Shelby Godwin

Managed Care /Revenue Cycle Analyst with 20 plus years of experience in Insurance Follow-up, denial resolution and contract reimbursement analysis

Proven track record of increasing reimbursements.

Identified underpayments, and optimizing payer performance.

Payment Posting & Reconciliations

Conducted detailed follow-up on high-dollar claims, improving collection rates by 50%

Managed Insurance Follow-up for anesthesia claims, including Commerical, Medicare , and Medicaid claims using DAR (Accounts Receivables work que)

Reviewed Payer Reimbursements against expected rates

Reprocessed and rebilled claims to maximize reimbursement accuracy

• Analyzed managed care contracts to ensure compliance with regulatory standards

• Conducted detailed follow-up on insurance claims to resolve denials, underpayments and Aging AR

• Analyzed payer responses to identify root causes of claims issues and payment discrepancies

• Collaborated with internal teams to correct billing errors