Shaylin Long
1304 N Centennial St. Kirksville,MO
Summary
Dedicated Patient Account Representative bringing 6 years' experience in customer service and healthcare support. Well-developed communication, time management and problem-solving abilities.
Overview
8
8
years of professional experience
Work History
Billing Analyst
Sunrun
San Francisco, CA
06.2022 - Current
- Reviewed and processed customer invoices for accuracy.
- Developed procedures to ensure compliance with billing regulations.
- Created reports to track progress of billing activities.
- Analyzed data from customer accounts to identify discrepancies.
- Researched and resolved billing issues with customers.
- Assisted in the preparation of monthly financial statements.
- Processed credit card payments for customers.
- Prepared weekly, monthly, quarterly, and annual reports on billing activity.
- Managed customer account setup process including creating new accounts as needed.
- Generated invoices based on contracts, agreements, and other documents received from clients.
- Tracked costs associated with individual projects and invoices to ensure accurate reporting.
- Worked closely with accounting department staff on reconciliation efforts related to receivables.
Insurance Billing Specialist
University Physicians Healthcare
Columbia, MO
04.2021 - 10.2022
- Reviewed insurance claims for accuracy and completeness, ensuring that all required information was present.
- Processed payments from insurance companies in accordance with established procedures.
- Resolved discrepancies between charges on invoices and those billed to the insurance company.
- Validated policyholder eligibility for coverage of services rendered.
- Submitted appeals to insurance companies when necessary.
- Maintained detailed records of all transactions involving insurance billing processes.
- Interpreted Explanation of Benefits documents from various insurers.
- Provided timely follow-up on unpaid claims to ensure prompt resolution of issues causing delays in reimbursement.
- Developed strategies for minimizing denials and improving collections processes.
- Submitted claims to insurance companies.
- Collected, posted and managed patient account payments.
Insurance Billing Specialist
Preferred Family Healthcare Inc.
Kirksville, MO
08.2017 - 04.2021
- Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Processed and sent invoices, adjustments and credit memos to customers.
- Performed data import, scanning or manual keying processes to verify invoice accuracy.
- Established, enforced and optimized billing procedures to streamline operations and minimize aging balances.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Calculated discounts, percentage allocations and credits.
- Reviewed and submitted workers' compensation claims.
- Posted surgical charges for providers across facilities.
- Processed invoice payments and recorded information in account database.
- Performed administrative tasks such as copying, scanning and mail sorting on daily basis.
- Performed insurance verification, pre-certification and pre-authorization.
- Reconciled codes against services rendered.
- Checked claims coding for accuracy with ICD-10 standards.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Patient Service Associate
Northeast Family Health
Kirksville, MO
08.2016 - 02.2017
- Facilitated communication between patients, medical and administrative staff, administrative staff and regulatory agencies.
- Explained policies, procedures and services to patients.
- Trained facility volunteers on guest relations procedures and patients' rights.
- Received patient inquiries or complaints and directed to appropriate medical staff members.
- Used sliding payment scale to assess fair charges for patient healthcare.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Juggled multiple projects and tasks to ensure high quality and timely delivery.
- Demonstrated self-reliance by meeting and exceeding workflow needs.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Exceeded customer satisfaction by finding creative solutions to problems.
Education
High School Diploma -
Kirksville Sr. High School
Kirksville, MO05.2014
Skills
- Insurance Verification
- Coding
- Coding expertise
- Excellent judgment
- Managed care
- Bookkeeping
- Physicians' orders
- Payment processing
- Regulatory compliance
- Insurance collaboration
- Bookkeeping procedures
- Insurance billing
- Bill processing
- Adjustment posting
- Billing dispute resolution
- Statement issuing
- Payment management
- Credit and collections
Timeline
Billing Analyst
Sunrun
06.2022 - Current
Insurance Billing Specialist
University Physicians Healthcare
04.2021 - 10.2022
Insurance Billing Specialist
Preferred Family Healthcare Inc.
08.2017 - 04.2021
Patient Service Associate
Northeast Family Health
08.2016 - 02.2017
High School Diploma -
Kirksville Sr. High School
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