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Medical Billing

Location:
Decatur, GA, 30032
Posted:
May 17, 2014

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Resume:

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.



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