Shawn Edwards
Hollis,NY
Summary
Diligent and reliable Medical biller and administration support professional with over 15+ years of expertise in all aspects of the Healthcare system including Emergency department, patient admissions, home health and hospital billing.
Overview
15
15
years of professional experience
Work History
Senior Admitting Representative
NYU Langone Brooklyn
11.2014 - 04.2022
- Effectively used hospital software systems to enter patient demographic information, verify insurance coverage, and schedule appointments when necessary.
- Collaborated with other departments to facilitate efficient patient transfers and discharges.
- Prioritized workload effectively while handling multiple tasks simultaneously within afast-paced environment.
- Contributed toward achieving revenue cycle goals by diligently following up on pending insurance authorizations and obtaining required documentation.
Billing Supervisor
Visiting Nurse Regional Home Care
05.2009 - 01.2014
- Supervised, planned and coordinated the Medicare, Medicaid, Private and Commercial insurance accounts receivable staff, as well as Physician Order tracking support staff and Managed Care authorization staff
- Ensure timely managed care reporting to all contracted managed care companies on a daily basis
- Plan and evaluate the staff and daily activities for patients accounts; direct the timeliness of collection process, cash posting and managed care authorizations
- Created detailed reports for management reflecting key financial indicators such as receivables aging analysis, uncollected revenues breakdowns, write-offs statistics, among others contributing valuable insights into the department''s strengths and weaknesses
Patient Accounts Representative
North Shore LIJ Health Systems
04.2007 - 10.2009
- Process and review inpatient, outpatient hospital and physician claims for cash reimbursement
- Submit billing records and Eligibility of Benefits to insurance companies required for appeals process
- Developed strong relationships with key contacts at insurance companies to expedite resolution of claim disputes or other account-related issues.
Education
Nursing -
Kingsborough Community College
Brooklyn, NY07.2018
Skills
- Excellent Customer Service skills
- Experienced in various health care billing systems: Epic, McKesson, IDX, Epremis, Eagle, Epaces, ICD 9 &10, CPT Knowledge
- Microsoft Word, Power point, Access and Excel
References
Available upon request
Timeline
Senior Admitting Representative
NYU Langone Brooklyn
11.2014 - 04.2022
Billing Supervisor
Visiting Nurse Regional Home Care
05.2009 - 01.2014
Patient Accounts Representative
North Shore LIJ Health Systems
04.2007 - 10.2009
Nursing -
Kingsborough Community College
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