Summary
Overview
Work History
Education
Skills
Timeline
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Shauntell Townsend

East Point,GA

Summary

Dynamic Billing Specialist with proven expertise at Toothtown Pediatric Dentistry in resolving billing discrepancies and enhancing system accuracy. Skilled in insurance verification and payment processing, I excel in delivering exceptional customer service while maintaining compliance with regulations. Committed to teamwork and achieving high standards in accuracy and volume.

Overview

24
24
years of professional experience

Work History

Billing Specialist

Toothtown Pediatric Dentistry
07.2021 - 11.2024
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Worked with multiple departments to check proper billing information.
  • Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.

• Prepare and submit claims to insurance companies

• Follow up on unpaid claims within standard billing cycle timeframe

• Check each insurance payment for accuracy and compliance with contract discount

• Call insurance companies regarding any discrepancies in payments if necessary

• Data Entry of Claims, patient demographics, notations on accounts

• Review EOBs, remittance advice, and other correspondence from payers

• Maintain up-to-date knowledge of insurance regulations

• Posts insurance payments manually from lockboxes or electronically from remittances and/or accessing payer data websites.

• Reconciles batch amounts with bank totals and maintains a log of payments unable to be posted.

• Applies transactions message codes to paid and denied charges.

• Communicates payment and denial trends to management.

• Meets standards for accuracy and volume.

• Assists with projects and troubleshooting of various issues.

• HIPAA compliant

Billing Specialist

Ems Medical Billing Associates
01.2010 - 03.2016

• Review and verify accuracy of billing data and revise any errors

• Prepare and submit claims to insurance companies

• Follow up on unpaid claims within standard billing cycle timeframe

• Call insurance companies regarding any discrepancies in payments if necessary

• Data Entry of Claims

• Review EOBs, remittance advice, and other correspondence from payers

• Maintain up-to-date knowledge of insurance regulations

• Meets standards for accuracy and volume.


Client Service Representative

CPR Inc.
04.2001 - 12.2009
  • Handled sensitive client information with discretion, ensuring confidentiality at all times.
  • Delivered outstanding customer service by maintaining a professional demeanor during high-pressure situations.
  • Managed incoming calls, providing prompt and accurate information to clients about products and services.
  • Maintained accurate record-keeping with proactive attention to client information updates.
  • Participated in regular meetings with management to discuss performance goals, strategies for improvement, and ongoing challenges faced by the team.
  • Increased customer retention rates through personalized follow-ups and timely resolution of concerns.
  • Followed up with customers about resolved issues to maintain high standards of customer service.
  • Data Entry
  • Answering inbound calls from patients & insurance carriers
  • Notating account activity

Education

High School Diploma -

Metropolitan High School
Milwaukee, WI
06-2001

Skills

  • Billing systems and software
  • Insurance verification
  • Invoice processing
  • Customer service
  • Payment posting
  • Month-end closing procedures
  • Insurance confirmation
  • Payment processing
  • Customer account management

Timeline

Billing Specialist

Toothtown Pediatric Dentistry
07.2021 - 11.2024

Billing Specialist

Ems Medical Billing Associates
01.2010 - 03.2016

Client Service Representative

CPR Inc.
04.2001 - 12.2009

High School Diploma -

Metropolitan High School
Shauntell Townsend