SHAWN MYERS

• Client is not renewing contract with Volt and they are not offering Full time positions
• Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
• Have new employees shadow me and answer questions
• Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
• Verified accuracy of accounts payable payments, resulting in 20% reduction in payment errors and check reissues.

• Maintained accurate records of all correspondence with clients using CRM software, ensuring seamless handover between team members when necessary.
• Worked 40 claims a day
• Managed a large caseload of outstanding issues, prioritizing tasks effectively while maintaining strict deadlines.
• Handled escalated cases professionally, demonstrating empathy towards customers while working diligently towards an agreeable resolution.

• Hired on full time from a employment agency (GHR)
• Train new employees
• Worked at least 40 claims a day
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Posted and adjusted payments from insurance companies.
• Communicated effectively and extensively with other departments to resolve claims issues.
• Located errors and promptly refiled rejected claims.

• Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
• Kept all patient information secure and confidential.
• Executed billing tasks and recorded information in company databases.
• Identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Worked 50+ claims a day

• Reviewed billing problems, researched issues, and resolved concerns.
• Worked with customers to develop payment plans and bring accounts current.
• Increased patient satisfaction by addressing billing inquiries promptly and professionally.
• Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.

Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.

• Communicated with insurance providers to resolve denied claims and resubmitted.
• Ensured timely payments from insurance providers through submission of accurate and complete claims.
• Liaised between patients, insurance companies, and billing office.
• Worked 40+ claims a day

Improved collections with efficient follow-up on outstanding accounts receivable balances.

• Negotiated favorable payment terms with insurance carriers, resulting in improved reimbursement rates for the practice.
• Contributed to higher patient satisfaction rates by promptly addressing and resolving billing inquiries or disputes.
• Provided exceptional customer service, addressing patient concerns promptly and professionally while maintaining a positive attitude.
• worked 35+ claims a day

• Enhanced patient care by coordinating and managing care team members to go out to patients homes.
• Streamlined care processes for improved efficiency and patient satisfaction.
• Developed customized care plans to address individual patient needs and preferences.

• Served as a liaison between physicians, nurses, and other healthcare professionals to address concerns or discrepancies in medical records.
• Enhanced patient care by accurately recording and maintaining health information data.
• Maintained an organized filing system for easy retrieval of medical records, adhering to strict retention policies as outlined by regulatory guidelines.
• Prioritized workload efficiently, managing multiple cases simultaneously without compromising on quality or accuracy.
• Participated in regular performance reviews, using constructive feedback as an opportunity for growth and development within my role as a Verification Specialist.