Callie Shields
Fayetteville
Summary
Effective Medical Insurance Specialist with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
4
4
years of professional experience
Work History
Medical Insurance Specialist
Fayetteville Otolaryngology Head And Neck Surgery
2023.09 - Current
- Increased patient satisfaction by efficiently processing insurance claims and addressing inquiries.
- Streamlined claim submission process for faster turnaround times and reimbursement rates.
- Reduced claim denials by verifying patient eligibility and coverage details prior to submission.
- Collaborated with medical staff to obtain necessary documentation for accurate claim submissions.
- Improved cash flow by promptly following up on unpaid claims and resolving billing discrepancies.
- Aided in boosting revenue by identifying opportunities for additional reimbursements through audits of past claims.
Finance and Insurance Manager
Valor Massage
2022.07 - Current
- Improved financial performance by implementing strategic planning and analysis for budget management.
- Streamlined insurance processes for increased efficiency and customer satisfaction.
- Enhanced revenue growth with the development of new financial products and services.
- Implemented innovative financing solutions to secure favorable funding terms for clients.
Medical Insurance Specialist
Kid's First Pediatrics
2022.10 - 2023.09
- Provided exceptional customer service, assisting patients in understanding their insurance benefits and financial responsibilities.
- Aided in boosting revenue by identifying opportunities for additional reimbursements through audits of past claims.
- Implemented efficient workflows within the department, leading to a reduction in processing time for each claim submitted.
- Supported team members in professional growth, providing guidance on complex billing scenarios as needed.
Medical Office Manager
Active Family Chiropractic & Wellness
2020.07 - 2022.10
- Improved patient satisfaction by implementing efficient scheduling and appointment management systems.
- Streamlined office operations for increased efficiency and productivity through effective staff training and delegation of tasks.
- Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
- Maintained up-to-date knowledge of healthcare regulations and policies, ensuring the practice remained in compliance at all times.
- Developed comprehensive employee training programs to enhance staff performance and improve overall office procedures.
Education
Bachelor of Administrative Studies - Healthcare Administration
Purdue Global
Indianapolis, IN06.2025
High School Diploma -
Brownsburg High School
Brownsburg, IN06.2020
Skills
- Health Insurance Industry Knowledge
- Payment and Investigation Escalations
- Insurance Claims Management
- Administrative Support
- Provider Relations
Timeline
Medical Insurance Specialist
Fayetteville Otolaryngology Head And Neck Surgery
2023.09 - Current
Medical Insurance Specialist
Kid's First Pediatrics
2022.10 - 2023.09
Finance and Insurance Manager
Valor Massage
2022.07 - Current
Medical Office Manager
Active Family Chiropractic & Wellness
2020.07 - 2022.10
Bachelor of Administrative Studies - Healthcare Administration
Purdue Global
High School Diploma -
Brownsburg High School
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