Janet shearer
Thornton
Summary
Accomplished Professional with over 10 years of experience in multiple business operations. Currently working as a Medical Billing Specialist handling all Commercial Insurances as well as Medicare and Medicaid. Proven ability to produce set key performance indicators with limited supervision by learning new skills quickly. Bilingual, fluently speak both English and Spanish.
Overview
9
9
years of professional experience
Work History
Medical Biller
Rt Welter And Associates
04.2024 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Delivered timely and accurate charge submissions.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Medical Biller
Allscripts
09.2022 - 04.2024
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
Medical billing specialist
Beyer medical billing
08.2020 - 09.2022
- Provided support by partnering with insurance companies, patients, and client to identify, research and resolve outstanding claims
- Responsible for processing payments, adjustments, and denials according to established guidelines
- Reviewed charges for correct documentation and coding and communicated with client to obtain corrected or additional data
- Worked rejections and denials and handled appeals when necessary
- Verified patients’ eligibility and benefits on insurance sites
A/R tech
Management specialists
12.2018 - 07.2020
- Managed homeowner accounts for 32 homeowner associations
- Worked with homeowners regarding monthly HOA dues, including arranging payment plans for delinquent accounts
- Turned homeowners over to collection agencies and initiated lien processes on their homes when necessary
- Posted all incoming monthly payments for associations
Receptionist, front office lead
Arbor family medicine
01.2016 - 11.2018
- Skilled in use of Allscripts APM and EHR, Phreesia, Follow My Health and Microsoft Office
- Delivered effective customer service and administrative support in busy medical practice for 100+ patient per day
- Answered 6-line phone system and assisted patients with registering a new patient, checking insurance, and scheduling
- Collected copayment, co-insurance, and patient balances at time of service as well as over the phone, balanced daily
Education
medical administrative assistant -
everest college
01.2016
high school diploma -
vantage point high school
12.2013
Skills
- HIPAA Compliance & Confidentiality
- Allscripts APM & Professional EHR
- Insurance Billing
- Availity
- Bilingual
- Reading & Understanding of EOB’s
- Accounts Receivable & Collections
- Medical Terminology
- Microsoft Office
- Insurance verification
- Customer service
Timeline
Medical Biller
Rt Welter And Associates
04.2024 - Current
Medical Biller
Allscripts
09.2022 - 04.2024
Medical billing specialist
Beyer medical billing
08.2020 - 09.2022
A/R tech
Management specialists
12.2018 - 07.2020
Receptionist, front office lead
Arbor family medicine
01.2016 - 11.2018
high school diploma -
vantage point high school
medical administrative assistant -
everest college
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