SHAWN MYERS

• Compiled and processed data for billing purposes utilizing billing software programs.
• Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
• Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.

• Handled patient and other correspondences, including detailed reports to meet organizational expectations
• Conducted research on overdue billing by contacting patients, local affiliates and insurance carriers
• Advised finance staff and providers regarding changes to procedural and billing codes from Medicare, Medicaid and private insurance carriers
• Resolved accounts quickly and accurately to obtain maximum reimbursement
• Verified coverage with insurers, filed required forms and submitted paperwork to obtain timely payments

• Started with a Temp agency (GHR) and I was on assignment with Trinity Healthcare and the temp assignment last 6 months then I was hired on fulltime with Trinity health
• HB and PB billing In Epic, I Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules
• Precisely completed appropriate paperwork and system entry regarding claims
• Identified errors and re-filed denied or rejected claims quickly to prevent payment delays
• Contacted insurance providers to verify insurance information and obtain billing authorization
• Posted charges, payments and adjustments

• Completed and submitted appeals for denied claims
• Coordinated communications between patients, billing personnel and insurance carriers
• Posted charges, payments and adjustments
• Identified errors and re-filed denied or rejected claims quickly to prevent payment delays
• Posted and adjusted payments from insurance companies
• Reviewed and verified benefits and eligibility with speed and precision
• Collaborated closely with other departments to resolve claims issues
• Entered procedure codes, diagnosis codes and patient information into Ability, MyUnity, DDE
• Contacted insurance providers to verify insurance information and obtain billing authorization
• Precisely completed appropriate paperwork and system entry regarding claims

• Verify CPTs were correct before billing
• Apply payments
• Monitor and train front desk
• Office Duties
• The Owner was talking about going all self pay since it was a small 2 provider DME clinic and I left the job due to my father had colon cancer and I took time to help him and my mother for 5 months
• He is 100% now and doing great

• Responsible for monitoring and collecting the financial responsibilities of our patients
• The Financial Counselor Float must keep patients' insurance benefits up to date in Onco EMR and Centricity and view the patients' services for diagnosis and insurance coverage appropriateness
• Also performs the daily tasks of Managed Care and Financial Counselor
• This position must travel to any office/clinic within their 'region' and when not covering for another Financial Counselor as the float will be assigned various Financial Counselor work to assist others
• Obtain Authorizations from the patient's insurance company

• Work HB and PB as well as Acute Hospital A/R and collections
• Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes
• Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house
• Posted and adjusted payments from insurance companies
• Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
• Performed full-cycle medical billing in a fast-paced medical billing company
• Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies
• Reviewed and verified benefits and eligibility with speed and precision
• Completed appeals and filed and submitted claims
• Submitted refund requests for claims paid in error
• Identified errors and re-filed denied or rejected claims in a timely manner
• Kept detailed and accurate documentation of payments, charges and write-ups of cardiovascular procedures
• Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials

• Collect all the information necessary to prepare insurance claims and bill patients
• Enter patient demographic and insurance information into the medical claim software
• Enter patient encounter information
• Review accounts for possible assignments and prepares information for the collections agency
• Fill in the claim form accurately by contacting the patients, company, or the health institution, for a single mistake might delay the whole process

• Developed and implemented strategies to ensure all care team members had the necessary resources to accomplish their duties.
• Provided guidance on complex clinical issues and assisted in resolving conflicts between team members.
• Maintained accurate records of case reviews and follow-up actions taken by the care team.

UF Jacksonville Physicians:

Batcher:

• Maintained accurate records of all batches produced, including batch numbers and quantities.
• Assisted in the development of new processes and procedures for batching operations.

UF Health Shands Gaineville:

H.I.M tech:

• Reviewed medical records for completeness, accuracy and compliance with regulatory standards.
• Maintained patient confidentiality in accordance with HIPAA regulations.
• Assisted in the preparation of documents for filing and scanning into electronic health record systems.

Verification specialist:

• Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
• Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
• Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.

Eye clinic check out:

• Developed and maintained scheduling procedures to ensure timely completion of projects.
• Schedule appointments for patients.
• Collect co-pay