Summary
Overview
Work History
Education
Skills
KEY ACHIEVEMENTS
Timeline
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SHARON DAWES

New York

Summary

Medical Biller Highly organized and detail-oriented Medical Biller with10+ years of experience in accurately processing and submitting insurance claims, proficient in ICDB10 and CPT coding, with a proven track record of maximizing revenue by minimizing claim denials and discrepancies. Resolving billing discrepancies.

Talented Intake Specialist offering 10+ years of experience in conducting intake interviews and summarizing data with speed and efficiency. Connects with clients easily to provide thoughtful and compassionate assistance. Manages client files and prioritizing tasks to achieve optimal productivity.

Overview

17
17
years of professional experience

Work History

Intake Coordinator

Therapeutic Alternatives
03.2020 - 12.2024
  • Medical billing, verifying patient insurance; EOBs;
  • Adding charges, submitting over150 claims a day for payment
  • Facilitated patient intake by acquiring health information and insurance verification for psychiatric medication management and Transmagnetic Stimulation (TMS) services.

Biller Senior Care

Senior Care
05.2016 - 03.2020
  • Medical billing, verifying patients Medicaid, Medicare, OMH, OMRDD, managed care, commercial insurances, MLTC and HMOs by using Availity, Accurint, Payologic, Navient, Zirmed and Epaces
  • Attesting to transportation for patients with Medical Answering Service MAS and Logisticare
  • Adding charges, submitting over150 claims a day for payment

Lead Claims Processor

Logisticare
08.2012 - 05.2016
  • Trained over150 people on discharges and transportation to and from home and other facilities in four years at Logisticare
  • Trained new workers on Medicaid, OMH and OMRDD
  • In charge of over30 employees in the call center
  • Assisted transportation providers with billing issues
  • Researched the reasons why payments were denied

Claims Processor

Semaj Health and Wellness LLC
06.2009 - 07.2012
  • Submitted and scrubbed claims for accuracy for over5 psychiatric providers
  • Disputed claims as needed for psychiatric mental health services rendered by providers at the practice

Data administrator

Hsbc bank usa
12.2007 - 12.2008
  • Processed Corporate Action data associated with security master data
  • Quality control security masters for accuracy against vendors sources
  • Researched security data using various vendors to set up securities to be sold overseas
  • New York, NY

Education

Associate of Arts - Liberal Arts

John Jay College of Criminal Justice
New York, NY

Skills

  • Insurance verification
  • Follow-up skills
  • Multi-line phone systems
  • Appointment scheduling
  • Scheduling appointments
  • Patient scheduling
  • Customer service

KEY ACHIEVEMENTS

  • High Claim Processing: Processed over 150 claims daily with95% accuracy rate.
  • Staff Training Success: Trained150+ staff on procedures, improving efficiency by20%.
  • Billing Issue Resolution: Resolved billing issues, decreasing denials by30%.
  • Team Leadership Excellence: Led team of 3, achieving100% compliance in all processes.

Timeline

Intake Coordinator

Therapeutic Alternatives
03.2020 - 12.2024

Biller Senior Care

Senior Care
05.2016 - 03.2020

Lead Claims Processor

Logisticare
08.2012 - 05.2016

Claims Processor

Semaj Health and Wellness LLC
06.2009 - 07.2012

Data administrator

Hsbc bank usa
12.2007 - 12.2008

Associate of Arts - Liberal Arts

John Jay College of Criminal Justice

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SHARON DAWES