Shannon Meissner
Bentonville
Summary
A creative problem solver who excels in research and enjoys taking on new and exciting challenges. An individual who possesses excellent time management skills, outstanding customer services skills, and strong communication skills.
Professional medical billing expert prepared for leadership role. Expertise in optimizing billing processes, ensuring compliance, and managing claims. Strong focus on team collaboration, adaptability, and achieving efficient results. Skilled in coding, auditing, and revenue cycle management, with reputation for reliability and precision.
Overview
17
17
years of professional experience
Work History
Lead Medical Biller
City Health Urgent Care
07.2023 - 01.2025
- Streamlined claim submission processes for faster reimbursements, collaborating with insurance companies on a regular basis.
- Resolved complex billing issues by conducting thorough research, working closely with insurance providers to reach favorable outcomes for both parties involved.
- Developed efficient billing workflows to reduce turnaround time for processing claims.
- Provided ongoing support to junior staff members through mentorship and sharing best practices in medical billing operations.
- Collaborated with healthcare providers to obtain necessary documentation for accurate billing submissions.
- Secured timely reimbursements from insurers through persistent appeals of denied claims backed up with detailed evidence supporting each case made.
- Managed electronic health record systems, ensuring data integrity and accessibility for authorized personnel.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Monitored changes in insurance policies, keeping abreast of updates affecting medical billing procedures and informing staff accordingly.
- Developed comprehensive training materials for new hires, facilitating their smooth transition into the medical billing team.
Medical Billing Specialist
Carbon Health
06.2021 - 08.2023
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
Medical Billing Specialist
Highlands Oncology
09.2018 - 02.2021
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
Senior Charge Poster
Elite Management and Billing Services
04.2017 - 08.2018
- Managed multiple priorities simultaneously while consistently meeting deadlines for claim submissions.
- Maintained organized electronic filing systems for easy retrieval of patient records during audits or internal reviews.
- Ensured complete understanding of each patient''s insurance coverage, streamlining the billing process and reducing claim denials.
- Prepared and generated claims by completing data entry of correct information.
- Enhanced revenue for the organization through timely and accurate submission of medical claim forms.
- Supported month-end close activities and processes.
Accounts Receivable/Business Office Payment Poster
Physicians Choice
03.2014 - 04.2017
- Minimized late fees by closely monitoring billing deadlines and prioritizing payment application accordingly.
- Reduced unapplied amounts by diligently researching and resolving discrepancies, increasing overall financial accuracy.
- Collaborated with billing team on claim submissions, resulting in timely payments and improved cash flow.
- Streamlined payment posting process by implementing efficient data entry methods, resulting in reduced errors and increased productivity.
- Managed confidential patient information responsibly while performing job duties related to financial transactions.
Medical Biller/Accounts Receivable/Business Office Payment Poster
Rand Medical Billing
01.2008 - 03.2014
- 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.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Education
Associates Degree - Medical Billing and Insurance Coding
Anthem College Online
01.2008
High School Diploma - general ED
Moorpark High School
Moorpark, CA01.1997
Skills
- Dedicated Team Participant
- Achievement Oriented
- Proactively Identifies Opportunities
- Goal-Oriented Individual
- Proficient in Task Prioritization
- Detail-Oriented Coordinator
- Waystar Experience
- Experience with Trizetto
- Change
- Office Ally Software Navigation
- Proficient in Centricity
- DrChrono Software Expertise
- Puredi
- Optum Pay Expertise
- Proficient in Payspan
- Zelis Software Experience
- Instamed Expertise
- Proficient in Microsoft Word
- Microsoft Excel Proficiency
- PowerPoint
- WIN
- AS400
- ECW
- Netxgen
- Prognosis
- Meditech
- MediSoft
- Medical Manager
- Experienced in Medical Coding Standards
- UB04 Billing Expertise
- CMS-1500 Expertise
- Proficient in Medical Terminology
- HIPAA Compliance Knowledge
Timeline
Lead Medical Biller
City Health Urgent Care
07.2023 - 01.2025
Medical Billing Specialist
Carbon Health
06.2021 - 08.2023
Medical Billing Specialist
Highlands Oncology
09.2018 - 02.2021
Senior Charge Poster
Elite Management and Billing Services
04.2017 - 08.2018
Accounts Receivable/Business Office Payment Poster
Physicians Choice
03.2014 - 04.2017
Medical Biller/Accounts Receivable/Business Office Payment Poster
Rand Medical Billing
01.2008 - 03.2014
High School Diploma - general ED
Moorpark High School
Associates Degree - Medical Billing and Insurance Coding
Anthem College Online
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