Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shelia Osborne

Randallstown,Maryland

Summary

Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Competent medical biller with over 15 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. Efficient Accounts Receivable Specialist offering 15 years of experience in accounts receivable functions. Excellent knowledge of collection and claims procedures with strong communication skills utilized in resolving customer queries. Skilled in accurately preparing weekly and monthly reports within tight deadlines. Meticulous accounting professional bringing 15 years of experience in strategic planning, customer relationship management and account reconciliation. Strong Quickbooks and Idx, Excel, Teams, Epse proficiency with precise and accurate nature. Expertise in financial data entry and record-keeping. Competent Accounts Receivable Specialist bringing 15 years of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance.

Overview

25
25
years of professional experience

Work History

Medical Biller, Accounts Receivable

Gastronenterology Associates
04.2017 - 07.2023
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Verified insurance of patients to determine eligibility.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Posted payments and collections on regular basis.

Medical Biller, Accounts Receivable

University Of Maryland Medical Systems
04.2011 - 05.2017

  • - Communicated with insurance providers to successfully resolve 90% of denied claims through effective negotiation and resubmission.
    - Verified insurance eligibility for over 200 patients monthly, ensuring accurate billing and minimizing claim rejections.
    - Accurately entered and updated patient demographic and billing information for a database of 5000+ records, maintaining a 99% accuracy rate.
    - Posted payments and collections daily, processing an average of 30 transactions per day and maintaining up-to-date financial records.
    - Reviewed and processed patient records, identifying and assigning accurate medical codes for over 1000 billing invoices.
    - Ensured 100% accuracy in reviewing patient diagnosis codes, reducing billing errors and claim denials by 15%.
    - Delivered timely and accurate charge submissions, consistently meeting monthly billing deadlines with a 98% success rate.
    - Successfully resolved 80% of valid or authorized deductions by efficiently entering credit memos, resulting in improved cash flow and customer satisfaction.

Supervisor Department Anesthesia, Critical Care

Johns Hopkins University
03.1998 - 04.2010
  • Identified and resolved unauthorized, unsafe, or ineffective practices.
  • Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
  • Devised processes to boost long-term business success and increase profit levels.
  • Established and administered annual budget with controls to prevent overages, minimize burn rate, and support sustainability objectives.
  • Supervised operations staff and kept employees compliant with company policies and procedures.
  • Developed and implemented strategies to maximize customer satisfaction.
  • Led hiring, onboarding and training of new hires to fulfill business requirements.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
  • Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
  • Kept high average of performance evaluations.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
  • Processed and verified invoices to secure accuracy of billing information.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Developed and maintained billing procedures to make timely payments.
  • Identified payment trends and adjusted billing processes accordingly to retain customers.

Education

No Degree -

Villa Julie
Stevenson, MD

High School Diploma -

Frederick Douglass High School
Baltimore, MD
06.1971

Skills

  • Data Security Procedures
  • Information Updates
  • SMS
  • Categorizing and Classification
  • Data Entry
  • Patient Account Analysis
  • Medical Billing
  • Outpatient Procedures
  • Medical Coding Knowledge
  • Medicare and Medicaid Processes
  • Payments Posting
  • Claims Review
  • Diagnostic Codes
  • Billing Codes
  • Reimbursements
  • Insurance Claims
  • ICD-10
  • CPT Code Modifiers
  • Medical Claims Submission

Timeline

Medical Biller, Accounts Receivable

Gastronenterology Associates
04.2017 - 07.2023

Medical Biller, Accounts Receivable

University Of Maryland Medical Systems
04.2011 - 05.2017

Supervisor Department Anesthesia, Critical Care

Johns Hopkins University
03.1998 - 04.2010

No Degree -

Villa Julie

High School Diploma -

Frederick Douglass High School

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Shelia Osborne