SHAWANDA RICHARDSON

• Reviewed billing problems, researched issues, and resolved concerns.
• Managed monthly billing process to complete billings and returns to meet company revenue
• Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
• Reduced errors and discrepancies in invoicing by closely monitoring billing data and conducting regular audits.
• QA & Compliance Monitoring for billers and cash posters.

. Run Queries and build Excel reports

• Collaborate with attorneys, nurse case managers, patients, and both internal and external stakeholders to coordinate care and ensure clear communication across all parties.

. Facilitated documentation of office notes, physician orders, and permanent/maximum medical improvement (PPI/MMI) ratings to support patient care and case management.

. Served as liaison for second opinion referrals, coordinating communication between providers, patients, and specialists to ensure timely evaluations.

• Monitored system access logs and identified potential security risks or violations
• Provided training sessions on best practices for protecting confidential information assessment.
• Completes examiner update reports, claim adjustments, provider requests and operational expense check requests.
• Queues claims for Managed Care; transfers payment allocations; and-runs manual pre-pay and balances as requested.
• Creates and maintains internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and whether they meet established policies.
• Coordinates with company's internal audit group to ensure security access is defined and implemented according to established policies and procedures.
• Communicates and collaborates with other internal departments to support the security needs of end-users.
• Researches and gathers data as needed for auditing, special projects or returned checks.
• Provides telephone support to end-users.

• Answered phone calls, directed inquiries to appropriate personnel, responded to customer requests in a timely manner
• Provided administrative support to management staff, including scheduling meetings and appointments, preparing agendas, taking minutes, and maintaining records
• Served as the primary point of contact for clients and vendors, fostering strong professional relationships.
• Reduced paperwork backlog by organizing files, digitizing documents, and improving record-keeping systems.
• Prepared comprehensive reports on company performance metrics for executive review.
• Assisted with budget preparation, monitoring expenses to ensure adherence to financial targets.
• Efficiently managed data entry tasks, ensuring accuracy while maintaining strict confidentiality standards.
• Streamlined invoice processing procedures to reduce errors and increase payment punctuality from clients or vendors.