Medical Billing Registered Nurse
Resume:
Phone: 352-***-**** / Fax: 352-***-**** / Email: ****@********************.***
US Medical Billing Services, LLC is a professional billing service dedicated to meeting all of the billing and practice management needs of your practice. We offer a variety of services that can save you time and improve your cashflow while lowering your operating expenses.
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Shameka T. Scriven, Owner
Medical Billing Consultant ~ MBA Healthcare Management
COMPANY OBJECTIVES
WE STRIVE TO HELP YOUR PRACTICE:
Reduce Medical Billing Costs, Eliminate Medical Billing Headaches & Employee Turnover, Get Paid Faster
CPT and ICD10 charge entry
Claims Submissions – Commercial, Medicare, Medicaid
Payment Processing
Denial Management
Patient Statements & Collections
Comprehensive Reports
PROFESSIONAL EXPERIENCE
HUMANA
Personal Health Coach / Care Manager - Work At Home
November 2010 – October 2017 (Company Layoff)
Provided telephonic case management outreach to 625 assigned Medicare Advantage members to assess health, environment, nutrition, and psycho-social areas of concerns using a variety of assessments to help the member reach goals of losing weight, quitting smoking, maintaining stable blood sugars, lowering blood pressure & cholesterol level, healthy eating, exercising and encourage members to schedule their yearly HEDIS preventative screenings, physicals, eye exams and dental visits.
Assisted providers and members with claims, denials and pre-authorizations.
Provided appropriate interventions to optimize health and well-being by referring members to the Social Worker, Dietitian, Pharmacist, Registered Nurse, or their provider(s).
Understood the clinical program design, program monitoring and reporting required by Humana.
Assisted with team projects & work groups as needed.
US Medical Billing Services, LLC
Shameka T. Scriven
Resume – Page Two
DAVITA DIALYSIS
Clinical Administrative Assistant
July 2007 – October 2010
Provided assistance to healthcare providers at the clinic on a daily basis facilitating patient care, chart audits and lab schedules.
Processed and submitted billing claims to insurance providers.
Assisted the Facility Administrator with hiring, terminations, interviewing applicants & completing weekly and monthly reports and financial statements for clinical operations, employee wage and salary & patient census.
Completed company sponsored six-month leadership development program.
STATE OF FLORIDA / CONTRACTS SECTION
Government Operations Consultant - Supervisor
December 1997 – October 2006
Managed ten direct reports. Responsible for the hiring, terminations and salary planning of my section. Performed yearly evaluations of staff and provided feedback for growth and development.
Prepared, processed, mailed & administered State of Florida contracts throughout the entire state.
Processed payments for surveying & mapping services to the State contractors.
Prepared contractor’s financial statements and submitted to the Bureau Chief.
EDUCATION
UNIVERSITY OF PHOENIX
Graduated 2007
MBA with concentrations in Healthcare Management & Marketing
EVERGLADES UNIVERSITY
Graduated 2004
BS Business Administration
KEISER UNIVERSITY
Graduated 2002
AA Business Administration
Excellent References Available Upon Request
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