Shayla Allred
Overview
9
9
years of professional experience
Work History
Billing Specialist
Families First Pediatrics
09.2022 - Current
- Receive inbound phone calls from Insurances, Patients, and Receptionists
- Make outbound phone calls to Insurances, Patients, and Receptionists
- Create new Responsible Party Accounts for 18 Year Old Patients
- Generate and Send Dismissed Letters to Patients
- Update current Responsible Party Accounts to keep demographics current
- Generate Patients Statements
- Generate Patient Past Due Letters
- Verify Patient Balances to ensure correct billing
- Generate Pre Collection Reports
- Upload Unpaid Accounts to Collections
- Send Refund Requests to Accounting Department
- Approve Pending Charges
- Add Codes to Pending Charges
- Respond to and send Messages with Providers regarding Pending Charges
- Generate Unsigned Visit Reports
- Post EFTs
- Work Incoming Denials
- Work Older Denials
- Review Unbilled and Exclusions to ensure claims are sent
- Verify Insurance Information
- Respond to Records Requests from Attorneys Offices and Insurances
- Review and Respond to Incoming Faxes
- Balance Previous Day Deposits
- Report Previous Day Deposits
- Notate Patient Accounts
- Print and Mail HCFA Claims
- Manually Process Payment Plans
- Pick up mail from PO Box
- Distribute Mail to different departments
- Post Insurance and Patient Checks
- Post Insurance and Patient Credit Cards
- Post Denials
AR Specialist
Ventra Health (Formerly Known As Abeo Management)
11.2018 - 09.2022
- Prepare and Send appeals to insurances for various denials
- Specialize in insurance and learn the ways they process claims
- Send medical claims within a timely manner
- Respond to Record Requests from insurances and attorneys offices
- Identify insurance issues with unpaid claims
- Make Outbound calls to Patients and Insurance
- Answer incoming phone calls from Patients and Insurance
- Process Patient Payments through Online Payment System
- Approve accounts to be sent to collections
- Notating accounts with clear and detailed notes
- Data Entry to keep demographics updated
- Process Return Mail
- File completed provider billing tickets
- Scan Documentation into Patient Accounts
- Sort Insurance Claims to distribute among staff
- Run Refund Request Report
- Process Refund Requests
- Receive and send Refund Checks to Patients and Insurances
- Train new representatives
Call Center Representative
Jordan Credit Union
04.2018 - 11.2018
- Answer Incoming Phone Calls
- Complete Transfers between accounts
- Transfer Phone calls if needed
- Send Form to Patients through Docusign
- Keep Demographics Updated
- Scan Documentation into member's accounts
Teller
Jordan Credit Union
04.2016 - 04.2018
- Deposit Cash and Checks for members
- Process member withdraw requests and disburse cash or print cashiers checks
- Answer Phone Calls
- Transfer Phone Calls as needed
- Balancing Cash Drawer multiple times throughout the day
- Referring members to products offered by credit union
- Keep demographics updated on member accounts
- Scan documentation into member accounts
- File Visa disputes for members for fraudulent charges
- Print debit/credit cards
Team Member
Culver's Restaurant
01.2015 - 04.2016
- Take Customer Orders over counter or through drive-thru
- Serve orders to customers
- Prepare dessert orders
- Be knowledgeable about menu and be able to answer questions
- Work in a team to service the customers with as much accuracy as possible
- Various Cleaning Tasks
- Entering Customer Information into spreadsheet
Education
High School Diploma -
Bingham High School
South Jordan, UT06.2015
Skills
- Claims Processing
- Contract Preparation
- Fiscal Reporting
- Payment Posting
- Record Preparation
- Collections
- Collection Practices
- Records Organization and Review
- Mail Sorting
- Payment Processing
- Customer Service
- Collections Processing
- Microsoft Office
- Billing and Invoicing
- Office Equipment Operation
Timeline
Billing Specialist
Families First Pediatrics
09.2022 - Current
AR Specialist
Ventra Health (Formerly Known As Abeo Management)
11.2018 - 09.2022
Call Center Representative
Jordan Credit Union
04.2018 - 11.2018
Teller
Jordan Credit Union
04.2016 - 04.2018
Team Member
Culver's Restaurant
01.2015 - 04.2016
High School Diploma -
Bingham High School
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