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Medical Billing Registered Nurse

Location:
Spring Hill, FL, 34609
Posted:
August 03, 2018

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Resume:

Phone: 352-***-**** / Fax: 352-***-**** / Email: ac6jix@r.postjobfree.com

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.

Visit Our Website Today For a FREE Practice Analysis

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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