and presenting solutions to customers.
- Maintained clean and orderly checkout areas by mopping floors, emptying trash cans and wiping down surfaces.
- Cross-trained and backed up other customer service managers.
- Handled over Number calls per shift signing up new customers, retrieving customer data, presenting relevant product information and cancelling services.
- Monitored cash drawers in multiple checkout stations and maintained adequate cash supply.
- Promoted available products and services to customers during service, account management and order calls.
- Reached out to customers after completed sales to suggest additional service or product purchases and inquire about needs or concerns.
- Delivered excellent customer service, resulting in consistent Number% customer satisfaction rating.
- Collaborated with sales team members to stay current on inventory levels, complete accurate orders and resolve item issues.
- Investigated and resolved accounting, service and delivery concerns.
- Implemented and developed customer service training processes.
- Liaised with sales, marketing and management teams to develop solutions and accomplish shared objectives.
- Resolved Type issues over phone with Number customers daily.
- Optimized customer support by establishing collaborative service environment.
- Entered orders into Type computer database system.
- Followed up with customers about resolved issues and completed Action and Action to maintain high standards of customer service.
- Followed-through on all critical inter-departmental escalations to increase customer retention rates.
- Collected and returned unpurchased or returned items to correct shelf locations and arranged displays to promote sales.
- Reduced process inconsistencies and effectively trained team members on best practices and protocols.
- Handled Type customers in fast-paced Type setting in coordination with solid team of Number customer service associates.
- Effectively communicated with customers about account changes, new Type products or services and potential Type upgrades.
- Welcomed, greeted and assisted guests in high-traffic store, generating $Amount of dollars in Timeframe business.
- Recorded actions taken, issues resolved and Type information to effectively manage customer accounts.
- Recommended, selected and helped locate and obtain out-of-stock product based on customer requests.
- Assessed caller accounts to determine Type benefits, identify service needs and resolve issues.
- Surpassed sales goals through implementation of effective marketing strategies.
- Provided ongoing guest service.
- Operated POS system to itemize and complete average of Number customer purchases.
- Contacted clients to verify account information and maintain accuracy, resulting in Number% increase in client satisfaction.
- Stocked shelves and managed inventory through Action and Action.
- Created and maintained detailed database to develop promotional sales.
- Resolved associate, tool and service delivery issues revealed by statistical reports.
- Processed Number invoices each Timeframe and mailed documentation to clients.
- Improved overall efficiency Number% by anticipating needs and providing outstanding support.
- Bolstered customer retention by creating and offering unique discount options and inspiring interest in new product lines.
- Facilitated Type orders and completed accurate to meet aggressive deadlines.
- Developed, updated and organized Software databases to handle customer and Type data.
- Devised workaround solutions for Type-related issues, resulting in Result.
- Provided onboarding and guidance to other sales representatives to meet sales goals while growing opportunities for Type business.
- Scored in top Number% of employees for successful Action.
- Promised best prices for Type customer services and maintained accuracy when determining quotes.
- Validated Type and Type paperwork to boost Area of expertise efficiency.
- Contributed to annual store sales of $Amount per Timeframe.
- Responded to customer requests for products, services and company information.
- Provided primary customer support to internal and external customers.
- Recommended products to customers, thoroughly explaining details.
- Assisted customers with setting appointments, special order requests, and arranging merchandise pick-up.
- Collected customer feedback and made process changes to exceed customer satisfaction goals.
- Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
- Cultivated customer loyalty, promoted repeat business and improved sales.
- Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.
- Communicated with vendors regarding backorder availability, future inventory and special orders.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
- Sought ways to improve processes and services provided.
- Increased efficiency and team productivity by promoting operational best practices.
- Facilitated inter-departmental communication to effectively provide customer support.
- Increased efficiency and performance by monitoring team member productivity and providing feedback.
- Enhanced productivity levels by anticipating needs and delivering outstanding support.
- Improved sales abilities and product knowledge on continuous basis to provide optimal service and achieve quotas.
- Calculated correct order totals, updated accounts and maintained detailed records for inventory management.
Medical Billing Specialist
Holy Cross Hospital
Fort Lauderdale , Florida
06.2006 - 01.2019
- Did specialized bring for All Research Studies done at the hospital. This included a insurances, Medicare and Medicaid. I was the only research Biller for the hospital side of the billing. Had 100 active Research Studies.
- Lost position when the Hospital Billing Dept. Restructured and moved to Columbus, Ohio.
- Trained new employees on multiple medical billing programs and data entry software.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Determined prior authorizations for medication and outpatient procedures.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Evaluated patients' financial status and established appropriate payment plans.
- Prepared billing correspondence and maintained database to organize billing information.
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Managed collections claims for unpaid bills against estates of debtors.
- Responded to requests for information from various individuals by providing Type documents.
- Pre-certified medical and radiology procedures, surgeries and echocardiograms.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Delivered timely and accurate charge submissions.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Adhered to established standards to safeguard patients' health information.
- Liaised between patients, insurance companies and billing office.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Posted surgical charges for practice providers.
- Managed billing calendar and scheduled claims for payments.
- Set up and maintained new electronic billing system.
- Identified and resolved patient billing and payment issues.
- Precisely evaluated and verified benefits and eligibility.
- Located errors and promptly refiled rejected claims.
- Posted and adjusted payments from insurance companies.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Did all billing for over 100 active Research Studies. Did insurance, Medicare and Medicaid billing for hospital side of billing. Corrected any denied claims and refilled all were done electronically.
Education
Tru 10th Grade -
Fluvanna County High School
Palmyra, VANight School For GED Diploma
Pompano Beach, FL1999
GED -
Night School
Pompano Beach, FL2000
Skills
- Taking in storage and doing inventory
- Ordering packing materials and delivering to customers
- Customer Service
- Ordering office supplies and keeping inventory
- Front desk check in and setting apts
- Collecting co pay
- Doing inventory
- Billing for 100 active Research Studies at Holy Cross Hospital
Timeline
Medical Billing Specialist
Holy Cross Hospital
06.2006 - 01.2019
Customer Service Representative
Holy Cross Hospital, Inc.
09.2004 - 01.2019
Front Desk Receptionist
Dr. Steven Silverstein
03.2002 - 05.2004
Co-Owner/Operator
Southern Pride Movers
08.1984 - 10.2001
Tru 10th Grade -
Fluvanna County High School
Night School For GED Diploma
GED -
Night School
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