Shontell Edwards-Reed
Summary
To acquire a challenging position in an environment where I can utilize my skills and education.
Overview
11
11
years of professional experience
Work History
Revenue Cycle Payment Posting Representative II
Trinity Health
Livonia
08.2023 - 03.2026
- Tracked payment deposits from patients and insurance, ensuring accurate reconciliation of details.
- Posted payments received through lockbox or mailroom, along with adjustments identified by insurance.
- Identified and resolved payment posting issues to maintain accurate financial records.
- Assess explanation of benefits (EOBs) from insurance companies.
- Prepare payment batches.
- Accept payments and process billing statements.
- Keep accurate billing records and report any discrepancies to accounting.
- Processed refund requests from patients to ensure accurate financial records.
Revenue Cycle Patient Account Representative
Ochsner Hospital
New Orleans
10.2018 - 08.2022
- Communicated with insurance companies and patients to follow up on outstanding claims, resolve denied or rejected claims and negotiate payment arrangements.
- Managed a portfolio of patient accounts, including verifying insurance eligibility, processing claims, and resolving billing discrepancies.
- Communicated with insurance companies and patients to follow up on outstanding claims, resolve denials, and negotiate payment arrangements, enhancing collection efforts.
- Collaborated with healthcare providers, billing staff, and other departments to address billing issues and streamline revenue cycle processes.
- Collaborated with healthcare providers, billing staff, and departments to address billing issues and streamline revenue cycle processes, improving overall operational efficiency.
- Maintained accurate records of account activities, payments, and adjustments in compliance with HIPAA regulations, ensuring data integrity and regulatory adherence.
Patient Financial Counselor
Conifer Health
06.2015 - 07.2018
- Contacts the patient's and/or third-party payer organizations to secure insurance benefits and information.
- Updated account database to track actions taken on accounts.
- Work with clinic and clinic managers to resolve outstanding insurance balances.
- Generated and monitored work lists for collections to streamline follow-up processes.
- Responsible for transferring balances to correct payer, and initiating re-bill of unpaid claims.
- Updates the account database to identify actions that have been taken on the account.
- Transferred balances to correct payer and initiated re-bill of unpaid claims.
- Contacted patients and third-party payers to secure necessary insurance benefits and information.
Education
Associates of Science - Medical Billing and Insurance Coding
HERZING UNIVERSITY
Kenner, LACertified Nursing Assistant -
NEW ORLEANS JOB CROP TRADE SCHOOL
New Orleans, LADiploma -
ALCEE FORTIER SENIOR HIGH SCHOOL
New Orleans, LASkills
- Payment posting
- Claims Processing
- Insurance Verification
- Epic System
- Epic system knowledge
- Athena System
- Excel
- Microsoft Office (Word, Excel, PowerPoint)
- Microsoft Office
Additional Information
Knowledge of Epic and Med Asset Systems, Microsoft Office (Word, Excel, PowerPoint)
Timeline
Revenue Cycle Payment Posting Representative II
Trinity Health
08.2023 - 03.2026
Revenue Cycle Patient Account Representative
Ochsner Hospital
10.2018 - 08.2022
Patient Financial Counselor
Conifer Health
06.2015 - 07.2018
Associates of Science - Medical Billing and Insurance Coding
HERZING UNIVERSITY
Certified Nursing Assistant -
NEW ORLEANS JOB CROP TRADE SCHOOL
Diploma -
ALCEE FORTIER SENIOR HIGH SCHOOL