Shaunie Cadieux
Gouverneur,NY
Summary
As a former Medical Biller, I have over ten years of experience in medical office settings. I am excited to bring my years of experience in healthcare ethics, patient and family relations, and upholding patient privacy to a new role in healthcare.
Overview
10
10
years of professional experience
Work History
Medical Billing Clerk
St Lawrence County Community Services
2023.04 - 2024.03
- Helped Run weekly billing meetings
- Worked with billing consultant company to implement recommended changes to the office's revenue cycle management
- Regularly reported areas of improvement to management and identified areas of potential revenue increase
- Spearheaded efforts to make necessary changes to new EMR system to ensure more efficient and cost productive workflow
- Met regularly with EMR support staff to trouble shoot system issues disrupting normal workflow
- Led efforts to increase the number of up-to-date patient insurance cards on file
Medical Biller
Encoda LLC
2022.08 - 2023.04
- Prevents financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Analyzes complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Processes insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Utilizes active listening, interpersonal and telephone etiquette skills when communicating with others.
- Interacts with other healthcare staff to ask questions regarding patient services.
Physician and Facility Biller
Claxton Hepburn Medical Center
2021.05 - 2022.05
- Utilized EClinicalWorks and Meditech EMR systems daily in order to resolve outstanding accounts
- Entered all charges for Outpatient Orthopedic Physician visits and surgeries
- Reviewed outpatient records and interpret documentation to identify diagnoses and procedures.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Medical Biller
Northern Radiology Associates
2018.02 - 2021.05
- Liaisoned between patients, insurance companies and billing office.
- Solely orchestrated the billing of all No Fault, Workers Compensation, VA, and UMR claims for payment.
- Spearheaded the credentialing process for the new Community Care Network (Optum) VA program
- Regularly submitted appeal and reconsideration requests so wrongly denied claims can be reprocessed and paid
- Used Meditech, Medics, and Synapse billing systems to input information into computerized patient record system.
- Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
Insurance Specialist - Medicaid
Convergys Corp.
2014.08 - 2018.01
- Kept meticulous record of every client interaction even on strict time-constraints
- Collaborated with supervisory staff in order to meet metric requirements and to develop plans to meet weekly performance goals
- Translated complex insurance and healthcare terminology into easily understandable terms for customers
- Ensured retention of customers by treating each individual with the respect
- Used active listening and interpersonal skills to deescalate hostile clients with empathy and sensitivity
- Accessed urgency of client complaints and routed to the appropriate departments for resolution
- Diffused difficult situations by offering clear steps needed for problem resolution
Education
Certified Medical Assistant -
St. Lawrence-Lewis BOCES
Canton, NY06.2024
Bachelor of Arts - English Literature
SUNY Plattsburgh
Plattsburgh, NY2014
Skills
- Patient Vital Signs
- Body Systems
- HIPAA Regulations
- Medical Terminology
- Orthopedic Office Experience
- Radiology Office Experience
- Patient and Family Relations
- Infection Control
- Empathetic Approach
- Patient Mobility Assistance
Timeline
Medical Billing Clerk
St Lawrence County Community Services
2023.04 - 2024.03
Medical Biller
Encoda LLC
2022.08 - 2023.04
Physician and Facility Biller
Claxton Hepburn Medical Center
2021.05 - 2022.05
Medical Biller
Northern Radiology Associates
2018.02 - 2021.05
Insurance Specialist - Medicaid
Convergys Corp.
2014.08 - 2018.01
Certified Medical Assistant -
St. Lawrence-Lewis BOCES
Bachelor of Arts - English Literature
SUNY Plattsburgh
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