Shawntres Joseph
Adelanto,CA
Summary
Driven Billing Specialist collects, posts and manages account payments. Proven success building relationships and maintaining optimal billing efficiency. Excellent organizational and problem-solving skills with superior client service acumen.
Overview
3
3
years of professional experience
Work History
Billing Specialist
ExamWorks
Adelanto
09.2024 - 08.2025
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Generated periodic reports summarizing account balances and collection activities.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Tracked changes in legislation that could affect billing procedures.
- Adhered strictly to departmental policies and procedures pertaining to issuing refunds.
- Processed refunds accurately according to established guidelines.
- Researched discrepancies related to refund requests.
- Communicated effectively with other teams within the organization about potential opportunities for improvement in the refund process.
- Evaluated customer complaints regarding refunds and worked towards resolution.
- Maintained up-to-date records of all refund transactions.
Qa/QC Analyst
Horne
Adelanto
05.2023 - 10.2023
- Maintained a clean work environment in accordance with established safety regulations.
- Created and maintained detailed documentation for all processes related to quality control.
- Analyzed data collected during inspection or testing activities to identify trends in product performance.
- Ensured that all products meet the required level of quality before being released to customers.
- Provided support in developing new processes and procedures for quality assurance operations.
- Investigated customer complaints regarding product quality issues.
- Established procedures and quality standards.
- Created, edited, and updated project manuals and technical documentation used by entire QA team.
- Kept records of quality reports and statistical reviews.
- Updated and maintained documentation related to quality assurance processes, procedures, and reports to ensure regulatory compliance.
- Fielded customer complaints and rectified service issues.
Claims Analyst
Maximus
Adelanto
02.2022 - 01.2023
- Researched applicable laws and regulations related to insurance policies and procedures.
- Reviewed customer claims, identified discrepancies and determined appropriate course of action.
- Managed escalated cases involving high-value claims or multiple parties involved.
- Maintained accurate records of all claim activities in accordance with company policies.
- Advised customers on filing requirements, documentation needed, and other matters pertaining to their claims.
Education
Some College (No Degree) -
Barstow Community College
Barstow, CASkills
- Data analysis
- Quality assurance
- Billing processes
- Customer service
- Attention to detail
- Effective communication
- Problem solving
- Analytical thinking
- Verbal and written communication
- Problem-solving
- Statement processing
- Invoice processing
- Multitasking and organization
- Medical billing and collections
- Records organization and review
- Data research
- Insurance confirmation
- Customer engagement
- Insurance verification
- Billing dispute resolution
- Claims processing
- Claim submission
- Records research
- Quality control
Education and Training
true
Timeline
Billing Specialist
ExamWorks
09.2024 - 08.2025
Qa/QC Analyst
Horne
05.2023 - 10.2023
Claims Analyst
Maximus
02.2022 - 01.2023
Some College (No Degree) -
Barstow Community College