Summary
Overview
Work History
Education
Skills
Timeline
Generic

Sharon Holden Joshua

Seattle,WA

Summary

Experienced medical billing/coding. Over 20+ years of experience providing exceptional customer service satisfaction. Researched, designed, updated and implemented training modules for customer service and claims. Accomplished supervisor and trainer with excellent communication, presentation, and leadership skills. Energetic and dedicated professional committed to efficient and productive operations. More than seven years clinic or hospital billing or accounts receivable follow-up experience. Experience working with medical claims and EDI systems, e.g. Epic, Infian, Inovalon

Overview

30
30
years of professional experience

Work History

Charge Audit

Northwest Kidney
12.2022 - Current
  • Proactively manage significant issues in billing and provide process improvement for submissions
  • Collaborate with internal/external customers related to coding, billing, edits and denial management
  • Design and implement training curriculums for new and existing staff
  • Perform analysis and troubleshooting for billing and coding/ missing charge resolution
  • Able to perform Vlookup and Xlookup to improve processes

Billing Coordinator / AR Specialist

Providence Health & Services
07.2019 - 12.2022
  • Resolve issues with outstanding claims
  • Collaborate with clinicians related to coding
  • Detailed orientation and accurate work style
  • Proper management of AR Collections and dispute resolution with professionals

Medical Biller

Transcend Medical Billing
10.2014 - 03.2020
  • Experience working with medical and electronic data
  • Able to navigate both commercial and government health plans (Medicare and Medicaid).
  • Professional and firm when necessary; Fully understand the billing cycle; Experience posting payment.
  • Experience reviewing statements and following up with customers regarding their account balances.
  • Verified ICD-9/10, HCPC, CPT and coding on claims.

Medicare Claims Analyst

KForce (via Community Health Plan)
08.2013 - 12.2013
  • Reviewed, researched, and analyzed Medicare local coverage documentation (LCD).
  • Interpret Medicare local coverage documentation and analyzing claims to determine if claims are processed correctly.

Customer/Claims Trainer; Business System Analyst

Regence BlueShield (Cambia Health Solutions)
01.1996 - 03.2013
  • Over 17 years instructing learners on claims and customer service-related functions and processing claims.
  • Planned, designed, and instructed classroom and online classes.
  • Performed needs assessment for training to determine required training.
  • Wrote business requirements for claims enhancements to the system.
  • Processed medical, hospital, Medicare, and COB claims and distributed work to staff.
  • Applied HIPAA requirements to protect customer’s information.
  • Provided excellent customer service skills to both internal and external customers.
  • Verified ICD-9, HCPC, CPT and Revenue coding on claims.

Education

01.2015

Medical Insurance Biller and Coding - undefined

Everest College
Renton, WA
01.2015

Business Administration - undefined

American International Continental University (AIU)
01.2003

Skills

  • Friendly, positive attitude
  • Teamwork and collaboration
  • Customer service
  • Problem-solving

Timeline

Charge Audit

Northwest Kidney
12.2022 - Current

Billing Coordinator / AR Specialist

Providence Health & Services
07.2019 - 12.2022

Medical Biller

Transcend Medical Billing
10.2014 - 03.2020

Medicare Claims Analyst

KForce (via Community Health Plan)
08.2013 - 12.2013

Customer/Claims Trainer; Business System Analyst

Regence BlueShield (Cambia Health Solutions)
01.1996 - 03.2013

Medical Insurance Biller and Coding - undefined

Everest College

Business Administration - undefined

American International Continental University (AIU)

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