Sharon Jamison
Holly Hill,SC
Summary
Accomplished, value-driven, mission-oriented professional who achieves unprecedented results through innovation, initiative, and resourcefulness. Thrives in ambiguous circumstances with minimal direction and resources; strong ability to gather and compile best practices throughout the organization. A natural relationship builder who enrolls others to support positive change.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Senior Medical Billing Specialist
Coulter Clinic
06.2011 - Current
- Reviewing clinic documentation, auditing, and assigning appropriate codes and modifiers according to the latest CPT, HCPCS, and ICD-10 editions to complete the billable charge posting process for inpatient/outpatient, nursing home, colonoscopy, and office visits
- Assign and validate CPT/ICD-10 Codes on the claim, claims submission, payment posting, and accounts receivable
- Insurance aging, follow-up, collections, and appeals on denied claims
- Serve as a practice expert and go-to person for all documentation and billing processes including billing requirements, appropriate use of modifiers, and specialty provider coding
- Analyze claims for accuracy and completeness; submit claims to proper insurance entities following their specific billing regulations
- Ensure the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
Medical Biller
Carolina Shoulder Knee Specialist
04.2003 - 06.2011
- Prepared and submitted billing data and medical claims to insurance companies
- Ensured the patient's medical information is accurate and up to date
- Processed additional information and requests from patients and insurance companies on the billing of patient treatment
- Examined patient bills for accuracy and requested any missing information
- Investigated and appealed denied claims
- Maintained billing software by updating rate change, cash spreadsheets, and collection reports.
Education
Associate of Science - Psychology
Liberty University
Lynchburg, VA05.2018
Skills
- Excellent organizational and communication skills
- Strong proficiency with Internet, Windows-based PC, intermediate to advanced skills and understanding of MS Office: Excel, Outlook, Word, and PowerPoint
- Outstanding organizational and conflict management skills with seasoned accuracy in the areas of scheduling, medical terminology, ICD-10, CPT coding, technical support, and customer engagement
- Handle confidential information with integrity and professionalism within HIPAA Guidelines
- Hands-on experience in reviewing, updating, or making changes to accounts
- Thorough knowledge of product philosophy, policy, procedures, documentation, and systems
- Highly analytic thinker with demonstrated talent for planning, initializing, and implementing operational procedures and streamlining complex work procedures
- Proven ability to coach and mentor through setting expectations, communication, coaching, feedback, and ongoing support
Certification
Certified Insurance & Coding Specialist
NCCT | ID# 1097007
Timeline
Senior Medical Billing Specialist
Coulter Clinic
06.2011 - Current
Medical Biller
Carolina Shoulder Knee Specialist
04.2003 - 06.2011
Associate of Science - Psychology
Liberty University
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