Physician Liaison Medical Billing

SHERILL SALANDY-MODESTE, MHA, CPC

**** ******** ***** **********, ** 35810 ********@*****.*** Cell: 256-***-****

CORE COMPETENCIES

Medical Billing and Coding

Employee Management

Leadership

Employee Development & Training

Excellent Writing Abilities

Proactive Approaches

Certified Professional Coder

Excellent Communication Abilities

PROFESSIONAL PROFILE

Excellent project management skills, including the ability to formulate and detailed driven

Demonstrates proficiencies with instruction and training

Team-player to accomplish organizational goals with motivation

Highly skilled at understanding healthcare insurance processing

Maintain coding and billing certification

PROFESSIONAL EXPERIENCE

Compliance Auditor Physician Liaison - Huntsville Hospital 2021 – Present

Audit Physician documentation

Assist Coding Department

Assist Billing Department

OWNER – Salazar Billing & Consulting Services, LLC Huntsville, AL 2005 – 2021

Billing and Coding

Physician Credentialing

Auditing

Maintain a minimum account receivable

Provides Billing & Coding for Pediatrics, OB/GYN, Family Practice, Rural Health Care

Claims transmission

Insurance Billing to BCBS, Medicaid, Medicare, All Commercial Insurances

ADJUNCT INSTRUCTOR – Virginia College, Huntsville, AL 2013 - 2017

Teaches Advance Medical Billing & Reimbursement

Teaches Medical Insurance Procedures

Proctor Certification Exams

Tutor and Motivate Students

Participates in the Externship Program

OFFICE MANAGER - Pediatrics of Providence, Huntsville, AL 2004 – 2012

Oversee healthcare professionals and support staff

Communicate orally and verbally

Facilitate monthly audits and staff meetings

Maintain facility inventory

Maintain a minimum account receivable

Billing and Coding

In-house Insurance Auditor

Maintain changes with the different insurance companies

Meaningful Use Facilitator

INSURANCE MANAGER - Kenneth E. Pitts, MD, PC 2005 – 2011

Oversee the insurance department

Maintain changes with the different insurance companies

Train physician and staff of any insurance changes

Perform surgery authorization and patient obligations

Billing & Coding/Prior Authorization

OFFICE MANAGER - Regency Medical Associates, LLC 1997 - 2004

Oversee healthcare professionals and support staff

Conduct monthly meeting with physicians

Conduct departmental meeting

Maintain a minimum account receivable

Billing and Coding

In-house Insurance Auditing

CENTRAL NORTH CC – Physician Liaison 1993 – 1997

HUNTSVILLE HOSPITAL ER – 2ND SHIFT SUPERVISOR 1989 – 1993

EDUCATION

ASHFORD UNIVERSITY - Clinton, Iowa FEB 2011

Bachelor of Arts in Organizational Management

ADDITIONAL TRAINING

AMERICAN ACADEMY OF PROFESSIONAL CODERS - UTAH

CERTIFIED PROFESSIONAL CODER – DEC 2005

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