Shonda Walker
Fayetteville
Summary
Dedicated accounting professional with 23’ years’ experience managing accounts receivable, account payable pre-authorization, skilled nursing billing along with other accounting skills. Ethical and focus, with strong interpersonal communication. Quick learner and excel at meeting objective efficient financial support. I have transitioned to NC from MD and hope to bring my expertise and knowledge to your establishment.
Overview
25
25
years of professional experience
Work History
Insurance Billing Specialist
Robeson County Health Care Center FQHC
NC, USA
10.2019 - Current
- Review of payment entry
- Manager Sliding fee Government Assistant discount grant
- Assist with Referral
- Assist with Account Payable
- A/R follow up
- Process patient statements
- Correcting unpaid claims via appeal process for insurance
- Take patient inquiries regarding accounts
- Process all credit card payment
- Post insurance payments
- Knowledge of ICD-10 & procedure coding
- Review all denial and correspondence
- Administer sliding fee discounts and budget plan
- Knowledge of Workers Comp and MVA
- Assist with front question regarding eligibility and insurance inquiries
- Knowledge of all commercial and MCO health insurance
Medical Billing Coordinator
The Neurology Center
Silver Spring, MD, USA
02.2016 - 09.2019
- Assist with preauthorization and referral
- Verification of insurance and their benefits, deductible and out of pocket
- Billed third party insurance carrier
- Follow up on rejection denial EOB’S, Correspondence from healthcare insurance
- Knowledge of EMR, post payment and fee tickets as assigned
- Distributes Medical Record for legal preparation
- Knowledge of billing Medicaid and other Medicaid plans which includes Medicare HMO’s, Commercial Ins, All Blue Cross Blue Shields, Fep BCBS, Carefirst, Third party plans and cross over claims from Secondary Insurance
- Set up payment plans for delinquent accounts for non-covered, deductible and copays past due
- Appeal denial claims such as past timely, modifier changes, need additional info for medical necessity
- Ensure management with insurance changes regarding billing EDI Report
- Update any patient changes regarding insurance or non-covered
Billing Coordinator
Burke Nursing & Rehabilitation Center
Burke, VA, USA
12.2011 - 02.2016
- Verify skilled nursing benefits per patient plan
- Assist with Medicaid application.
- Manage account receivable and patient collections
- Bill Manage care and Medicare rugs claims
- Billed Medicare and Medicare HMO’S with rugs and Manage care with levels
- Ensure BCBS FEP 30-day rule
- Bill all ancillary charges and review charges
- Assist with Medicaid applicants and help assist family with application
- Assist with filing application rep payee
- Perform giving de-cert letter of last covered day
- Assist admission with insurance changes
- Input daily census changes
- Assist with resident trust fund
- Verify all charges for billing
- Billed all secondary 20% to insurance carrier or to patient
- Set up payment plan for delinquent accounts
- Assist with payroll, enter all invoices, reconcile vendor of payment
Medical Billing Clerk
B Medical billing LLC
Capital Heights, MD, USA
03.2001 - 10.2011
- Post’s payment, Enter charges
- Proficiency in medical terminology & coding (CPT-4, HCPCS and ICD-9)
- Verify all insurance plans and their benefits
- Assist with payroll and vendor
- Document conversations and correspondence with patient in system
- Contact’s patient’s delinquent in payment of their account
- Enter fee tickets and ensure charges are posted correctly
- Perform working A/R with all medical insurance HMO ‘S, third party and PPO’S
- Work all correspondence from insurance
- Work with worker comp and pip forwarding medical records for payment
Education
High School -
Berkeley high School
Moncks Corner, SC01.1991
School - undefined
Trident tech School
Moncks Corner, SC01.1995
Skills
- Epic EMR System
- Point Click Care
- Waystar system
- Eclinical Works 11
- MEDI -Billing system
- Typing
- Data Entry
- EMR
- Emdeon
- Billing System
- Medical Elite
- Medisoft
- Navinet
- Instamed
- Online appeal per insurance carrier
Timeline
Insurance Billing Specialist
Robeson County Health Care Center FQHC
10.2019 - Current
Medical Billing Coordinator
The Neurology Center
02.2016 - 09.2019
Billing Coordinator
Burke Nursing & Rehabilitation Center
12.2011 - 02.2016
Medical Billing Clerk
B Medical billing LLC
03.2001 - 10.2011
School - undefined
Trident tech School
High School -
Berkeley high School
Software Special Skills
- Epic EMR System
- Point Click Care
- Waystar system
- Eclinical Works 11
- MEDI -Billing system
- Typing/Data Entry
- EMR
- Emdeon
- Billing System
- Medical Elite
- Medisoft
- Navinet
- Instamed
- Online appeal per insurance carrier