1. Shawntal Baker
5013 Buffalo Ct S.
Ft Worth , Texas United States 76119
(817)-986-7853
starlet2208@yahoo.com
OBJECTIVE
I would like to use my education and knowledge to build a fulfilling career with a company that
can appreciate my abilities and willingness to learn. I enjoy assisting customers, communicate
with kindness but professional manner. I am dependable, loyal, and an educated team player
pursuing an opportunity for a permanent and long term position.
WORK EXPERIENCE
ABEO – Anesthesia Billing
02/11/2013 – 5/13/2015
Billing Specialist
Correcting claims, Rejections, working with Emdeon Clearing house for correcting rejections,
and submitting patient payments using our online service. Check eligibility, filing claims and
appeals online. proficient with online websites like; Availity, Navinet, TMHP, etc. Epic hospital
system, for needed patient data and medical records needed for claim submission and proficient
understanding of Provider contracts and prior authorization for certain procedures/place of
service. Filing appeals for RAPS, UCR, ROR, and past timely filing, I also understand
adjustments of all kinds including Uncollectible balances and adjustment. I contact insurance
companies for claim and appeal status and requests for reprocessing claims. I contact patients for
needed information and past due balance. Setup payment plans and assist patients on
understanding their portion of bill along with explanation of benefits. Work Collection review,
turnover accounts once every effort has been made and exhausted to contact patient and/or
retrieve payment. Also, work Correspondence in Imaging - submit Bankruptcy Form with needed
documentation and submit the documentation and adjustment if needed to an outsourced
Collections Agency.
Billing Assistant
Customer service – Patient payments, answer questions in regards to statements and EOB
information. Review batch preparation and release batches once all needed data entered for claim
filing. Correspond with Referring Physician staff for referrals and collection of all needed
information. Correct failed submission claims for (missing or incorrect data). Prep and create
batches for charges to be keyed. Work with MedSuite billing software and Emdeon
Clearinghouse.
CBIZ Medical Management Professionals
8/22/2011 - 12/03/2012
Customer Service Representative / Medical Billing
Work Zirmed Clearinghouse rejections, proficient with Imagine Billing Software. Upload
demographics and reports from hospitals for data entry, CCR – entered visits and charges. Credit
exams, per doctors request. Refund requests submitted for Patient and Insurance companies.
Work with collections agency to report updated patient payments and cancellations.Retrieved
reports from Hospital websites for timely filing and medically necessary appeals. Customer
2. Service – patient payments- answer patient questions in regards to details on account and EOB
information. Scanning and uploading using FTP to send to overseas data-entry. Arrange budget
plans and take patient payments. Correct rejected claims and refile. Secondary paper claims to
Medicaid with EOB from Primary insurance. MRANS completed for Medicaid secondary
insurance, and Patient correspondence. Applied Insurance Adjustments according to explanation
of benefits. Small Balance write offs, etc.
Dr. Leslie Hardick , D. O.
2/2011 – 7/2011
A/R Follow-Up / Collections Representative
Negotiated collections with patients and collection agencies; Familiar with negotiating past due
payments via phone; Experienced in correcting claims, sending appeals for timely filing( sending
proof via electronic submissions) Medical necessity.Referral Documents and Authorizations.
Associates of OB/GYN, Bedford, Texas United States
06/2009 - 06/2010
Medical Records Associate
Expert in pulling and filing patient charts for scheduling appointments and prescriptions.
Experience with faxing records to doctor office and hospitals.
Cross trained – front desk, insurance verification and collections.
Dr. Robert Harla, D.O. Dermatology, Grapevine, Texas United States
03/2009 - 04/2009
Billing Intern
Completed 160 hours on the job training. During which time was trained to:
Sort super-bills;
Separate checks from EOB's;
Track EFT's for electronic payments;
Review refund checks and statements;
Check claim statuses;
Become associated with credit card / check machine.
EDUCATION
2008 - 2009
Everest College of Ft. Worth, Texas United States
Medical Insurance Billing and Coding
Graduated with perfect attendance certificate.
Member of the Presidents List with 95% average for all course work.
SKILLS
Being a team player with strong dedication and great communication skills I am proficient with
the following:
1 Customer Service
2 Administrative Duties
3 Medical Terminology
4 Familiar with Body Systems
5 Compliance
6 Electronic Claims
