Insurance Medical

SHAUNA LAWHON ***** Country Estates Dr. New Caney, TX. 77357 • 281-***-****• *********@*****.*** Seeking a position in the capacity of: BILLING SPECIALIST • 10 years as a full revenue cycle biller • 5 years as billing supervisor in a healthcare service environment • Ability to interpret and incorporate compliance issues into necessary billing attachment Software: Windows XP, Microsoft Word, Microsoft Office X, Excel RELEVANT EXPERIENCE Millennium Physicians Association 920 Medical Plaza Dr. Ste #140 Woodlands, TX. 77380 Billing Specialist/Payment Poster 01/2009 - 08/2011 • Credentialing • Full Revenue Cycle Billing –Multi Practice -using Centricity software and Next-Gen software, billing office and hospital charges • E.O.B. Payment posting $100,000.00- $600,000.00 daily for 32 physicians and lab • Posting co-pays, deductibles, and payments on accounts • Full Revenue Cycle Billing DME- external infusion pumps for 7 physicians using PC ACE PRO 32 billing software • Medicare / Medicaid/ private insurance secondary paper claims using claim form CMS-1500 • Appeals • Account Receivables, working problem claims • Submit statements to patients ,negotiate billing disputes with patients and insurance • Coding • Verifying Insurance Cardiovascular Institute, PA 355 School Street Ste# 101 Tomball, TX. 77375 Billing Specialist 11/2006 – 07/2008 • Credentialing • Full Revenue Cycle Billing • Billing Medicare, Medicaid, Commercial Insurance claims electronically using Medisoft billing software , GPNET, EasyPrint, Availity, and SOAPware . Billed paper claims using form CMS-1500. Billing office charges and round s at 5 hospitals •Review records to ascertain entirety of charges submitted result in complete billing. Review diagnosis and procedure codes for accuracy and applicability. Maintain reports and print outs representative of claims sent. Determine at billing entry the possibility of non covered charges. Calculate tools, net amounts, discounts, and record computations. • Account Receivable, submit statements to patients, negotiate billing disputes with patients and insurance , working problem claims • Knowledge of HIPPA requirements, medical terminology, ICD-9, CPT, HCPCS coding • E.O.B. payment posting, co-pays, deductibles, payments on accounts • Front desk in spare time, verifying insurance, input new patient information, check patients in and out, schedule appointments, collect balances owed on accounts •Appeals

SHAUNA LAWHON Page 2 AAA Medical Equipment 17638 FM 1485 West New Caney, TX. 77357 Billing Supervisor 01/2002 – 10/2006 • Full Cycle Billing • Oversee employee work performance • Billing Medicare, Medicaid claims electronically using billing software PC ACE PRO 32, PACES, and TDH Connect • Appeals • Collections • Payment Posting • Title 19’s, Certificate of Medical Necessity , ABN’s, Group One’s EDUCATION Lee College- Baytown, Texas