Shawna Shepherd
Delaware
Summary
Dedicated accounts receivable specialist with extensive experience in medical billing and claims management. Skilled in resolving discrepancies and enhancing patient experiences while ensuring compliance with regulatory standards. Aiming to streamline processes and improve revenue cycles.
Overview
10
10
years of professional experience
Work History
A/R Specialist
Accountable Radiology Advisors
Westerville, Oh
09.2025 - Current
- Processed medical claims accurately and efficiently, ensuring timely reimbursement for healthcare providers.
- Assisted in updating and maintaining billing codes in compliance with regulatory standards.
- Communicated with insurance companies to clarify claim status and resolve payment issues.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Precisely evaluated and verified benefits and eligibility.
- Filed and updated patient information and medical records.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Reviewed patient billing information to verify accuracy and resolve discrepancies promptly.
- Utilized electronic health record (EHR) systems to manage patient data and billing inquiries.
Billing Officer
Amerikare Ambulance
Columbus, Ohio
01.2021 - 08.2025
- Managed billing processes for multiple accounts, ensuring timely and accurate invoicing.
- Reviewed and resolved discrepancies in patient billing statements to enhance accuracy.
- Collaborated with insurance providers to verify coverage and expedite claims processing.
- Coded all claims for billing commercial and government insurance.
- Expert in appeals, denials and rejections.
- Edited and corrected trip reports for proper documentation.
Medical Records Manager
Heartland of Westerville
Westerville, OH
07.2016 - 12.2020
- Oversaw management of patient medical records to ensure compliance with healthcare regulations.
- Implemented electronic health record (EHR) systems for improved data accessibility and accuracy.
- Trained and mentored staff on best practices in medical records management and regulatory standards.
- Established protocols for handling confidential patient information to maintain data security.
- Streamlined record retrieval processes, enhancing efficiency in patient care coordination.
- Conducted audits of medical records for accuracy, identifying areas for process improvement.
- Collaborated with healthcare providers to optimize documentation practices and improve patient outcomes.
- Ensured compliance with healthcare regulations by conducting regular audits of medical records and implementing corrective actions when necessary.
- Maintained a high level of expertise in healthcare regulations, ensuring the organization remained compliant with all relevant laws and guidelines concerning medical records management.
- Weekend Manager on Duty- managed all employees residents, family members and the all around running of the facility.
- Accepted or denied new admissions based on company guidelines and procedures.
- Coordinated mock Ohio Health Department surveys with residents, families, and employees to better understand their side or residential care and using the findings to make changes within the company.
Education
Medical Assistant/Medical Billing And Coding
American School of Technology
Columbus, Ohio07.2023
Skills
- Customer account reconciliation
- Accounts receivable management
- Dispute resolution
- Research and due diligence
- Codes reviewing
- AR aging reports
- Accounts receivable
- Claims processing
- HIPAA compliance
- ICD-10 coding
- Medical terminology expertise
- Patient privacy protection
- Conflict resolution strategies
- Quality assurance monitoring
- Electronic health records management
Timeline
A/R Specialist
Accountable Radiology Advisors
09.2025 - Current
Billing Officer
Amerikare Ambulance
01.2021 - 08.2025
Medical Records Manager
Heartland of Westerville
07.2016 - 12.2020
Medical Assistant/Medical Billing And Coding
American School of Technology