Shontah Cooper
San Diego,CA
Summary
Experienced Billing Coordinator successful at spotting and resolving system patient issues when dealing with collections, escalation resolution, and providing customer satisfaction. Committed Liaison professional looking to serve as company liaison to promote positive business relations with potential vendors and clients. Organized and experienced to complete reports. Strong skills in time management and prioritizing tasks.
Overview
4
4
years of professional experience
Work History
Compliance Liaison
Aya Healthcare
San Diego, CA
10.2022 - 02.2024
- Developed and maintained effective relationships with internal and external stakeholders.
- Organized and facilitated meetings, workshops, conferences and other events to ensure successful outcomes.
- Coordinated communications between teams to ensure accurate information was shared in a timely manner.
- Acted as a point of contact for customers, suppliers, partners and other third parties to support the delivery of services.
Outside Claims Billing Coordinator
American Medical Response, AMR
San Diego, CA
05.2021 - 10.2022
- Contact insurance providers to verify insurance information and obtain billing authorization.
- Submit appeals on behalf of patients for denied claims.
- Complete documentation, reports and spreadsheets of financial information.
- Resolve reimbursement discrepancies by analyzing information and notifying manager.
- Manipulate data in spreadsheets to reconcile with billing system information.
- Submit claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Research and process eligibility on outside claim patients
- Process claim payments through CHANGE for payout on patients' insurance
Service Center Representative
Kaiser Permanente
San Diego, CA
09.2019 - 05.2021
- Researched and reconciling bill payments to ensure eligibility determination, payment, revenue and membership records.
- Processed enrollments, terminations, retroactivity requests, and corrections.
- Consulted brokers and groups to process enrollments, terminations, and retroactivity requests.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Informed customers about billing procedures, processed payments and provided payment option setup assistance.
- Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
- Made outbound calls to obtain account information.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Trained new hires on products and services, best practices and protocols to reduce process gaps.
Education
Bachelor of Science - Psychology
Francis Marion University
Florence, SC12.2012
High School Diploma -
Hemingway High School
Hemingway, SC05.2007
Skills
- Accounts payable and receivable
- Payments experience
- Research
- File management
- Audit procedures
- Claims processing
- Billing dispute resolution
- Medical billing and collections
- Medical transport billing
- Customer Service Skills
- Time Management
- Empathetic skills
Accomplishments
- Reimburse $154,000 in revenue in behalf of patients' ambulance insurance.
- Promoted from Reimbursement Specialist to Billing Coordinator, in less than 12-months.
Timeline
Compliance Liaison
Aya Healthcare
10.2022 - 02.2024
Outside Claims Billing Coordinator
American Medical Response, AMR
05.2021 - 10.2022
Service Center Representative
Kaiser Permanente
09.2019 - 05.2021
Bachelor of Science - Psychology
Francis Marion University
High School Diploma -
Hemingway High School
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