Carolyn Shaw Email & Phone Number

United States

-Oral & Written Communication via email, various correspondence, phone, or text. -Email, Contact & Calendar Management-Administrative Support -General bookkeeping -Social Media Management-Voicemail Monitoring-Microsoft Suite: Word, PowerPoint, Excel, Access-Data Entry

Detroit, Michigan, United States

• Manage and handle the day-to-day activities of preparing, mining and analyzing data, developing reports, charts, summaries and making recommendations• Present analysis results, methods and findings to management verbally and in written format• Internal Auditor• Plan and organize work activities, mentor and manage junior team members• Medicare Pharmacy Recovery

Detroit, Mi 48202

• Manage and handle the day-to-day activities of preparing, mining and analyzing data, developing reports, charts, summaries and making recommendations• Present analysis results, methods and findings to management verbally and in written format• Internal Auditor• Plan and organize work activities, mentor and manage junior team members• Medicare Pharmacy Recovery

United States

• Analyze medical and dental claims before they go to the clearinghouse by verifying eligibility of insurance, authorizations and insure adherence to policies and regulations during the entire process for Medicare as well as Medicare advantage plans, Medicaid straight or Medicaid insurances and commercial plans are met.• Analyze procedure and diagnoses codes and ensure that what is claims processor billed is documented.• Act as a technical resource for training, providing job shadowing, departmental communication, and coaching.• Monitor claims processor processes for 4 clinic sites, reporting process flow, status, and concerns to Revenue Cycle Manager.• Grant and maintain website access, for 4 clinic sites and corporate employees. • Retrieve the electronic explanation of benefits and remit details from the various payer websites and forward relevant information to the accounting department and the third-party claims processor agency utilizing multiple electronic communications methods.• Prepares reports to assist in evaluation and decision making related to denied claims management, service line claims and revenue, bench markings and goals development, continuous improvement, and other revenue cycle related functions and activities.• Analyze, monitor and maintain all claim statuses from the external processing company to review performance and make corrections as appropriate. • Forward information to appropriate clinical/provider staff for prompt correction of returned and rejected claims.

United States

-Oral & Written Communication via email, various correspondence, phone, or text. -Email, Contact & Calendar Management-Administrative Support -General bookkeeping -Social Media Management-Voicemail Monitoring-Microsoft Suite: Word, PowerPoint, Excel, Access-Data Entry

Wyandotte, Michigan, United States

•Verified insurance coverage.•Inputted patient demographics•Account Receivables•Medical Coding•Medical Billing•worked with Third-party payers, HMOs, PPOs, Medicare, Medicaid, workers’ compensation (WC) carriers and independent commercial carriers.

Associate Of Arts (A.A.), Liberal Arts And Sciences, General Studies And Humanities, 3.0

Certificate, Paralegal Studies, 3.00

PLGL-100: Essential Paralegal Skills PLGL-226: Legal Writing PLGL-110: Legal Ethics PLGL-235: Contracts PLGL-115: Property Law PLGL-240.

Certificate, Medical Billing, 3.0

Cerificate, Medical/Clinical Assistant, 3.0