Sherann Swain
Austin
Summary
Dedicated and detail-oriented medical office billing professional with strong background in patient accounts reconciliations, collections and follow up, coding, and accounts receivables. Well-versed in maintaining patient confidentiality and ensuring compliance to all laws, regulations, and standards. Enjoys closely collaborating with teams to execute meticulous projects and tasks simultaneously. Highly motivated, organized, and proficient in continuously learning and applying new technology and guidelines to ensure organization's financial success.
Overview
8
8
years of professional experience
Work History
Patient Access Representative
Conifer Health Solutions
San Antonio
07.2024 - 04.2025
- Gather and verify patient information, including demographics, insurance details, and medical history, to register patients for appointments or admissions.
- Confirm insurance coverage, benefits, and eligibility, and may also handle preauthorization or pre-certification processes.
- Collect co-pays, process payments, and provide patients with billing information.
- Assist with patient discharge, providing information and guidance on post-discharge care.
- Perform various administrative duties, such as answering phones, managing paperwork, and supporting the overall operations of the department.
- Interact with patients and their families, addressing inquiries, providing information about hospital procedures, and resolving any concerns or issues.
Patient Advocate/Billing Assistant
Quest National Services
Orlando
06.2022 - 06.2024
- Responded to patient concerns and questions with compassionate and knowledgeable service.
- Assisted patients in understanding individual rights and responsibilities in regards to care, coverage, and payment.
- Worked effectively with staff from all departments to coordinate resolutions.
- Entered details into computer systems and managed database of information.
- Maintained patient records and updated electronic health systems to safeguard data.
- Resolved patient billing issues in line with established guidelines.
- Produced and mailed invoices, payment reminders, and financial notices.
- Received, sorted, and distributed incoming mail.
- Contacted customers and third party payers to pursue payments.
- Updated Microsoft Excel spreadsheets with tracking data.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Developed and maintained billing procedures to make timely payments.
- Worked with multiple departments to check proper billing information.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Responded to customer concerns and questions on daily basis.
- Collaborated with customers to resolve disputes.
- Utilized coding skills to execute accurate coding of E/M, CPT, ICD-10, HCPCS, POS, and modifiers.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Medical Billing Specialist/Patient Care Coordinator Assistant
AJ Medical
01.2020 - 04.2020
- Coordinated and collaborated with team while preparing claims to send to insurance agencies with exceptional accuracy and efficiency.
- Effectively created and reviewed reports to increase reimbursement success.
- Maintained extensive and current coding knowledge to perform accurate coding of E/M, CPT, ICD-10, HCPCS, POS, and modifiers.
- Assisted with overseeing and executing efficient daily office activities including coordinating schedules, night calls, and census updates.
- Responsible for reviewing and correcting previous day's charts, and reporting and printing daily billing.
- Utilized time management and organizational skills to manage a high workload to ensure successful office operations.
Medical Front Desk
Southwest Cancer Center
05.2019 - 01.2020
- Leveraged billing expertise to analyze and prepare medical bills for insurance companies.
- Engaged with patients upon arrival to create a welcoming environment while delivering superior customer service to ensure satisfaction and retention.
- Communicated with patients while checking in and out for appointments, and effectively scheduling new appointments.
- Delivered administrative support in transferring calls, receiving physician and nursing staff's messages, copying, faxing, and emailing.
- Maintained strict patient confidentiality to manage patient data and verify insurance information, ensured compliance with all necessary laws, regulations, and standards.
Billing Assistant
Doctor's Pain Management
10.2017 - 04.2019
- Utilized coding skills to execute accurate coding of E/M, CPT, ICD-10, HCPCS, POS, and modifiers.
- Leveraged eClinicalWorks knowledge to process accurate statements and invoices, substantially increasing efficiency and productivity.
- Executed effective claims submission, denial corrections, and claim resubmissions to boost positive reimbursement outcomes.
- Managed payment posting, accounts receivables, and coordinated other daily operations.
- Implemented thorough attention to detail to manage tracking submitted claims and follow up on denials as needed.
Education
Medical Front Office and Billing Certificate -
Orange Technical College
05.2022
Patient Care Technician -
Americare School of Nursing
01.2008
High School Diploma -
Continental Academy
Skills
- Data Management
- Medical Billing
- Medicare
- HIPAA
- EClinicalWorks
- Practice Fusion
- Medical Coding
- CPT
- ICD-10
- HCPCS
- Microsoft Excel
- Microsoft Word
- Medicaid
- Patient Care
- Problem Solving
- Insurance
- Customer Service
- Medical Terminology
- Claims Processing
- Billing Procedures
- Office Administration
- Time Management
- Regulatory Compliance
- Financial Reporting
Timeline
Patient Access Representative
Conifer Health Solutions
07.2024 - 04.2025
Patient Advocate/Billing Assistant
Quest National Services
06.2022 - 06.2024
Medical Billing Specialist/Patient Care Coordinator Assistant
AJ Medical
01.2020 - 04.2020
Medical Front Desk
Southwest Cancer Center
05.2019 - 01.2020
Billing Assistant
Doctor's Pain Management
10.2017 - 04.2019
Medical Front Office and Billing Certificate -
Orange Technical College
Patient Care Technician -
Americare School of Nursing
High School Diploma -
Continental Academy