Jamie Shoemaker

*** ***** ***** ** ** Reynoldsburg OH 43068

740-***-**** adkgrv@r.postjobfree.com

Education

Graduate Washington State Community College, Marietta, Ohio

Associate of Arts in Business Administration June 2011

Graduate LaRock Healthcare Academy, Columbus, Ohio

Certificate for Medical Billing and Coding March 2018

Work Experience

Management & Network Services

Dublin, OH

REIMBURSEMENT SPECIALIST 01/2020 – Present

Responsible for reconciliation of patient accounts, billing, collections, cash posting, refund requests and administrative support. This includes screening and redirecting phone calls, excellent customer service, meeting or exceeding production quotas, assisting co-workers with day to day work and special projects as needed, protecting and safeguarding all patient and facility information, processing overpayment and refund requests from payors, reconciling patient accounts, calling payors on outstanding accounts to collect payments or other claim resolution, mailing and faxing documentation to facilities and payors as needed.

Sedgwick CMS

Dublin, OH

MEDICAL BILL PROCESSOR 01/2018 – 01/2020

Keyed pre-coded data into the system, identified and forwarded complex bills to claims examiners, coded provider bills in accordance with claims management system notes and state guidelines, followed workers compensation guidelines to evaluate services, compared qualifications of service provider with services provided, involved with system maintenance/file maintenance and interface with IT department. Assisted other departments as needed, including Compliance and Provider Maintenance.

Trinity Healthcare (Mount Carmel) 05/2017 – 01/2018

Columbus, OH

OUTREACH REGISTRAR

Ensure accurate and complete registration process in HealthQuest; ensure accurate scanning and uploading of all patient information into ChartMaxx system; act as a resource for information to other areas of the laboratory and other hospital departments and physician practices; interact respectfully with other hospital associates and physician office staff; understand the relation between diagnosis and procedure (CPT and ICD-10 coding) to assure compliance with third party regulations; know and understand Medicare, Medicaid and other third party information requirements and adhere to all third party regulations; ensure the patient is the top priority in order to be their preferred healthcare provider. Trained new employees and developed process improvements.

United HealthCare 01/2016 – 04/2017

Westerville, OH

SENIOR PROVIDER DATA SPECIALIST

In Provider Verification Outreach department, made outbound calls to provider offices/hospitals to verify provider demographic information and updated multiple systems accordingly. In Source of Truth department, received information from provider offices regarding termination and made calls to verify or process termination with information received, audited work and did one on one coaching as needed. In My Practice Profile department, processed changes that were made by the provider to the My Practice Profile Application, made outbound phone calls as needed. Assigned work (or reassigned as necessary), clarified processes, partook in Standard Operating Procedures documentation, helped establish procedures for new workflow, helped create job aids.

Discover Financial Services

New Albany, OH 05/2015 – 09/2015

FRAUD PREVENTION ACCOUNT MANAGER

Answered calls from cardholders about possible and actual fraud on their accounts, began fraud investigation procedures, placed calls to cardholders to verify possible fraud.

IOD Incorporated

Columbus, OH 12/2014 – 03/2015

DOCUMENT SCANNING TECHNICIAN

Contract position; Scanned medical records from paper charts into the Electronic Medical Records system for hospitals and clinics, trained new employees.

State Farm

New Albany, OH 03/2014 – 09/2014

CUSTOMER SERVICE REPRESENTATIVE

Answered incoming calls from policyholders, insurance sales representatives and their staff regarding existing life insurance policies and availability.

FST Logistics 01/2013 – 03/2014

Columbus, OH

CUSTOMER SERVICE ASSISTANT

Entered data from customer orders, answered customer phone calls; assisted the Customer Service department and other departments as needed.

Contact this candidate