Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

SHARON HALL

Medical Biller/Account Resolution Specialist
Livingston, Texas

Summary

CAREER PROFILE& HIGHLIGHTS Enthusiastic, sharp, and well organized professional with 25 years of billing, administrative and clerical experience in a healthcare facility. Provide reliable and organized administrative duties, problem identification and solution development, and develop strategies for efficiently completing all task at hand. Seeking a position in the Medical Industry in which extensive experience acquired will be utilized to maximize company potential. Strong combination of ,management, coding, account resolution and billing skills. Highly effective in motivating and supervising employees. Proficient in E-Clinical Works, Athena Collector EMRs and Collect Logix and several different types of medical softwares. ICD-10 CM, CPT Coding, HCPCS, Workman's Comp, Coding and Billing, Collections, 3rd party insurances, HMO's, PPO's, Medicare and Medicaid(including MCOs). Certified Medical Billing Specialist with over 20 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Account Resolution Specialist

Currance, Inc
Phoenix, AZ
09.2021 - 06.2022
  • Investigated, followed up with payers and collected the insurance receivable
  • Verified that the account sits at the correct liability and balance with the payer
  • Performed comprehensive follow up activities that facilitated cash flow
  • Complied with Process Agreement.
  • Completed in-depth research to investigate claims and resolve problems.
  • Researched accounts and completed due diligence to resolve collection problems.
  • Researched, analyzed and settled 175 disputes per week.

Clinic Coder/Biller ASC

Woodland Heights Medical Center
Lufkin, Texas
11.2020 - 01.2021
  • Coded hospital charges for Cardiology and OB/GYN and Internal Medicine.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Questions concerning account
  • Scrubbed claims for before being submitted

Medical Coder

Walston Billing Services
Livingston, TX
02.2011 - 05.2020
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.

Education

Associate Degree -

Ultimate Medical Academy

and Certified Billing and Coding SpecialistCPC (Certified Professional Coder) AAPCCBCS (Certified Billing and Coding Specialist) - undefined

Skills

  • Skills gained:
  • Preparing and submitting claims to various insurance companies electronically and via paper
  • Assisting in the maintenance of medical charts and the electronic medical record (EMR) system
  • Performing collection actions, including contacting patients by phone and correcting and resubmitting claims
  • Medical Terminology ~ Medical Basics and Healthcare Claim Cycle ~ Basic Anatomy and Physiology
  • Computer Systems and Software Applications for the Medical Office ~ Reimbursement Systems
  • Healthcare settings ~ Healthcare Payers ~ Records Management for the Billing Specialist
  • Teamwork and Collaboration
  • Claim Processing
  • Billing and Collections Procedures

Certification

Ultimate Medical Academy

  • Certified Medical Billing Specialist & Certified Professional Coder (CPC),

Timeline

Account Resolution Specialist

Currance, Inc
09.2021 - 06.2022

Clinic Coder/Biller ASC

Woodland Heights Medical Center
11.2020 - 01.2021

Medical Coder

Walston Billing Services
02.2011 - 05.2020

Associate Degree -

Ultimate Medical Academy

and Certified Billing and Coding SpecialistCPC (Certified Professional Coder) AAPCCBCS (Certified Billing and Coding Specialist) - undefined

SHARON HALLMedical Biller/Account Resolution Specialist