Management/Billing Position wanted

Best answers
Shannon Linville
724 Haynsworth St
Sumter, SC 29150
Phone: (803)840- 8468

To obtain a challenging position in a growth-oriented organization that welcomes my leadership and customer service background and fosters growth, creativity, flexibility and offers diverse job responsibilities.

High level knowledge of medical billing and general accounting
Ability to work well in high-pressured team environments
Adaptive to management styles, business models and information systems
Competent team player;
Skilled at prioritizing, and able to quickly generate quality results
Energetic self-starter, high self-esteem, and eager to learn
Highly motivated individual with high degree of ethics
Sincere commitment to professional growth and extremely customer focused
Strong customer service relations

1994 - 1998 Diploma, Sumter High School
2000 – 2001 Business Management Class, Central Carolina Technical College
2004 Medical Terminology, Haywood Community College
7/22/05 Managing Patient Collection Certificate
8/2006- Present Ashworth University- working toward Health Care Administration Degree
(Graduating May 2009)

10/2008-Present Midlands Orthopaedics, p.a.
Business Office Manager
• Monitor Staff, charges, payments, adjustments posted
• Monitor charges that are being rejected by the clearing house, determine and resolve those issues.
• Assist employees with accounts when their workload has caused them to fall behind on goals and expectations.
• Assure proper work distribution and coverage, job descriptions, training and evaluation of staff; manage time-off requests; maintain time sheets in conjunction with HR.
• Note changes in employee behavior and work performance
• Conduct regular staff meetings, while eliciting open communication and participation from employees.
• Report denial patterns by insurance and by physician
• Identify and diagnose substantial changes in accounts receivable aging by insurance carrier
• Work on a daily basis with our software vendor to resolve issue improve the process of clean claims and payment posting.
• Review managed care reimbursement to ensure correct compensation is paid according to contracted rates.
• Decreased insurance AR by 6%, by implementing changes to the processes and shifting of duties.
• Restructured pre-cert and refund process to ensure every account is being accounted for.

10/2005-10/2008 Colonial Family Practice
Medical Staff Manager/IT Manager
• Communicate orally with patients, co-workers, and insurance companies in face-to-face, one-on-one settings, in group settings, or by using a telephone or email.
• Read and interpret financial statements for the patients and for the practice.
• Submit electronic claims submissions on HCFA-1500, UB094, and remittance procedures.
• Perform technical analysis of payer activity from all insurance companies.
• Evaluate and resolve billing problems with patients, insurance companies and the practice. Review, coordinate and update all payment options and methodologies to insure accurate and timely collection of revenue.
• Review, coordinate, and implement all changes to payer claim submission processes.
• Demonstrate continuous effort to improve operations, decrease turnaround times, streamline work processes, and work cooperatively and jointly to provide quality seamless customer service.
• Perform a broad range of supervisory responsibilities over others by coordinating and managing the work of the billing and collection staff.
• Extensive knowledge in Misys software, all fast services, and payer path.
• Ensure that our software is up to date and working properly as well as making sure all the processes are being done accurately from start to finish.
• This includes making sure that hot fixes, backups, and transmissions are working properly.
• Make sure that codes and prices as well as all parameters are correct in the system for correct electronic claims.
• To train not only the staff at Colonial Family Practice, but also other physician's office staff on using Misys properly and to its highest potential.
• Recently promoted to Medical Staff Manager, which requires me to contract and credential all of our existing and new providers with our practice and insurance companies. This includes the NPI, DEA, CDS, State Licenses, CV, Board Certifications, CAQH, various other certifications (UPIN, Medicare, Medicaid), and current malpractice.
• Responsible for making sure that all of our new locations are set up properly and have the correct identifications, and certifications to operate.

08/03/03-10/2005 Asheville Anesthesia
• Communicated orally with patients, insurance companies, and physician's in face-to-face, one-on-one settings, group settings, or by using the telephone; to read and interpret financial statements.
• Evaluated and resolved billing problems with patients, insurance companies, and the practice. Explained to the patients the proper way anesthesia is billed, and the different types of anesthesia used during different procedures.
• Submitted electronic, HCFA 1500, bills to all insurance companies, as well as local foundations.
• Assisted patients in finding foundations to offset patient expenses that have no medical coverage.
• Properly handled accounts that were in collection, bankruptcy or liability.
• Accurately applied payments to accounts that were mailed, given over the telephone or in person.
• Filing explanation of benefits and miscellaneous paper work accurately, and in a timely manner.

01/03-6/2003 Sumter National Bank
• Communicate d orally with customers face-to-face with questions on withdrawals and deposits, as well, as assisting customers with questions. Entered data into a PC or terminal using the 10-key method.
• Balanced payments and adjustment that were done throughout the day, as well as, balancing general ledgers. Making sure everyone's work was done, (including my own), and was accurate before the close of the business day, including my own.

4/00-11/02 Safe Federal Credit Union -
Member Service Rep and Accounts Control Officer
• Assisted members with payment arrangements, and made calls on past due accounts.
• Opened and closed accounts, approved or denied loans and deferrals.
• Posted payments that were received in the mail.
• Typed monthly reports, such as accounts sent to magistrate, or foreclosures, and prepared monthly and annually reports on Excel and Microsoft Word.

12/99-4/00 Tuomey Hospital -
Accounts Receivable
• Assisted customers by phone and in person with payments to their accounts.
• Billed insurance companies for payment, and posted payments received in the mail by customers and insurance companies.