Shawna R. Marshall
Decatur,Ga 30032
Phone: 513-***-****
E-mail:acd53q@r.postjobfree.com
SUMMARY OF QUALIFICATIONS:
Work in the medical field with over 18 years of experience in Billing, Consulting and AR Analyst experience.
Proven ability to develop and maintain strong professional relationships with management, colleagues, staff,
and business partners. Ethical, value-driven approach contributes to reliable growth. Expertise in:
Certificates Received: * Medical Terminology I, II & III * Medicare* Claims Processing I & II *Medical Billing*
Payment Posting* Registration* Medicaid
Software Skills: *Rims * IDX * PowerPoint * Access * Medix * Lastword* Txen *Microsoft Windows * Excel
*Sms *Kids * Hds*T2 *Wins * Pro*AMPFM *Series *EC2000 *Hpf *Perse *EPIC *Fasttrack* Xactimed
*Nextgen*Navinet*GE * *Centric *Centricity * Emr * Gateway*Verinet* Encore*
PROFESSIONAL EXPERIENCE
Summary of Qualifications:
PRIVATE PAY SPECIALIST-2013- (contract)
Omnicare
Cincinnati, Ohio
Billing out and following up on pharmacy charges.
AR Rep
Pediatric Services of America -2011 -2013
Norcross, Georgia
Provide follow ups on all RN & LPN charges, working off of an AR spreadsheet. Contact insurance
companies and schools to resolve billing issues to receive payment for services.
PATIENT ACCOUNT REP
Medical Recovery Systems -2006- 2011
Cincinnati, Ohio
Processed all Hospital, Home Health, Ortho, Cardio and Physicians AR reports. Called upon Insurance
Companies, and or patients to resolve payment issues. Input Auto, Property, Workers Comp and General
Liability Claims into a computerized system worked on Epic. Take calls from employers and claimants
helping them to resolve issues concerning their loss. Updated claims information in preparation for the
Claims Adjuster. Also was a Utilization Coordinator .
HOSPITAL ANALYST
Health Alliance -1999-2006
Cincinnati, Ohio
To bill Workers Comp Claims to Mco and Self-Insured. Making sure that it has the proper ICD-9 codes and
CPT Codes. Following up to make sure we have all of the proper information to bill the claim correctly.
CLAIMS EXAMINER
S&S HealthCare Strategies - 1997-1999
Cincinnati, Ohio
Senior data entry clerk entered two hundred & fifty Medical and Dental Claims daily. Helped in the mailroom
by opening, stamping, batching, labeling and Filing Medical Claims. Reprising medical claims and also
Checking Members making sure they are in the system. Completed Claims Examiner processing class of six
months then was promoted to Claims Examiner and then processed Medical Claims for PPO Plans.