Medical Billing Patient Care
Resume:
Shantay L. Sullivan
Philadelphia, PA 19133
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Objective: Medical Billing and Coding professional with several years experience with processing claims, denials, appeals, cash postings, revenue cycle and month end closing, root cause analysis, and data analytic experience.
Work Experience:
Lifewatch Patient Care Coordinator- Nov 2014-June 2022
Duties: Submitting claims to both private and government payers both electronically and paper submission. Handledled denied claims, insurance follow-ups, appeals, cash/ payment postings, data analytic, Insurance verification. Loaded effectively with physicians, patients, and insurance companies to maximum reimbursement. Coding and abstracting information from charts . Customer service. Assisted patients with set up of cardiac DME.
Metro Medical Associates Clinical Assistant-July 2007-Dec 2013
Duties: Reviewed and processed outstanding client accounts receivable Facilitated subsequent payment,claims adjudication on a timely basis Processed about 100 claims daily Performed third party andgovernment billing..Prepared and submit ed electronic and paper claims for various carriers, including Medicare, Medicare,Tricare and managed care payers Verified patients insurance Reviewed payments, from EOB’s, for accuracy Processed appropriate adjustments and/or payments when necessary. Investigated and reprocessed denials and partial paymentsPrepared patient files, and verified completeness and accuracy of all necessary information for billing andpayment, including, patient/guarantor data, insurance data, authorizations and financial data to include :charges, payments, and adjustments Utilized CPT-4/HCPC, ICD-9-CM, DRGs and revenue codes.ProcessedUB-92, UB-04, and 1500 bill forms Registered new patients Performed general accounting tasks..
Education
Diploma- Phlebotomy
Metro Medical Training Academy May 2009
Certificate- Medical Billing and Coding
Stratford Career Institute, October 2007
Certificate- Medical Transportation
Penn Foster, January 2004
High School Diploma
New Harvest Christian Academy, June 2002
REFERENCES AVAILABLE UPON REQUEST
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