1. Sharon N. Russell, CPC
209 Lila Street, Greenville SC 29609 | (864)386-8692 | shrussell34@gmail.com
Objective
Seeking a challenging opportunity in the medical billing field whichwill fully utilize my officeexperience,
strong workethic and dedication. Desiring employment where advancement is based on efficiency and
contributions to the company growth.
Education
AAS IN HEALTHCARE REIMBURSEMENT | MARCH 2012 | VIRGINIA COLLEGE
· Major: Healthcare Reimbursement
· Minor: Medical Billing
· Related coursework:Medical coding ICD -9-CM and ICD-10-CM, Medical Terminology,Medical Law and
Ethics, Computerized Billing Procedures, Computerized Billing Procedures
Skills
Significant medical billing/medical collectionsexperience, FEP,Out of State Blue Cross Blue Shield,
Commercial, HMOs, insurance rejection follow-up,electronic/hardcopy billing procedures, month-end
procedures, obtaining authorizations/referrals, addressing Providerenrollment issues, patient
statements, insurance appeals, insurance claim/payment issues, insurance/patient refunds, medical
record requests. Specializing in collectionsof over 180 days
Experience
MEDICAL LABORATORY BILLING SPECIALIST | LABSOURCE, LLC | 12/2014-PRESENT
· Workdenials and rejections by reviewing the patients EOBand Electronic Remits
· Verify patient’s insurance eligibility and benefits
· Correct claims and resubmit to third party payer for processing
· Inform supervisor and billing manager of CMS updates and code changes
· Check claim status via the phone and the payer’s website
· Train peers on the billing process including using the billing softwareAthenaNet
· Handle patient escalated phone calls
· Coach peer on handling billing inquiries from patients and the client
· Submit documentation for credentialing purpose to new insurance companies
· Submit both paper and electronic claims
· Knowledge of insurances, including Medicare, Medicare replacement HMO’s, Medicaid, Blue Cross Blue
Shield Plans, Commercial Insurances, HMO/PPO/EPOplansare utilized
MBC SPECIALIST | UPSTATE HEALTHCARE REIMBURSEMENT SVS | 05/2012-12/2014
· Performed various collectionactions including contactingpatients by phone and mail

2. Sharon N. Russell, CPC
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· Obtained precertificationand preauthorization forchiropractic processors
· Maintained confidentiality by adhering to all HIPPAguidelines
· Verified patient’s benefits and eligibility
· Entered patient charges and payments using SuccessEHS and ChiroTouch
· Processed personal injury claims including faxing invoicesand medical documentation to both
attorneys and third party payer
· Worked denials and rejections daily
MBC EXTERNSHIP | VIRGINIA COLLEGE HEALTHCARE REIMBURSEMENT SVS | 01/2012-
03/2012
· Checked claim states by phone and via the payer website
· Verified insurance eligibility and benefits
· Keyed patient demographics in SuccessEHS PracticeManagement System
· Answer phone calls, filed papers, made copies, faxed, scanned and emailed information forthe office
manager
· Obtained authorizations for both VA and Medicaid patients
GED MATH INSTRUCTOR | SAVING A GENERATION MENTORING | 03/2012-09/2012
· Organized and developed curriculumframework forthe GED
· Assisted withrecruitment of participants for the GED classes increasing enrollment by 80 percent
· Administered GED Ready practice test on both paper and the computer
· Planned class projects and field trips
· Providedguidance and assistance with employment –related information
· Taught resume writing and interviewing skills
· Developed incentives to keep participants in class
CUSTOMER SERVICE REPRESENTATIVE | GANNETT COMPANY, INC | 12/2009-01/2012
· Handled customer calls and troubleshoot technicalissues
· Providedinformation needed to make purchasing decision regarding the customer’s account
· Promoted sale by giving the benefits of EZ-Pay payment options and increasing the frequency of
delivery of the newspaper
· Accurately entered subscriber date into the computer system and updated important information
Certification
AAPC Certified Professional Coder since 2012
Reference
AvailableuponRequest