Felicia L. Sherman

**** ***** *** **** #***

ORLANDO, FLORIDA 32810

407-***-**** adtecw@r.postjobfree.com

PROFILE SUMMARY :

●2 years’ experience Referrals and Authorizations

●15 years’ experience in both Medical Billing and Collections

●5 years’ experience in Provider Relations Medical Contracting

●Proficient with Microsoft office, Excel, Intergy, Med ware, Medical Manager, Misys, Cerner, Access, and Medic Putty, JDE, Build Pro.

EXPERIENCE

Mattamy Homes-Maitland, FL

Purchasing Starts Coordinator 10/2016

Starts coordinator ensures all purchase orders are processed in a timely manner.

●Assist with helping Sr. Purchasing agents.

●Creating reports Lot Job Gen and Comm Gen reports to create Purchase Orders.

●Assist with Builders in all communities with PO’s and Take offs.

●Change orders when buyers want to add or remove design options.

●Assist managers with reports and updates in Build Pro.

●

10/12/2015-5/20/2016

Behavioral Support Services, Inc.

Billing Manager- oversee the billing and authorization department.

●Monitor and create Aging Reports

●Credentialing and contracting Authorizations, Collections

●Claims rejections and denials.

●Monitor clearinghouse claims reports.

●Managers meetings.

● Webinars quarterly with contracted providers.

●Address any claims or authorizations issues with staff.

●Insurance eligibility reports.

●Payroll, timecards, PTO,

●Evaluations, performance

10/24//2010- 06/26/2015

Florida Urology Associates -Florida Hospital

Insurance Referral and Authorization Care Coordinator

●Verify new patient Insurance Information.

●Obtain authorization for outpatient and inpatient surgeries.

●Verify and confirm insurance contracts updates.

●Inter authorizations, scripts, and pre certs in Cerner, Intergy, Misys and Intergy.

●Verify with Care Coordinators all surgeries dates and any changes.

New Patient Coordinator

●Enter new patient demographics

●Enter new patient insurance

●Insurance verification and eligibility

●Contact patients to verify insurance demo and referring doctor information is correct.

●Request medical records from referring doctors

●Fax medical records release request to multiple doctors.

●Mail patient’s new patient paper prior to their appointment.

●Verify commercial and government insurance plan identification numbers.

EDUCATION

06/2003-09/2005

University of Phoenix, Maitland, FL

Associates Business Administration 2005

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