Callie Shroyer

**** ****** ****

Bradenton, FL 34208

Cellular Phone: 941-***-****

Home: 941-***-****

E-mail: acr1ft@r.postjobfree.com

Qualifications

Sixteen years of experience in medical billing and collections with excellent interpersonal and communications skills. Ability to handle difficult situations and resolve insurance denials, appeals, adjustments, while meeting monthly quotas. Very reliable, professional, self-motivated, and totally dedicated. Computer savy.

Experience

2012 to Meridian Medical Management Sarasota, FL

Claims Denial Representative

BCBS Denial Representative for Orthopedic practice. Pathology, Xrays. Hospitalist claims and Behavior Health for Washington D.C.

Medicaid denial Representative for both primary and secondary for Maryland, DC, SC and GA and Illinois Medicaid.

Responsible for reviewing all Medicaid and BCBS denials and determining if appeals or adjustments required in accordance with each payer.

Identifies trends and root cause analysis, relative to denied claims, and communicates with the A/R Manager to reduce reimbursement delays and minimize denials.

Trainer and Onshore Team Leader of the Manila offshore denial representative team for all Medicaid Accounts.

2002 to 2012

Hoveround Corporation

Sarasota, FL

Sr. Accounts Receivable Specialist

Locate and monitor overdue accounts, using spreadsheets, computers and a variety of automated systems.

Handled billing and collections for up to 43 Medicaid Primary, Secondary and Tertiary states.

Ran assigned daily billing and collection reports to determine account needs and update files with current billing information.

Contact insurance companies to check on status of claims payments and write appeal letters for denial on claims.

Maintained knowledge of all Medicaid guidelines and policies and applied knowledge to billing and collections as required by individual Medicaid states.

Prepared refunds or recoupments when necessary.

Computer Experience

Microsoft – Windows Excel Outlook Centricity CPS NXHS Encoda Encoder Pro

1999 to 2001 Dr. Albert Denault II DPM Sarasota, FL

Front Office Manager

Check in all patients. Scheduled doctor appointments and surgeries for four different facilities.

Obtained prior approval for all managed care visits and surgeries.

Billed and collected on all insurance payers. Appealed all insurance payer denials.

Initiated new managed care contracts and re-negotiated annual contracts.

Prepared daily deposits and posted all payments to patient’s accounts.

Education

1981 Diploma Coventry High School Akron, OH

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