Shelby Godwin
Powell,TN
Summary
Results-driven Contract Analyst with expertise from CommonSpirit Health, skilled in contract reviews and dispute resolution. Proven track record in expediting claim resolutions and enhancing reimbursement processes. Strong analytical thinking and effective communication abilities foster professional relationships and drive organizational success. Committed to maintaining compliance and improving operational efficiency.
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
20
20
years of professional experience
Work History
Contract Analyst
CommonSpirit Health
Chattanooga, TN
08.2018 - Current
- Analyzed contract terms to ensure compliance with regulatory standards and organizational policies.
- Managed insurance payment follow-up on outstanding claims , working directly with commercial and government payers to resolve delays and denials
- Worked with the national office across all markets.
- Investigated and resolved denied ro rejected claims, including coding, eligibility,and authorization issues.
- Performed account reconciliation and corrected discrepancies to maintain clean A/R
- Communicated with insurance representatives to expedite claim resolution and reduce aging
- Identified trends in payer issues and escalated recurring problems for resolution
Managed Care Contract Analyst
TeamHealth
Louisville, TN
01.2014 - 08.2018
- Reviewed contractual language for accuracy, identifying potential risks and areas for improvement.
- Experienced in insurance follow-up for Anesthesia Claims
- Skilled in reviewing EOBS,resolving underpayments and working with payers to ensure timely and accurate reimbursement
Managed Care Specialist
St Marys Hospital
Knoxville, TN
01.2006 - 10.2013
- Managed High Volume accounts using Star, Excel
- Investigated payment variances and coordinated with insurance payers to correct errors and secure appropriate reimbursement, for Medicare, Medicare Advantage, All Commerical Payers, Self Pay.
- Contributed towards business growth by identifying , posting , and reconciling ERA/EOB Payments
Education
High School Diploma -
Knoxville Catholic High School
Knoxville Tennessee 05-1981
Skills
- Microsoft office
- Contract reviews
- Document review
- Telephone etiquette
- Confidential records
- Professional relationship building
- Relationships and rapport
- Verbal and written communication
- Interpersonal and written communication
- Dispute resolution
- Requests for information
- Teamwork
- Problem-solving
- Attention to detail
- Multitasking
- Organizational skills
- Team collaboration
- Active listening
- Effective communication
- Self motivation
- Analytical thinking
- Goal setting
Timeline
Contract Analyst
CommonSpirit Health
08.2018 - Current
Managed Care Contract Analyst
TeamHealth
01.2014 - 08.2018
Managed Care Specialist
St Marys Hospital
01.2006 - 10.2013
High School Diploma -
Knoxville Catholic High School