Shekedia Traylor
Peachtree City,GA
Summary
Experienced with medical billing processes, including claim submission and follow-up. Utilizes knowledge of insurance guidelines to ensure accurate and timely billing. Track record of effective communication and problem-solving, consistently supporting healthcare providers' financial goals.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical Biller/ Front and Back Office
South Atlanta Digestive Diseases
06.2016 - 12.2024
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
Insurance Claims Specialist
Badger Billing Services
01.2013 - 05.2016
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Evaluated and settled complex insurance claims in strict timeframes.
- Followed up with customers on unresolved issues.
Medical Billing Specialist/ Patient Collections
Randstad
04.2010 - 01.2013
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Managed patient collections efforts with professionalism and tact, successfully recovering overdue payments while preserving positive relationships between the practice and its clientele.
Education
Associate of Science - Medical Billing Specialist
Ultimate Medical Academy
Clearwater, FL05-2018
Skills
- Insurance claims
- Medical billing
- Insurance billing
- Electronic claims
- CPT knowledge
- HIPAA compliance
- Data entry
- Insurance claims processing
- CMS-1500 billing forms
- ICD-10
- Medical terminology expert
- Knowledgeable in EPIC
Certification
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
Timeline
Medical Biller/ Front and Back Office
South Atlanta Digestive Diseases
06.2016 - 12.2024
Insurance Claims Specialist
Badger Billing Services
01.2013 - 05.2016
Medical Billing Specialist/ Patient Collections
Randstad
04.2010 - 01.2013
Associate of Science - Medical Billing Specialist
Ultimate Medical Academy
Similar Profiles
Shekedia TraylorShekedia Traylor
Medical Biller/ Front and Back Office at South Atlanta Digestive DiseasesMedical Biller/ Front and Back Office at South Atlanta Digestive Diseases
Lydia AlagoLydia Alago
Medical Receptionist at Center for Digestive DiseasesMedical Receptionist at Center for Digestive Diseases
Lynn BrownLynn Brown
RN SURGICAL SERVICES at St Joseph Candler Center for Digestive DiseasesRN SURGICAL SERVICES at St Joseph Candler Center for Digestive Diseases
Mallory O'ReillyMallory O'Reilly
Transition Specialist at Alta California Regional CenterTransition Specialist at Alta California Regional Center
Annalise YoungAnnalise Young
General Manager at Club Pilates NewnanGeneral Manager at Club Pilates Newnan