Financial Analyst Medical Billing

Shawna R. Marshall

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

Columbus, OH 43232

Phone: 513-***-****

E-mail: ******************@*****.***

*SUMMARY OF QUALIFICATIONS: Worked in the medical field with over 20+ years of experience in Management, Billing, Consulting, Collections and AR follow-up experience. Proven ability to develop and maintain strong professional relationships with management, colleagues, staff, and business partners. Ethical, value-driven approach contributes to reliable growth.

*Certificates Received: * Medical Terminology I, II & III * Medicare* Claims Processing I & II *Medical Billing* Payment Posting* Registration* Medicaid

*Software Skills: *Rims * IDX * PowerPoint * Access * Medix * Lastword* Txen *Microsoft Windows * Excel *Sms *Kids * Hds*T2 *Wins * Pro*AMPFM *Series *EC2000 *Hpf *Perse *EPIC *Fasttrack* Xactimed *Nextgen*Navinet*GE * *Centric *Centricity * Emr * Gateway*Verinet* Encore*Dx*Arm*Oasis* Star *Healthlogic*Hpf*ePremis*Pcon* Bonafide* Surgisoft *SSI Billing *Itivity*Confluence *MITS *Emdeon *Avality*Change * Securelink*ADP*PrimeSuite/Greenway*Paycor*Teams*Zoom*

ProviderFlow*Instamed*OWCP*Updox*Bwc* VUE360RX*Soarian*Qaudax*

PROFESSIONAL EXPERIENCE:

Gainwell Technologies

Claims Financial Analyst

2022-current (Remote)

Being a part of an implementation for the Claims department team. Creating DLP’s/P&P’s and reports for the team to follow processes going forward. Attending multiple meetings with the state for Ohio Medicaid SPBM.

Navigant / Guidehouse

Physician Billing Supervisor 2017- 2022

Atlanta, GA (Remote)

I oversee the day-to-day operations for Physician BPO offshore AR and correspond with the clients. Also responsible for meeting and exceeding department goals and supervising a AR staff. I maintain client relationships at the servicing level and will monitor compliance with State and Federal laws and guidelines. I also supervisor and perform any and all job-related duties as assigned.

Conifer Healthcare

Revenue Cycle Services Specialist

2013 -2017 (Traveling contractor)

Atlanta, GA

Financial viability of the hospital or clinic by handling patient billing data and executing key task within the revenue cycle. This includes initial billing and invoicing, arranging for payments and payment processes, overseeing collections and accounts receivable, and ensuring a smooth financial system that properly accounts for all services rendered. I work collaboratively with accountants, human resources professionals, and financial analyst, to properly oversee every aspect of payments and collections.

Pediatric Services of America

PATIENT ACCOUNT SUPERVISOR

2011 -2013

Norcross, Georgia

Responsible for the supervision and leadership of the Patient Account Representatives; both on-site and telecommuters. Directly responsible for the interviewing, hiring, training, scheduling and monitoring of staff as well as all aspects of A/R Management and Performance Management. Attend meetings and respond timely to all requests, including completion of accounts referred to the Supervisory Desk. Identify performance deficiencies and opportunities and implement action plans as appropriate. Effectively maintain a work environment which promotes communication to stimulate the morale, engagement and growth of subordinates.

Medical Recovery Systems

BILLING/COLLECTOR ANALYST

2004-2011

Cincinnati, Ohio

Processed all Hospital, Home Health, Ortho, Cardio and Physicians AR reports. Called upon Insurance Companies, and or patients to resolve payment issues. Input Auto, Property, Workers Comp and General Liability Claims into a computerized system. Taking calls from employers and claimants helping them to resolve issues concerning their loss. Updated claims information in preparation for the Claims Adjuster.

Health Alliance

HOSPITAL ANALYST

1999-2004

Cincinnati, Ohio

To bill Workers Comp Claims to Mco and Self-Insured. Making sure that it has the proper ICD-9 and CPT Codes. Following up on the Ub92 or Hcfa 1500 to make sure we have all of the proper information to bill the claim correctly, also contacted commercial insurance companies.

S&S HealthCare Strategies

CLAIMS EXAMINER

1997-1999

Cincinnati, Ohio

Completed Claims Examiner processing class of six months then was promoted to Claims Examiner and then processed Medical Claims for PPO Plans. Prior to that I was a senior data entry clerk entered two hundred & fifty Medical and Dental Claims daily.

Thank you for reviewing my resume.

Shawna Marshall

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