Shellene Ibrahim Email & Phone Number

United States

Supervisor for our front-end Revenue Cycle team. Support the management of the team responsible for all aspects of demographic and charge capture information, physician and payor mapping, and overall clean claim submissions. This includes reporting on all functions of front-end revenue cycle, team oversight, and training. Serve as a subject matter expert and project manager for different RCM initiatives.

Lovenblessings.Myshopify.Com

Retail

Www.Youravon.Com/Shelleneibrahim

Avon Products

Hunt Valley, Maryland

• Manages the claims submission and paper claims functional areas. This includes but is not limited to recommending staffing levels, organizational structure, estimating time, cost and completion of work, coordinating with other vendors and teams, monitoring performance and ensuring quality assurance standards and benchmarks are met.• Regularly audits results to ensure success.• Develops and implements efficient, effective and consistent policies, procedures and process flows for claims submission and paper claims activities across all locations.• Ensures adherence to best practice setup, policies and procedures, and provides recommendations for improvement.• Proactively identifies and avoids compliance issues.• Partnering with Operations and Account Management leaders, responsible for ensuring service level agreements are met for each client in the claim’s submission and paper claims area, handling escalations in a thorough and timely manner, identifying opportunities for improvement and developing action plans for problem resolution.• Responsible for managing a team of employees, some of whom may supervise others. This includes hiring, training, coaching and developing direct reports.• Prepares and delivers performance reviewers to direct reports.• Provides regular feedback to team members regarding performance.• Recommends and assists in implementing a common set of systems, tool and reports for use by all claims submission and paper claim teams across all state-side locations.• In partnership with Help Desk and EDI group defines where claims submission work ends and where EDI work begins and ensures seamless hand-off where applicable.

Reviews unpaid accounts to determine status and appropriate action required from work lists.Maintenance of dictionaries to ensure accurate claims generations.Review Repair and Claim bill reset Edit Reports on Hunt Valley Clients Researches and follows-up on denials and requests for additional information utilizing the denial management reports and correspondence.Working Insurance and Patients Credits & Correspondence MailContacts payers, use facility correspondence, via website, phone and/or correspondence, regarding reimbursement for unpaid accounts over thirty (30) days or as assigned. Edit and run Claim Request, Pre-list Reports, Unbilled & Billed ReportsWorking return collections support task from Omega, Payment Posting

-Review unpaid accounts to determine status and appropriate action required from work lists.-Maintenance of dictionaries to ensure accurate claims generations.-Review Repair and Claim bill reset Edit Reports on Hunt Valley Clients -Researches and follows-up on denials and requests for additional information utilizing the denial management reports and correspondence.-Working Insurance and Patients Credits & Correspondence Mail-Contacts payers, use facility correspondence, via website, phone and/or correspondence, regarding reimbursement for unpaid accounts over thirty (30) days or as assigned. -Edit and run Claim Request, Pre-list Reports, Unbilled & Billed Reports-Working return collections support task from Outsource team, Payment Posting

Accounts Receivable, Creating Invoices on Outstanding Accounts using Microsoft Excel and then Sending to Customers.Enrollment of clients to Clearinghouse.The Daily Billing of Clients Medical Claims to Insurance Companies and other Third Party Payers via EDI, paper or directly to members via Patient Statements.

Answering Multi-Line Phone Lines, Problem Solving and Detail OrientedEntering Data into Computer to run Employment, Background and Credit Check on Customers.

Certificate, Front Desk Medical Receptionist

Diploma, Information Systems Management

Activities and Societies: Information Systems Management