Shelley Banfield
Summary
Accomplished in HIPAA compliance and adept at fostering teamwork, I significantly enhanced operational efficiency at PathGroup/Xifin. Leveraging skills in data research and professional communication, I improved patient satisfaction and streamlined processes, achieving notable advancements in payment posting and healthcare data management.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Senior Payment Posting Specialist
PathGroup/Xifin
01.2020 - 07.2024
- Maintained strict compliance with HIPAA, CMS, and payer-specific guidelines during payment posting activities.
- Expedited month-end close procedures through efficient coordination with billing and finance teams.
- Identified trends in payer denials and collaborated with other departments to resolve recurring issues proactively.
- Contributed to improved patient satisfaction by promptly addressing inquiries related to their payments or account balances.
- Reconciled accounts receivable to general ledger.
- Audited and corrected billing and posting documents for accuracy.
- Maintained accurate records of customer payments.
- Kept vendor files accurate and up-to-date to expedite payment processing metrics for up to 500 accounts weekly.
Business Owner
Self Employed
03.2019 - 11.2023
- Strengthened company reputation by consistently meeting or exceeding customer expectations in terms of quality products/services offered.
- Managed financial operations to ensure fiscal responsibility, including budgeting, forecasting, and financial reporting.
- Recruited, hired, and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
- Scheduled employees for shifts, taking into account customer traffic and employee strengths.
- Maintained a safe work environment by enforcing strict safety protocols and regularly updating staff on industry best practices.
- Implemented business strategies, increasing revenue, and effectively targeting new markets.
- Improved team productivity by 40 percent with ongoing training and development programs, fostering culture of continuous improvement. Streamlined operational processes, significantly reducing overhead costs and improving efficiency.
SR Claims Recovery Data Analyst
United Healthcare Optum
04.2017 - 07.2018
- Created various Excel documents to assist with pulling metrics data and presenting information to stakeholders for concise explanations of best placement for needed resources.
- Improved decision-making processes with accurate data analysis and visualization techniques.
- Enhanced business efficiency by identifying trends and patterns in complex datasets.
- Facilitated knowledge sharing by creating centralized data repository accessible to all relevant parties.
- Reduced data redundancy by 56% with effective data modeling, ensuring optimal use of storage resources.
- Integrated with IT to ensure data security measures were in place, safeguarding sensitive information.
- Analyzed data to identify root causes of problems and recommend corrective actions.
Lead Health Information Specialist Manager
Alana HealthCare
10.2014 - 03.2017
- Developed strong relationships with healthcare providers, fostering effective communication channels to address any concerns related to patient data management or documentation practices.
- Collaborated with interdisciplinary teams to develop care plans, promoting optimal patient outcomes through accurate documentation and communication.
- Coordinated closely with IT professionals to troubleshoot technical issues related to electronic health records systems, minimizing downtime for 52 clinical staff members.
- Increased departmental accuracy rates through regular quality assurance checks on coded diagnoses and procedures.
- Assisted with the preparation for and successful completion of audits by external agencies, demonstrating compliance with all industry regulations.
- Ensured compliance with HIPAA regulations by conducting regular staff training sessions and implementing privacy policies within the organization.
- Promoted a culture of continuous improvement within the team by actively seeking feedback from colleagues and supervisors regarding workflow efficiencies and areas for growth.
- Recruited, interviewed and hired top-performing employees and implemented mentoring program to promote positive feedback and engagement.
Education
Bachelor of Science -
Tennessee State University
Nashville, TNSkills
- HIPAA compliance
- Insurance verification
- Multitasking and organization
- Records organization and review
- Contract preparation
- Data research
- Business operations support
- Teamwork and collaboration
- Multitasking
- Professional communication
- Computer literacy
- Work Planning and Prioritization
Accomplishments
- Managed team of 22 staff members.
Certification
- Pharmacy Technician Certification
- Healthcare Provider CPR/AED Certification
- Adult, Child & Infant First Aid Certification (BLS)
- Human Resource Management Certificate
Timeline
Senior Payment Posting Specialist
PathGroup/Xifin
01.2020 - 07.2024
Business Owner
Self Employed
03.2019 - 11.2023
SR Claims Recovery Data Analyst
United Healthcare Optum
04.2017 - 07.2018
Lead Health Information Specialist Manager
Alana HealthCare
10.2014 - 03.2017
Bachelor of Science -
Tennessee State University
Similar Profiles
Janay DraperJanay Draper
Billing Representative at Xifin (Formerly Pathgroup Lab)Billing Representative at Xifin (Formerly Pathgroup Lab)
Eva OliveriaEva Oliveria
File Maintenance Analyst at XiFin, Inc.File Maintenance Analyst at XiFin, Inc.
Stephen NwoseStephen Nwose
Provider Enrollment Coordinator at XIFINProvider Enrollment Coordinator at XIFIN
Chaniqua OusleyChaniqua Ousley
Billing Specialist/Payment Posting Specialist at Caregiver Services Inc.Billing Specialist/Payment Posting Specialist at Caregiver Services Inc.
Desiree OronaDesiree Orona
Payment Posting Specialist at Codemax Medical BillingPayment Posting Specialist at Codemax Medical Billing