Years of medical billing experience
Shawn Reynolds
Niles,MI
Summary
Efficient certified billing professional with 8 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive. Also encompass 17+ years of coordinating and management roles.
Overview
8
8
Work History
Billing Representative II
Cassopolis Family Clinic Network
Cassopolis, MI
11.2006 - Current
- Reviewed and solved account and billing discrepancies.
- Assessed accounts for payment status and reached out to customers.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Worked effectively with medical payers such as Michigan Medicaid, commercial insurances to obtain timely and accurate payments.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
- Responded to customer concerns and questions on daily basis.
- Handled account payments and provided information regarding outstanding balances.reviewed Self Pay credit accounts for possible patient refund or distributed it to account accordingly.
- Performed targeted collections on past due accounts aged over 90 days.
Area Department Team Leader
Meijer Inc.
Goshen, IN
11.1995 - 01.2005
- Educated and assisted faculty, staff and students in navigating applicable regulations, policies and procedures.
- Led and managed operational and strategic planning, fiscal management and administrative oversight of facilities, equipment and personnel.
- Developed budget proposals, policies and fiscal guidelines supporting department goals and growth.
- Determined, monitored and controlled expenditures required to manage operational, research and personnel expenses of department.
- Managed inventory and receiving operations to maintain optimal stock levels and meet expected demands.
- Communicated with managers of other departments to maintain transparency.
- Developed empowering employee culture focused on equipping employees to independently meet customer needs.
- Kept employee workloads fair and balanced to achieve objectives while maintaining high job satisfaction.
- Partnered with merchandising team to plan and execute floor moves, merchandise placement and overall sales set-up.
- Approved regular payroll submissions for employees.
- Motivated associates to consistently deliver effective selling behaviors through coaching and recognition.
Education
Certified Professional Biller - Medical Billing
AAPC
12.2018
No Degree - Secondary Education
Southwestern Michigan College
Dowagiac, MIHigh School Diploma -
Ross Beatty High School
Cassopolis, MI05.1991
Skills
- Customer Contact
- Services Rendered Documentation
- Statement Distribution
- 15 years using Epic*
- Proficient in Epic follow up
- MI Medicaid knowledgeable/ CHAMPS system proficient
- Denials/no response follow up
- Payment posting proficient
- Team player/ Relationship Building
- Work independently
- TEAMS messaging knowledgeable
- Familiar with NThrive clearinghouse
- CMS-1500 billing forms
- UB 04 billing forms
Affiliations
AAPC, South Bend,IN chapter
E.g. Hobbies
Love to travel with my husband, specifically the Southwest! Hiking is our passion. We also love to go to the our local Planet Fitness 5 days a week.
Timeline
Billing Representative II
Cassopolis Family Clinic Network
11.2006 - Current
Area Department Team Leader
Meijer Inc.
11.1995 - 01.2005
Certified Professional Biller - Medical Billing
AAPC
No Degree - Secondary Education
Southwestern Michigan College
High School Diploma -
Ross Beatty High School
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