Shellie Burchett
Memphis,TN
Overview
9
9
years of professional experience
Work History
Pharma Support Services Specialist
Option Care Health
08.2023 - Current
- Enrollment of patients in specialty pharmacy services including: Communication with patient, pharmacist and/or provider to gather relevant demographic information, shipping and contact preferences.
- Coordinates the completion of Patient Assistance Program applications by meeting directly with the physician, case manager and client as needed. Transports medication from the program(s) to the pharmacy(ies).
- Verifies insurance coverage by phone, online or through electronic transactions where appropriate for all new patients and/or changes in coverage.
- Addresses client issues and reporting needs in a timely and strategic fashion in support of our Client Service colleagues.
Patient Registration Specialist Lead Trainer
Option Care Health
02.2022 - 08.2023
- Interacted with more than 50 external service providers and the Option Care Commercial Team to transition new patients onto service with Option Care.
- Coordinated the onboarding of referrals between different functional areas within Option Care including Pharmacy, Nursing, Warehouse and Revenue Cycle.
- Proactively maintained and grew relationships with referral sources and serves as a key point of contact and representative of Option Care. Attended meetings with key accounts as needed.
- Provided training and mentoring for new hires.
Patient Financial Services Specialist
Bioventus
11.2020 - 02.2022
- Reviewed the benefits investigation summary with the patient so that each patient understands any out of pocket costs associated with Bioventus products.
- Explained the clinical benefits of Bioventus products and effectively answered questions so that the patient feels informed and confident about using Bioventus products.
- Worked with the reimbursement services team to secure any additional information needed from the patient.
- When appropriate, administered the patient assistance program in accordance with company policies and guidelines.
Billing Specialist-Commercial
Baptist Medical Group Central Business Office
09.2019 - 11.2020
- Evaluated payments received for correctness and applies payments accurately to the system.
- Verified that payments received are correct according to the fee schedule. Applied the payment correctly to the patient account. Ensured that secondary bills and patient invoices are mailed within 48 hours of receipt of payment.
- Notified the Reimbursement Manager if there are overpayments and/or duplicated payments for the same service.
- Transferred payments belonging to other offices within 48 hours of receipt.
Patient Access Representative II-Clearance
Accredo Health Group Inc.
11.2018 - 09.2019
- Negotiated pricing for non-contracted payers and authorized patient services and ensured proper pricing is indicated in RxHome.
- Performed all aspects of electronic claims process and rejection resolution.
- Ensured accounts requiring authorizations and re-authorizations are identified, secured, and updated in RX Home prior to each shipment.
- Contacted benefit providers to gather policy benefits/limitations to ensure services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.)
Insurance Verification & Accounts Receivable Specialist
East Memphis Surgery Center
05.2018 - 11.2018
- Billed and charged for supplies correctly to reduce risk and minimize lost revenue.
- Reconciled 11 medical supplies accounts in one month to ensure correct billing.
- Submitted timely, accurate invoices to payer for products and services provided.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
Medical Office Assistant
Le Bonheur Outpatient Center
06.2017 - 05.2018
- Identified account discrepancies and issues that hindered claim payments.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Coded and verified all accounts receivable payments under the correct charge code.
- Full Cycle Accounts Payable. Processed up to 250 invoices/month averaging $1.5 million.
Financial Counselor & Accounts Payable Clerk
Methodist Le Bonheur Germantown Hospital
06.2015 - 06.2017
- Directed patients through the registration process, providing medical history and physician specific forms for completion.
- Trained and mentored new team members on accounts payable systems and policies to build cohesive groups and promote operational performance.
- Maintained and updated spreadsheets with recent accounts payable and accounts receivable data.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
Education
Graduate Certificate in Human Resources -
Belhaven University
Jackson, MS01.2020
MBA - Business Administration
Belhaven University
Jackson, MS05.2019
Bachelor of Science - Clinical Exercise Physiology & Psychology
Mississippi State University
Starkville, MS08.2014
Skills
- Administrative procedures: Admitting, scheduling appointments, and patient chart maintenance
- Insurance Knowledge
- Medical terminology knowledge
- Data Entry
- Accounts Payable/Receivable
- Account Management
- Analytical problem-solving
- Training Initiatives
- Complaint Resolution
- Delegation
- Adaptability
- Team Oversight
- Performance Appraisals
- Client Support
- Workday
- ADP
- Jobvite
Timeline
Pharma Support Services Specialist
Option Care Health
08.2023 - Current
Patient Registration Specialist Lead Trainer
Option Care Health
02.2022 - 08.2023
Patient Financial Services Specialist
Bioventus
11.2020 - 02.2022
Billing Specialist-Commercial
Baptist Medical Group Central Business Office
09.2019 - 11.2020
Patient Access Representative II-Clearance
Accredo Health Group Inc.
11.2018 - 09.2019
Insurance Verification & Accounts Receivable Specialist
East Memphis Surgery Center
05.2018 - 11.2018
Medical Office Assistant
Le Bonheur Outpatient Center
06.2017 - 05.2018
Financial Counselor & Accounts Payable Clerk
Methodist Le Bonheur Germantown Hospital
06.2015 - 06.2017
Graduate Certificate in Human Resources -
Belhaven University
MBA - Business Administration
Belhaven University
Bachelor of Science - Clinical Exercise Physiology & Psychology
Mississippi State University
Similar Profiles
Hunter JonesHunter Jones
Clinical Pharmacy Technician I at Option Care HealthClinical Pharmacy Technician I at Option Care Health
Retha Dominique AustinRetha Dominique Austin
Senior Manager, Operations at Option Care HealthSenior Manager, Operations at Option Care Health
Susanne GarrettSusanne Garrett
Nursing Supervisor at Option Care HealthNursing Supervisor at Option Care Health
NIKOLINA GRUBNICNIKOLINA GRUBNIC
Medicare Reimbursement Specialist at OPTION CARE HEALTHMedicare Reimbursement Specialist at OPTION CARE HEALTH
Jamarr D. StackensJamarr D. Stackens
Personal Security Specialist at Jerry Lee LewisPersonal Security Specialist at Jerry Lee Lewis