Patient Services Representative
Resume:
Shauna Kimbrrough
Patient Services Representative Chicago,
IL 60643 ***********@*****.***
Professional Summary
Dedicated and results-driven Patient Services Representative with over a decade of experience in healthcare administration, medical billing, and patient care. Proven expertise in processing medical claims, ensuring accurate billing, and delivering exceptional patient services. Adept at utilizing various EMR systems, including Epic, Athena Health, Kareo, Advanced MD, Allscripts, and Cerner. Strong organizational and communication skills with a commitment to providing high-quality customer support. Demonstrated ability to thrive in high-volume call center environments.
Work Experience
Claims Analyst/Clerk
Virtual recovery Llc - Lombard, IL February
2021 to November 2023
• Processing medical claims by verifying and updating information Follow up with insurance companies to determine reimbursement.
• Use EMR systems for registers patients Epic and Athena health, Kareo, Advanced MD, All scripts, Cerner Adjust payments and bill correct balances
Patient Services Representative
Physicians Immediate Care - Chicago, IL
May 2018 to July 2020
• Greeted and registered patients collected and processed payments and assisted with insurance documents.
• Distributed information to patients as directed by clinical providers.
• Answered and directed phone calls daily.
• Provided excellent customer service in the patient registration database system.
• Scheduled appointments for follow-ups.
Medical Claims Analyst NextLevel
Health Partners - Chicago, IL October 2017
to May 2018
• Call center environment assisting members and health providers with updates on claims statuses and submissions.
• Researched claims, denial reasons and payments updates.
• Responded and resolved rejected claims both written and verbal correspondence in timely manner. Patient Service Representative, (Temp Assignment)
Rush University Medical Center - Chicago, IL May
2017 to October 2017
• Checking patient in and out and scheduled follow up appointments using epic system.
• Took co- payments and hospital payments and applied to accounts.
• Verified insurance and pre-certification, requested medical records daily and sent out medical records daily.
• Opened and closed office daily, faxed/print documents, operated switchboard, dispersed mail daily.
Billing Specialist
Rush University Medical Center - Chicago, IL
January 2017 to May 2017
• Call center setting took 60-100 calls a day.
• Collected payments for co-payments, deductibles, and coinsurance.
• Assisted with explaining the breakdown of billing balances. Temporary Assignment, Office Coordinator II
University Rush Hospital - Chicago, IL April
2016 to August 2016
• Checked in and checked out patients daily as well as scheduled patients for appointments using Epic system.
• Took Co-payments and hospital payments daily and entered payments into the system daily
• Distributed office mail as well as distributed faxes that came in on daily basis
• Made sure waiting room was clean at end of day and everything was locked up at the end of the day.
Department Scheduler/Specialist support, (Temp Assignment) Rush University Medical Center - Chicago, IL July
2015 to January 2016
• Call center setting took over 100 calls for departments with scheduling for procedures and office visits.
• Assisted with writing and calling in prescriptions daily
• Use Epic system to send messages to nurses and medical staff and for scheduling. Assistant Manager Retail
Nordstrom Rack - Chicago, IL
March 2014 to June 2015
• Consistently maintain a positive attitude and enjoy helping people.
• Making new schedules weekly and help managing team of 30 employees.
• Articulate and very effective working with people of different backgrounds and temperaments.
• Accurately record, remember, and verbally communicate detailed information.
• Cooperatively work with others to produce and deliver required work.
• I resigned from company for a better opportunity. Billing representative Xerox
Corporation - Rosemont, IL March
2013 to February 2014
• A problem solver who quickly grasps complex situations and turns them into manageable tasks.
• Produce quality work even when under extreme time pressure and deadlines.
• Proof reading billing statements and creating billing statements using Excel spreadsheet daily. Chicago Works Customer Service/Nutritional Aide
Chicago works - Chicago, IL May
2011 to February 2013
• Assisted children/Teens with meals provided by the state regulations on daily basis.
• Kept daily count of meals delivered, served, daily inventory.
• Used data entry system to keep tally of all inventories accounted for
• Position ended due to lack of funds being available. Medical Billing and Coding Specialist Community Mental Health Council - Chicago, IL September 2009 to June 2010
• Assisted patients with scheduling appointments and taking insurance information.
• Handled billing for Medicare, Medicade, PPO, and HMO on daily basis.
• Assisted walk-in patients with collecting their information and setting up new medical files.
• Opened and setup front end office on daily basis.
• Answered and routed all calls daily.
• Employment ended due to Company lay off.
Call Centers, Customer Service Rep
Blue Cross Blue Shield - Chicago, IL
December 2005 to August 2009
• Worked in High Volume Call center taking over 100 calls a day.
• Assisted members with renewing their yearly insurance benefits.
• Used data entry system to enter data on daily basis.
• Upgraded and downgraded accounts
Education
Bachelor of Science in Business Management
National Louis University - Chicago, IL April
2023 to Present
Associate in Business Administration
Olive Harvey College - Chicago, IL June
2010 to May 2013
Diploma in Medical Billing and Coding
Everest College
February 2009 to November 2009
Skills
• Customer Service (10+ years)
• Medical Billing (10+ years)
• Microsoft office (10+ years)
• Receptionist (10+ years)
• Epic (10+ years)
• Front Office (10+ years)
• Hospital (4 years)
• Front Desk (10+ years)
• Call Center (10+ years)
• Medical office experience (10+ years)
• Phone triage
• EMR Systems -Epic,Cerner, Aetna health, Dr. Chronos (10+ years)
• CPT Coding
• Medical Coding
• Medical Scheduling
• Insurance Verification
• Microsoft Excel (10+ years)
• Microsoft Word (10+ years)
• Medical terminology (10+ years)
• Microsoft Outlook (10+ years)
• ICD-9 (10+ years)
• Documentation review (10+ years)
• Typing - 60 wpm (10+ years)
• Word processing
• Documentation review
• ICD-9 (10+ years)
• Microsoft Powerpoint (10+ years)
• Data entry
• Windows
• ICD-10
• HCPCS
• Communication skills (10+ years)
• Computer skills
• Organizational skills
• Customer support
• Account reconciliation
• Analysis skills
• Analysis skills
• Phone etiquette
• Applied behavior analysis
• Pivot tables
• ERP systems (10+ years)
• FMLA (5 years)
• Contracts
• Medical Records
• HIPAA
• ICD Coding
• Laboratory Experience
• Medical terminology
• Medical records
• Medical coding
• Typing
• Customer service
• Epic
• Clerical experience
• Front desk
• HIPAA
• ICD-9
• ICD-10
• Hospital experience
• ICD coding
• Revenue cycle management
• Documentation review
Certifications and Licenses
Medical Coding Certification Food
Handler Certification Medical
Billing Certification Driver's
License
January 1998 to October 2027
RHIA
AHIM
A
Certified Professional Coder
Certified Coding Specialist
Property & Casualty License
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