Sherline Henry

• Responsible for management oversight of medical records and appeals departmental units to investigate, resolve, and respond to insurance denial and ensure compliance with regulatory requirements
• Maintains and coordinates staff activities to achieve departmental and corporate goals to get all services billed to insurance properly paid
• Addresses any needs and concerns related to team activities
• Monitors, trends and analyzes grievance and appeals data for submission to appropriate parties
• Address any internal audits of grievance and appeals process
• Address any external chart audit request from insurance company
• Ensures appeals and grievances are resolved within regulatory timeframes
• Hires, trains, coaches, counsels, and evaluates performance of direct reports
• Abstracted information from records as authorized or requested by insurance companies and other third-party payers.
• Reviewed open and closed records to comply with medical record documentation policies and reported findings to nursing services director.
• Evaluated requests for information and maintained and tracked releases to comply with federal and state laws.

Assistant Collection Manager

Pompano Beach, FL - April 2018 - May 2019

•Ensures that policies and procedures are received, followed and/or updated as required

•Assist Collection Manager with monitors and analyzes reports to assess department operations
Responsible for AR Management including but not limited to; account distribution to staff, staff productivity, collection and DSO

•Create Payer AR Projects, and address claim issues that require interaction with payers

•Assist with Recruiting, hiring and training staff

•Responsible for driving results of collections and identifying systemic and non-systemic issues affection organizational accounts receivables

•Responsible for personnel matters

•Assist with timesheets, annual reviews, counseling and terminations

•Review policies and procedures for various revenue cycle functions

•Provide timely and appropriate feedback to departmental management regarding policies and procedures

•Comprehensive knowledge of managed care contracts, current procedure codes, revenue codes, CCI edits, and all billing requirements

•Responsible for timeliness of AR follow-up, denials, and AR Write-Offs

Collections Specialist|Banyan Treatment Centers

Pompano Beach, FL - April 2016 - 2018

•Ensures timely claim follow-up and collections of facility medical claims at insurance
•Following up on unpaid claims within the standard collection cycle timeframe
•Checking each insurance payment for accuracy and compliance with contract and usual and customary charges
•Calling insurance companies regarding any discrepancy in payments and underpayments
•Calling insurance companies for payment on open/unpaid claims
•Maintain correspondences including scanning, copying, and organization
•Answering insurance telephone inquiries pertaining to assigned accounts
•Transferring Patient collection calls to the designated department

• Follow-up of all unpaid or denied claims with the appropriate Payer
• Research, appeal and resolve claim rejections, underpayments and denials with appropriate Payer
• Respond to written Payer communications as indicated with appropriate action in timely manner
• Process claims and appeals by gathering information for appeals
• Request insurance changes through billing system as required during collections process
• Communicate payment or denial patterns that impact revenue to management in a timely manner
• Document daily in the billing system all follow up and communication on a patient account
• Develop and maintain positive working relationships with team members and Payer representatives
• Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
• Paid or denied medical claims based upon established claims processing criteria.
• Responded to correspondence from insurance companies.

• Track Shipments
• Customer service skills
• Able to perform clerical work efficiently
• Expert user of MS Word
• Attain information from patients from clients
• Send Faxes
• Data Entry
• Prepare and Send outgoing mail
• Open incoming mail
• Order office supplies
• Print Labels
• Photocopying and Scanning
• Excellent communication skills displayed in greeting customers and answering to phone calls
• Assisting with outgoing calls to enrolled members
• Input and print Label for Fedex
• Experience with a multi-line phone system

• Two years of work experience, Highly experienced in assisting doctors with patient programs pertinent to physical disabilities
• Proficient in interviewing patients to obtain medical information and measuring vitals
• Hands on experience in assisting physicians examine and treat patients
• Able to perform clerical work efficiently
• Expert user of MS Word
• Attain information from patients regarding their medical history in order to complete forms
• Assist physicians examine patients and providing them with instruments or materials for performing procedures
• Record patients’ vitals and test results
• Manage scheduling and patient flow
• Responsible for recording, preparing, checking and proofreading various correspondences, presentations, invoices, reports and other material
• Scheduled and later booked for travel needs
• Routed the regular and electronic mails and other information to ensure smooth workflow
• Worked on manual and electronic filing systems
• Maintained records and ordered for various office supplies
• Scheduled appointments
• Excellent communication skills displayed in greeting customers and answering to phone calls
• Assist doctor by typing initial examination form
• Executed record filing system to improve document organization and management.
• Restocked supplies and submitted purchase orders to maintain stock levels.
• Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
• Maintained company handbook to outline policies and provide insights to company mission and values.
• Edited documents to improve accuracy of language, flow and readability.

