Shawna Rose
Kettering,USA
Summary
Versatile and adaptable, a quick-witted and fast learner who thrives on challenges and embraces change. Capable of tackling complex tasks and paying attention to the smallest details. Always ready to jump right in and get the job done. Possessing a well-rounded skill set and an even-tempered nature, a valuable asset to any company willing to provide an opportunity to contribute.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Patient Account Specialist
Ohio's Hospice
10.2023 - Current
- Managed status checks and communications for ongoing medical claims.
A/R Billing Specialist
Walnut Creek Senior Living Campus
09.2022 - 03.2023
- Executed accurate billing for long-term care and private collection clients.
Economic Support Specialist
Montgomery County JFS
05.2022 - 08.2022
- Guided customers through Medicaid and SNAP application procedures.
Medical Billing Specialist/ Provider Enrollment
Five Rivers Health Centers
08.2021 - 05.2022
- Facilitated the enrollment of providers into insurance systems.
Ancillary Biller
Addison Healthcare Professionals
05.2021 - 08.2021
- Facilitated billing of Covid tests for several nursing homes via temporary agency.
Outreach and Enrollment Specialist
Five Rivers Health Centers
01.2019 - 11.2020
- Support patients with completing Medicaid-SNAP-TANF forms.
- Helped connect patients with essential services, such as housing and food.
- Supported patients in navigating insurance and billing concerns.
Medical Biller
Five Rivers Health Centers
03.2018 - 01.2019
- Handled billing of medical claims to various insurance providers including Medicare and Medicaid.
- Ensured timely follow-up on claim denials and payments.
Resolution Specialist
United Healthcare
07.2017 - 12.2017
- Manage more than 200 incoming phone inquiries each day.
- Provided answers to provider questions about claims, benefits, and notifications.
- Assessed updates regularly to maintain familiarity with dynamic organizational guidelines.
Business Office Assistant
Issaquah Nursing & Rehab
07.2014 - 01.2017
- Accurately documented messages during call management
- Efficiently managed and transmitted medical claims.
- Maintained efficient cash flow by consistently tracking and following up on insurance payments.
- Handled private collections efficiently.
Education
Certificate in Phlebotomy -
Pima Medical Institute
Renton, WA01.2014
Certificate -
Healing Arts Center
St. Louis, MO01.2011
Certificate -
Ohio Center for Broadcasting
Cincinnati, OH01.2002
Skills
- 60 WPM
- Accounting
- Administrative support
- Articulate
- Clerical
- Epic
- Medical Terminology
- Collections
- Medical Billing
- Insurance Verification
- EMR Systems
- Medical Office Experience
- Anatomy Knowledge
- Transcription
- Medical Scheduling
- ICD-10
- Medical Records
- HIPAA
- 55-60 WPM typing speed
- Critical thinker
- Excellent communication skills
- Administrative support specialist
- Articulate and well-spoken
- Multi-line phone proficiency
- Customer service-oriented
- Advanced clerical knowledge
- Works well under pressure
- Accurate and detailed
- Accounting familiarity
Certification
Medical Billing, 2 years billing in a nursing home setting and 1 year billing in FQHC setting
Timeline
Patient Account Specialist
Ohio's Hospice
10.2023 - Current
A/R Billing Specialist
Walnut Creek Senior Living Campus
09.2022 - 03.2023
Economic Support Specialist
Montgomery County JFS
05.2022 - 08.2022
Medical Billing Specialist/ Provider Enrollment
Five Rivers Health Centers
08.2021 - 05.2022
Ancillary Biller
Addison Healthcare Professionals
05.2021 - 08.2021
Outreach and Enrollment Specialist
Five Rivers Health Centers
01.2019 - 11.2020
Medical Biller
Five Rivers Health Centers
03.2018 - 01.2019
Resolution Specialist
United Healthcare
07.2017 - 12.2017
Business Office Assistant
Issaquah Nursing & Rehab
07.2014 - 01.2017
Certificate in Phlebotomy -
Pima Medical Institute
Certificate -
Healing Arts Center
Certificate -
Ohio Center for Broadcasting
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