Shannon S. Email & Phone Number

Philadelphia, Pennsylvania, United States

- Manage day to day operations, lead, and develop the team- Develop, implement, analyze, and identify changes to increase efficiency and service to clients.- Monitor performance and provide constructive feedback to the team and foster continuous improvement and development.

Bridgeton, New Jersey, United States

Medicare Billing Specialist - Analyzed and resolved claim issues prior to Medicare submission.- Submitted claims accurately and timely utilizing Cerner Soarian Financials, Cerner PowerChart, and Gaffey Claims Management.- Maintained effective communication with medical staff to ensure billing compliance. Surgical Scheduler- Acted as a liaison between doctors and hospital staff to coordinate surgeries, procedures, and equipment needs.

Texas

Claims Coordinator- Efficiently managed the release of prompt pay and highly complex claims, expediting the payment process while maintaining accuracy and compliance.- Acted as a liaison between departments, facilitating seamless communication and cooperation to enhance overall operational efficiency.- Conducted technical training programs for claims department personnel, equipping the team with the necessary skills and knowledge to handle claims efficiently and effectively.- Played a pivotal role in assisting claims processors by providing expert guidance and answering queries, particularly in complex cases that required specialized knowledge and attention.Appeals Specialist- Served as a departmental expert on appeals matters.- Collaborated effectively with clinical staff to craft compelling and well-structured appeal responses, ensuring a comprehensive approach.- Effectively managed workloads by reviewing pending requests and implementing strategic redirection to ensure timely project completion.Customer Advocate Specialist - Conducted thorough analysis, resolution, and expedited processing of telephone and written inquiries to ensure prompt customer satisfaction. - Provided comprehensive training of new hires, ensuring they were well-prepared for their roles.- Collaborated with internal teams to develop and deliver training programs, resulting in more efficient and knowledgeable staff.- Maintained strict adherence to company policies, federal laws, and regulations, including strict compliance with HIPAA guidelines.