SHERRI MCCRAY-GOLDEN

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

Riverview, Fl 33578

Phone: 813-***-****

Personal Email: ad2lm1@r.postjobfree.com

EXPERIENCE

More than 24 years of in-depth knowledge of medical terminology useful in reading medical reports, determination of coverages, and medical insurance claims procedures. Innate analytical skill combined with a deep knowledge of medical billing, terminology, insurance claims, Medicaid, etc. Exceptionally good communication skills both verbally and written. Knowledge of computer applications such as MS Excel, MS Word, MS Outlook, MS PowerPoint.

PROFESSIONAL EXPERIENCE

November 2021 – Present

Revenue Cycle Specialist, Medical Practice Partner LLC

Riverview, FL

- Assign revenue, procedure, diagnosis codes upon record review, clinical visit notes, and resource materials

- Researched and conducted follow-ups on all correspondence associated with assigned accounts

- Managed calls to and from physician's offices to gather and track required documentation for accounts

- Resolved denied claims, initiate contact with patients to obtain correct billing information for denied claims

November 2017 – October 2021

Reimbursement Specialist/Medical Claims Processor, Doctors' Administrative Solutions (DAS) Health, Tampa, FL

- Responsible for entering and processing of claims with right adjudication in accordance to insurance policy terms and conditions

- Performs medical billing and adjustments for claims

- Determines the amount of coverage and sent payments to medical facilities or reimbursements to customers

- Monitors itemized billings for excessive charges, duplications, unbundling, and medical coding

- Determines prior authorization/precertification of services paid via system and /or health services

February 2014 – March 2017

Billing Specialist/Payment Entry, Laser and Spine Institute, Clearwater, FL

- Performed payment posting functions of receivables including: processing and reconciliation of various charge entries and edits

- Analyzed Explanation of Benefits (EOBs) to detect payment discrepancies and payer trends to determine appropriate follow-up i.e., resubmissions, adjustments and or refunds for various insurance claims

- Responsible for entering charges into patient accounts

- Cross-trained members of my team on billing and daily tasks functions securing daily production goals

October 2011 – February 2014

Reimbursement Specialist, CareCentrix, Tampa, FL

- Posted cash and denials for patient accounts in IDX system

- Balanced all daily batches with EOBs and client reports

- Researched, identified, and reconciled unapplied cash, daily deposits, and accounts receivables

- Received and receipted cash items and third party reimbursements

SHERRI S. MCCRAY -2- PROFESSIONAL EXPERIENCE

January 2008 - October 2011

Medical Billing Specialist, Florida Orthopedic Institute, Temple Terrace FL

- Responsible for defining diagnostic treatment and procedures of patients using numeric codes

- Entered and updated database information pertaining to appropriate insurance carriers

- Posted payable bills and adjustments in billing databases

- Identified, corrected, and submitted billable claims and insurance claims

- Conducted investigations of rejected claims and ensured medical facility billed correctly

- Ensured bills and codes were prepared accurately and error-free

- Verified diagnosis and procedures of patients with physicians

April 2006 - January 2008

Senior Reimbursement Specialist, A &R Medical Services, Seffner FL

- Managed reconciliation of accounts receivable on a daily basis

- Handled and resolved billing claims and denied claims

- Prepared and distributed customer invoice and bills

- Analyzed, researched and resolved customer issues

- Conducted research and reconciliations on transactions

- Maintained customer accounts and patients’ information

- Maintained customer bills and special reports

- Maintained patients’ information, reports, income reports and statistics

March 1986 - February 1989

Automated Logistics Specialist/92A (E-4/CPL, USA), Brussels, Belgium

- Managed/monitored several functions for procurement and dispatch of goods

- Processed necessary applications and documents; seek approvals for storing and transporting goods

- Arranged warehousing and transport of goods; ensured safety of goods from breakage, spoilage or theft

- Supported logistics manager; established coordination between sender and receiver of goods

- Maintained inventory records; updated records of inward/outward movement; submitted weekly reports

EDUCATION

Santa Fe Community College, Healthcare Management, Gainesville FL

U.S Army Quartermaster School Logistics Training Department, Fort Lee VA

DESIGNATIONS

Medical Reimbursement Specialist (CMRS)

Medical Billing Specialist (CMBS)

SKILLS

Medical Terminology, Medical Office Administration, Medical Insurance Records, Appointment Scheduling, Medical Office Procedures, Keyboarding 50 WPM, Computer Medical Billing, Word Perfect, Accounting, Interpersonal Skills, ICD-9, Anatomy, HCPCS Coding, CPT Coding, Excel, Advanced Coding

REFERENCES Will be furnished upon request

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