• Provide excellent customer services
• Constantly meet established productivity, schedule adherence, and quality standards
• Respond to complex customer calls
• Ability to communicate clearly and effectively both in speech and written
• Ability to project a friendly voice while on the phone or when greeting Visitors
• Ability to handle difficult and demanding situations
• Ability and willingness to go above and beyond for the Member
• Ability to function independently in a multi-task environment, as well as part of a team
• Strong planning and organizational skills with ability to work under strict deadlines
• Ability to display a positive attitude and composure.
• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
• Provided primary customer support to internal and external customers.

• Assisted the doctor with phlebotomy, vitals electrical stimulation, ultrasound, manual therapy, and any front desk duties as needed
• Performed clerical duties, such as word processing, data entry, answering phones and filing.
• Called and faxed pharmacies to submit prescriptions and refills.
• Prepared initial patient charts for admission.
• Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
• Completed clinical procedures and gathered patient data for interpretation by physician.
• Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
• Monitored patients' response to dialysis therapy and reported any unusual findings to nurse supervisor.
• Taught patients about medications, procedures and care plan instructions.
• Tested and recorded blood glucose levels.
• Sanitized, restocked and organized exam rooms and medical equipment.

• Data Entry
• Retrieves messages from voice mail and forwards to appropriate personnel
• Answers incoming telephone calls, determines purpose of calls, and forward calls to appropriate personnel or department
• Takes and delivers messages or transfers calls to voice mail when appropriate personnel are unavailable
• Answers questions about organization and provides callers with address, directions, and other information
• Welcomes on-site visitors, determines nature of business, and announces visitors to appropriate personnel
• Monitors visitor access and issues passes when required
• Updates appointment calendars
• Receives, sorts, and routes mail; maintains and routes publications
• Maintains fax machines, assists users, sends faxes, and retrieves and routes
• Incoming faxes
• Takes payments for services and products
• Operates multi-line telephone system to answer incoming calls; directs callers to appropriate completes a variety of administrative duties
• Orders, receives, and maintains office supplies
• Creates and prints fax cover sheets, memos, correspondence, reports, and other documents
• Performs other clerical duties such as filing, photocopying, and collating
• Managed multiple tasks and met time-sensitive deadlines.
• Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
• Answered central telephone system and directed calls accordingly.
• Restocked supplies and submitted purchase orders to maintain stock levels.
• Answered phone promptly and directed incoming calls to correct offices.

• Maintains teams of highly motivated staff in order to oversee operations and guide entry-level employees through daily responsibilities
• Sit in on job interviews, train newly hired associates, place supplies orders, and ensure customer satisfaction
• Specific job titles falling under the category of management include shift or swing manager, assistant manager, and store manager
• Assistant managers and store managers usually work full-time schedules of 40 hours or more per week
• Processing payroll, updating time sheets, demonstrating protocol, tracking supply and shipment orders, and communicating with the company regional offices serve as additional job duties for assistant managers and store manager
• Manage a team of people
• Treat people with dignity and respect
• Treat people the way you want to be treated
• Train and develop team members
• Manage shifts
• Provide outstanding Quality, Service, and, Cleanliness
• Ensure the restaurant is Safe, Clean, and Sanitary
• Control costs
• Managed schedules, accepted time off requests and found coverage for short shifts.
• Trained and mentored new employees to maximize team performance.
• Excelled in every store position and regularly backed up front-line staff.
• Evaluated performance, adjusted strategies and maintained agile, sustainable operations.
• Coached crew members to optimize performance and motivate toward more efficient work.
• Recruited and interviewed candidates for management to evaluate readiness and fit for position.
• Assisted management team in developing and creating welcoming atmosphere for crew members to voice complaints.
• Worked closely with team members to schedule breaks and shifts to meet state regulations.