Shawn Winborn
Goodyear,AZ
Summary
Proven Medical Billing Specialist with a track record of resolving denied claims and enhancing patient satisfaction at Aetna Medicaid. Expert in HIPAA compliance and insurance verification, demonstrating empathy and professionalism. Achieved significant improvements in claims processing efficiency and patient trust through effective communication and problem-solving skills.
Overview
5
5
years of professional experience
Work History
Medical Billing Specialist
Aetna Medicaid
2019.07 - 2023.09
- 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.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Patient Service Representative
Abrazo Arrowhead
2018.07 - 2019.07
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
Education
Education Administration
Lincoln University
Jefferson City, MOSkills
- HIPAA Compliance
- Payment posting
- Claim submission
- Insurance Verification
Timeline
Medical Billing Specialist
Aetna Medicaid
2019.07 - 2023.09
Patient Service Representative
Abrazo Arrowhead
2018.07 - 2019.07
Education Administration
Lincoln University
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