Summary
Overview
Work History
Skills
Hospital Systems
Timeline
Generic

Stacy Shufford

Fresno,CA

Summary

Professional AR Specialists with over 15 years experience with a track record of implementing process improvements that enhance efficiency and cash flow. Excellent knowledge of collection and claims procedures with strong communication skills utilized in resolving all customer, client, and management queries.

Overview

18
18
years of professional experience

Work History

Sr Lead AR Specialist

Optum
Fresno, CA
01.2006 - Current
  • SME for phone customer service, off-shore, and on-shore AR team
  • Work closely with all levels of client management to ensure that all areas of customer service, refunds, AR, coding, and Data Entry are completed and processed promptly.
  • Assigned and worked on special projects and audits
  • Process insurance denials and appeals to ensure timely resolution
  • Identified denial trends and determined and worked with management to process changes to prevent future denials.
  • Work with other teams to address editing, coding, and payment-related issues.
  • Experienced with charge entry, payment posting, credits balance resolution, and AR follow-up
  • Researched discrepancies between customer payments and open balances.
  • Assisted with the month-end close process to ensure all payments, charges, and refunds were completed before close.
  • Resolved billing issues raised by customers and or insurance companies promptly.
  • Worked closely with our collection agencies and approved all legal suits
  • Provided excellent customer service when responding to inquiries about invoicing or payment issues or denials
  • Developed strategies for improving processes that result in more efficient cash flow management.
  • Participated in weekly meetings to discuss progress on overdue items and action plans.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Kept accounts receivable tracking database current with relevant client information, collection and billing progress and program changes.

Skills

  • Dispute Resolution
  • Payment posting
  • Payment tracking
  • Relationship Building
  • Research and due diligence
  • Credit analysis
  • Client Communication
  • Process Improvements
  • Collections Management
  • Investigative research
  • Bill processing
  • Credit and collections
  • Adjustment posting
  • Billing dispute resolution
  • Payment management
  • Audit Procedures
  • Cross-Functional Team Collaboration
  • Claims Processing
  • Collections
  • Microsoft Excel
  • Invoice Preparation
  • Accounts Receivable
  • Credit management
  • Policy Development
  • Accounts receivable expertise

Hospital Systems

  • Medinformatix
  • Epic
  • Streamline
  • IDX

Timeline

Sr Lead AR Specialist

Optum
01.2006 - Current
Stacy Shufford