Shahama Costen
Raleigh
Summary
Knowledgeable and dedicated remote customer service professional with extensive experience in medical industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Overview
7
7
years of professional experience
4
4
years of post-secondary education
Work History
Remote Billing Manager
Neuropsychology Consultants
04.2022 - Current
- Streamlined billing processes by implementing efficient systems, resulting in reduced errors and improved cash flow.
- Developed comprehensive training programs for new hires, increasing proficiency and onboarding efficiency.
- Conducted regular audits of billing records to ensure accuracy and compliance with company policies and industry regulations.
- Enhanced customer satisfaction with timely and accurate invoice generation.
- Maximized revenue potential by identifying and resolving under-billed accounts.
- Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.
Senior Patient Service Representative
Raleigh Medical Group Gastroenterology
01.2022 - 04.2022
- Improved patient satisfaction by efficiently addressing and resolving concerns and complaints.
- Streamlined appointment scheduling process for increased efficiency and reduced wait times.
- Reduced errors in medical records through meticulous data entry and regular audits.
- Increased patient retention by establishing rapport and building trust through empathetic communication.
- Managed high call volume, prioritizing urgent requests while maintaining professionalism and accuracy in documentation.
- Assisted in the training of new staff members, ensuring adherence to best practices and clinic protocols.
Medical Billing Specialist -AR/AP Assistant
Tricity Family Medicine & Urgent Care
06.2020 - 12.2021
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
Patient Accounting /AR Clerk
Central Health INC
01.2019 - 06.2020
- Provided top-notch customer service to patients, addressing concerns promptly and professionally.
- Improved patient satisfaction by efficiently managing billing inquiries and payment arrangements.
- Streamlined insurance claim processes for quicker reimbursement and reduced errors.
- Enhanced revenue collection with diligent follow-up on outstanding accounts and negotiating payment plans.
- Collaborated with healthcare providers to ensure accurate coding for optimal reimbursement rates.
- Strengthened relationships with insurance companies, facilitating prompt resolution of discrepancies or disputes in claims processing.
Billing Representative /AR Assistant
Eastern NC Medical Group
10.2016 - 01.2019
- Improved billing accuracy by thoroughly reviewing and verifying invoice data before submission.
- Enhanced client satisfaction with prompt resolution of billing inquiries and disputes.
- Ensured accurate recordkeeping by maintaining up-to-date customer account information in the database.
- Facilitated smooth departmental operations through cross-training in various roles, providing backup support as needed.
- Reduced late payments by implementing a proactive follow-up system for overdue accounts receivable balances.
- Leveraged strong analytical skills to identify patterns in data, enabling accurate forecasting and improved decision making.
Education
Associate of Applied Science - Medical Billing & Coding Specialist
Allied Health Institute
Fort Lauderdale, FLAssociate of Applied Science - Medical Assisting
Allied Health Institute
Fort Lauderdale, FLHigh School Diploma -
James Hunt High School
Wilson, NC 08.1994 - 05.1998
Skills
- Interest Calculations
- Team Direction
- Process Improvement
- Program Improvements
- Compliance Requirements
- Customer Satisfaction
- Project Leadership
- Accounts Payable and Receivable
- Billing Review
- Invoice Processing
- Account Analysis Expertise
- Collections Actions
Timeline
Remote Billing Manager
Neuropsychology Consultants
04.2022 - Current
Senior Patient Service Representative
Raleigh Medical Group Gastroenterology
01.2022 - 04.2022
Medical Billing Specialist -AR/AP Assistant
Tricity Family Medicine & Urgent Care
06.2020 - 12.2021
Patient Accounting /AR Clerk
Central Health INC
01.2019 - 06.2020
Billing Representative /AR Assistant
Eastern NC Medical Group
10.2016 - 01.2019
High School Diploma -
James Hunt High School
08.1994 - 05.1998
Associate of Applied Science - Medical Billing & Coding Specialist
Allied Health Institute
Associate of Applied Science - Medical Assisting
Allied Health Institute
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