Medical Billing

Shanell D-Wellington

Email: *********@********.***

Address: Rogers Avenue

City: Brooklyn

State: NY

Zip: 11225

Country: USA

Phone: 917-***-****

Skill Level: Experienced

Salary Range: 50

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

SHANELL DENNIS-WELLINGTON-CPC

Email: *********@********.***

Brooklyn, New York 11225

Cella: 917-***-****

-Cross Functional Administrative Skills with 10 years experience coupled with

Critical thinking and Analytical Ability to maximize Profitability-

PROFESSIONAL COMPETENCIES

* Excellent Documentation Management

* Experienced Program Developer and Planner

* Problem solver who is resourceful in finding solutions

* Team Leader with the ability to motivate from productivity to profitabilityProficient in Microsoft Office Suite, Cyborg, Med Soft, HRIS, Negev and PeopleSoft 8, Citrix Software, Pathos-TUN, Aero, OMNIPRO, and EPaces

* Superior Oral and Written Communications

* Team player with the ability to coordinate with diverse departments

* Astute Statistician

* Experienced and knowledgeable in ICD-9 and CPT codes

* Accurate and Detailed Research and Reporting

* Trainer and Developer

PROFESSIONAL EXPERIENCES

American International Group (AIG), New York, NY 05/2007-01/2012

Sr. Benefits Administrator

*Managed a myriad of medical portfolios to include: Short Term Disability (STD), Family Medical Leave (FML) Workers Compensation claims, Maternity leave, Unjustified (unapproved) leave, Military Leave and Unpaid Personal leave for employees in Cyborg and PeopleSoft payrolls

*Meticulously managed 30 approval and denial claims per day while determining medical pay

*Administered 12 employee benefit programs, including but not limited to group life insurance, medical dental, vision, AD&D, STD, LTD, and 401(k)

*Managed and delegated benefit inquiries and complaints to ensure quick, equitable, courteous resolution

*Effectively maintained HR records involving enrollment, application, and claims

*Planned and developed area and industry surveys; analyzed results of surveys and developed specific recommendations for review by management

*Evaluated and compared existing company benefits with those of other employers by analyzing other plans, surveys, and other sources of information

*Verified the calculation of monthly premiums statements for all group insurance policies and determined statistical data relative to premiums, claims, and costs

South Nassau Communities Hospital, Oceanside, NY 01/2006-12/2006

Out-Patient Medical Biller

*Accountable and responsible for training, collecting, posting and managing account payments

*Identified best business practices for third party reimbursements and maintained benchmark practices throughout employment

*Processed patient statements, keyed data, posted transactions, and verified reports

*Researched and resolved patient inquiries and billing issues

*Maintained patient demographic information in data collection systems

*Followed up on submitted claims; monitors unpaid claims, initiated tracers; resubmits claims as necessary

*Verified patient`s eligibility and ensured strict confidentiality of patient records

Brownsville Multi-Service Family Health Center, Brooklyn, NY 09/2005-1/2006

Medical Biller

*Collected, reviewed, documented and entered all patient encounters forms, and data into web-based system for Physical Therapy, Dental, OB GYN and Pediatrics

*Converted diagnosis into ICD-9 codes, and CPT codes through Negev system

*Processed and transmitted Medicaid claims electronically on daily basis and managed care claims onto HCFA 1500 forms

*Resolved insurance discrepancies by calling insurance companies about outstanding claims and denials

*Generated reports by department to verify collection of all encounters generated

Wachovia Securities LLC (Formally Prudential Sec. Inc), New York, NY 02/1999-12/2004

Global Processing Admin. Coordinator /Accounts Payable/Receivable (AP/AR) Coordinator

*Prepared and processed Tads/Requisition changes in employee status updated and distributed departmental organization charts

*Assisted and coordinated in the recruitment of appropriate candidates for Summer Intern program

*Posted transactions to journals, ledgers and other records

*Prepared bank deposits, assisted in monthly closings and bank account reconciliations

EDUCATION

State University Of New York (BEOC), Brooklyn, NY 08/2012-Present

Course of Study: E-Records and Office Administration Certificate Program

American Academy of Professional Coders, Brooklyn, NY 09/2006-Present

Course of Study: Continuing Education. Coding and Billing Class/Seminars

Achievement: AAPC - Certified Professional Coder - September 2006

Medgar Evers College, Brooklyn, NY 02/2005 - 10/2005

Course of Study: Medical Billing/Coding Certificate Program/ Computer Skills

Microsoft XP, MS Word, MS Excel, MS Access, MS PowerPoint, MS Outlook,

Achievement: Medical Billing/Coding Certificate - October 2005

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