Sharshia Boyd
Sugar Land,TX
Summary
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Reliable and competent Medical Billing professional with exceptional data entry and customer service skills. Focused on improving policies and procedures, increasing patient satisfaction and optimizing workflow in busy medical practices. Excellent administrator with top-notch communication, planning and team leadership skills.
Overview
10
10
years of professional experience
Work History
Medical Billing/Specialty Pharmacy
Soleo Health
08.2022 - Current
- Preparation of accurate medical claims based on contracted agreements
- Provides exceptional customer service to internal and external customers
- Review information from electronic medical records (Auth, benefit verification, account receivables) to ensure submission of clean claims
- Perform routine revenue review of claims billed within the current month
- Ensure coding to the highest level for maximum reimbursement by third party payers.
Medical Billing A/R NCPDP Specialist
CVS Aetna
10.2021 - 08.2022
- Identifying and reporting inefficiencies to improve revenue flow
- Completed A/R adjustments where permitted and appropriate
- Working complex payer, aged claim, and special projects
- Process insurance denials and appeals to ensure timely account resolution
- Complete patient correspondence resulting in resolution of account.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Front Desk Supervisor/Biller
Associates in Medicine
07.2016 - 09.2020
- Training and coaching front desk staff, monitoring staff performance, and providing feedback
- Collect on delinquent accounts by establishing payment arrangements with patients
- Obtaining referrals and pre-authorizations as required for procedures
- Monitoring check-in, check-out, guest request and room availability
- Ensuring the accuracy of billing and payment process.
Office Manager
Better Quality Of Life Adult Care
02.2014 - 01.2016
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Updated reports, managed accounts, and generated reports for company database.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Improved overall office efficiency by regularly evaluating workflow processes and implementing necessary updates.
Education
Bachelor of Science in Health Administration -
University of Phoenix
08.2016
Associates in Medical Office Administration -
Houston Community College
Houston, TX06.2013
Diploma -
Murrah High School
Jackson, MS05.2004
Skills
- Billing Support
- HIPPA Compliance
- Critical Thinking
- Data Entry
- Insurance Verification
- Team Leadership
- Time management
- Customer Service
Personal Information
Title: Motivated medical billing and coding specialist
Timeline
Medical Billing/Specialty Pharmacy
Soleo Health
08.2022 - Current
Medical Billing A/R NCPDP Specialist
CVS Aetna
10.2021 - 08.2022
Front Desk Supervisor/Biller
Associates in Medicine
07.2016 - 09.2020
Office Manager
Better Quality Of Life Adult Care
02.2014 - 01.2016
Bachelor of Science in Health Administration -
University of Phoenix
Associates in Medical Office Administration -
Houston Community College
Diploma -
Murrah High School