Summary
Overview
Work History
Education
Skills
Business References
Timeline
Generic

Shelly Wooten

Monticello,AR

Summary

Quality-focused Medical Biller offers strong track record over more than 6 years in settling and resolving complex patient billing accounts. Thoroughly experienced in handling
medical charges and invoicing. Tech-savvy approach to understanding and resolving difficult areas of dispute. Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with 6 years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.

Overview

14
14
years of professional experience

Work History

Medical Billing Specialist

Drew Memorial Hospital
Monticello, AR
06.2007 - 06.2013
  • Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
  • Provided customer service support to patients who had questions about their bills or payments due.
  • Researched complex billing issues involving multiple providers or services rendered over a period of time.
  • Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
  • Updated patient accounts with information obtained from internal departments or external sources.
  • Processed credit card payments from patients in accordance with office policy.
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balance
  • Ensured HIPAA compliance by maintaining confidentiality of all patient information.
  • Reviewed patient records for accuracy and completeness of information in medical billing system.
  • Resolved discrepancies between insurance companies and patients regarding payment of bills.
  • Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws.
  • Verified the accuracy of claim data prior to submission to insurance carriers.
  • Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
  • Maintained detailed records of all billing activities including denials, adjustments, and payments received.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Performed quality control of data entry system to verify proper posting of claims and payments.
  • Posted charges, payments and adjustments.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Applied payments, adjustments and denials into medical manager system.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Collaborated closely with other departments to resolve claims issues.
  • Posted and adjusted payments from insurance companies.
  • Submitted refund requests for claims paid in error.
  • Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Thoroughly reviewed remittance codes

Accounts Payable and Payroll Officer

SEARK Education Service CO-Operative
Monticello, AR
03.2000 - 06.2002
  • Analyzed and reconciled payroll data on a weekly basis.
  • Processed invoices for payment in accordance with company procedures.
  • Maintained accurate records of employee deductions and contributions.
  • Reviewed employee time cards for accuracy and completeness.
  • Managed accounts payable activities, including vendor invoice processing, payments, account reconciliations, and customer inquiries.
  • Resolved discrepancies on accounts receivable statements by researching transactions and contacting customers or vendors as needed.
  • Created new hire packets containing important company documents such as I-9s, W-4s.
  • Tracked vacation and sick leave accrual balances for employees across multiple locations.
  • Researched complex issues raised by employees or managers concerning paychecks or benefits.
  • Managed payroll for temporary, hourly and salaried employees.
  • Calculated overtime, vacation sick hours and other categories of time.
  • Processed employee rehires, transfers, terminations and withholdings.
  • Prepared physical checks for employees and check stubs for those receiving direct deposits of funds.
  • Matched orders with invoices and recorded required information.
  • Prepared and processed payrolls.

Data Entry Clerk and Secretary

SEARK Education Co-operative
Monticello, AR
06.1999 - 03.2000
  • Ensured compliance with all relevant rules and regulations governing data entry activities.
  • Collaborated with other departments to resolve issues regarding incorrect data entries.
  • Maintained confidentiality of sensitive information entered into the system.
  • Reviewed existing information for accuracy and made necessary corrections.
  • Performed data entry from paper documents, emails, and other sources into computer systems.
  • Maintained updated knowledge of industry trends related to data entry operations.
  • Compiled reports based on gathered information.
  • Checked source documents against entered data to ensure accuracy.
  • Processed customer orders accurately and in a timely manner.
  • Assisted colleagues with resolving any issues related to data entry operations.
  • Followed up on pending tasks until completion.
  • Responded to daily inquiries and requests within mandated timeframe to meet deadlines.
  • Reviewed, corrected or deleted data, verifying customer and account information.
  • Proofread and edited documents to correct errors.

Education

Associate of Arts - Business Administration

University of Arkansas At Monticello
Monticello, AR
12.2006

Skills

  • Generally Accepted Accounting Principles (GAAP)
  • Quality-Oriented Team Player
  • Bill Payment
  • Meticulous Attention to Detail
  • Collecting Information
  • Error Identification
  • Maintains Confidentiality
  • File Management
  • Professional and Mature
  • Strong Interpersonal Skills
  • CMS-1500 Billing Forms
  • Data Entry
  • Pleasant Demeanor
  • Insurance Processing
  • Mail Handling
  • Strong Problem Solver
  • Excellent Communication Skills
  • Claims Appeal Procedures
  • Physician Billing
  • Insurance Eligibility
  • Medical Billing
  • Critical Thinker

Business References

  • Vonda Walters (870)460-5208
  • Candy Johnson (870)723-4931
  • Beverly Simpson (870)224-6098

Timeline

Medical Billing Specialist

Drew Memorial Hospital
06.2007 - 06.2013

Accounts Payable and Payroll Officer

SEARK Education Service CO-Operative
03.2000 - 06.2002

Data Entry Clerk and Secretary

SEARK Education Co-operative
06.1999 - 03.2000

Associate of Arts - Business Administration

University of Arkansas At Monticello

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Shelly Wooten