Summary
Overview
Work History
Education
Skills
Softwares
References
Timeline
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SHARRON FAIRLEY

Hattiesburg,USA

Summary

To achieve a position where I can utilize my professional knowledge, skills, and abilities while contributing to continued success in the workplace. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency and using independent decision-making skills and sound judgment to impact company success.

Overview

28
28
years of professional experience

Work History

Executive Administrative

Sharron's Refund Ready
Hattiesburg, USA
08.2004 - Current
  • Entered information onto digital systems to maintain data quality and accuracy
  • Updated databases and spreadsheets regularly to track progress
  • Welcomed guests, issued passes and took incoming phone calls at reception
  • Helped maintain office organization for aesthetic appeal and easy access to supplies.
  • Completed bi-weekly payroll for 10 employees.

Medical Claim Specialist

Hattiesburg Clinic
Hattiesburg, MS
12.2016 - 12.2017
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Processed appeals on rejected or partially paid claims, including filing additional paperwork as needed.
  • Verified patient eligibility for medical claims and determined benefit coverage.
  • Based payment or denials of medical claims upon well-established criteria for claims processing.
  • Assisted claimants, providers and clients with problems or questions regarding claims.

Medical Claim Specialist

Pioneer Healthcare Services
Magee, USA
01.2007 - 12.2016
  • Bill and Code All Claims for payment
  • Follow Up / Rework Any claims needed, for extra attention
  • Answer and assist all patients with account questions
  • Maintain Report /Monthly
  • All other duties assigned.
  • Improved claim processing efficiency by streamlining workflows and implementing best practices.
  • Achieved timely reimbursements for clients through keen understanding of insurance company protocols.
  • Conducted regular audits of processed claims to identify areas for improvement and potential fraud risks.
  • Managed large volume of medical claims on daily basis.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Followed up on denied claims to verify timely patient payment and resolution.

Administrative Coordinator

Crothall Healthcare Inc
Gulfport, USA
01.2003 - 01.2005
  • Updating HR Database with New Hires Sick leaves, Vacation, and Coordinating HR Projects
  • Preparing HR Policy Paperwork
  • Maintaining Employees Records
  • Prepare payroll for 150 Full Time Employees
  • Orientate all employees during hiring process
  • Enroll employees in Health Insurance
  • Process Any Workers Comp Claims Through Zuric
  • Set up Drug Testing for New Hire
  • Background Check New Hire
  • Answer and Route all calls
  • Conduct Safety Meetings / Provide Safety Suggestions
  • Order Supplies
  • Type Letters and Memos
  • Conduct Meetings when appropriate
  • Maintain monthly reports
  • Conduct all Human Resource Responsibilities
  • All other duties assigned.

Engineering Dispatcher

Memorial Hospital
Gulfport, USA
01.1997 - 01.2003
  • Answer and route all call / work orders
  • Add work orders to Maximo System
  • Type letters, memos, and reports
  • All other duties assigned.
  • Developed strong working relationships with key stakeholders across various departments, facilitating smoother collaboration on shared projects.
  • Coordinated with multiple departments to ensure timely completion of projects, resulting in improved customer satisfaction.
  • Enhanced team morale through regular feedback sessions and recognition programs, leading to increased employee retention rates.
  • Increased overall productivity by implementing new software tools for dispatch management and scheduling.
  • Supported successful completion of numerous high-profile projects by effectively managing schedules, resources, and communication channels.
  • Developed and implemented customer service policies and procedures.

Education

Associate of Science - Occupational Educational

Mississippi Gulf Coat Community College
Gulfport, MS

Diploma - Office System Technology

Mississippi Gulf Coat Community College
Long Beach, MS

Skills

  • Knowledge of Human Resource
  • Administrative Duties
  • Dispatcher experience
  • Medical Coding and Billing
  • Operate all Office equipment
  • Proficient with Microsoft Office
  • Presentation Development
  • Budget Tracking
  • Expense Reporting
  • Meeting planning
  • Preparing Reports
  • Office Equipment
  • Project Management
  • Human Resources
  • Scheduling
  • Medical coding ethics
  • HIPAA compliance
  • ICD-10 proficiency

Softwares

  • Quick Books
  • Maximo
  • 3M Codefinder
  • ICD Coding
  • ICD and CPT Coding
  • HCPCS Coding
  • ICD - 10
  • ICD - 11
  • Advanced MD

All other employers, skills and abilities available upon request

References

References available upon request.

Timeline

Medical Claim Specialist

Hattiesburg Clinic
12.2016 - 12.2017

Medical Claim Specialist

Pioneer Healthcare Services
01.2007 - 12.2016

Executive Administrative

Sharron's Refund Ready
08.2004 - Current

Administrative Coordinator

Crothall Healthcare Inc
01.2003 - 01.2005

Engineering Dispatcher

Memorial Hospital
01.1997 - 01.2003

Associate of Science - Occupational Educational

Mississippi Gulf Coat Community College

Diploma - Office System Technology

Mississippi Gulf Coat Community College

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