1. SHIRELLE N. HILL
5521 WESTFORD ROAD PHILADELPHIA, PA 19120
H :( 215)329-6750 M :( 215)450-9113 snhill1@live.com
Summary
MedicalAdministrativeProfessionalexperienced inmedicalbilling,completingaccuratedata entry of
pertinentmedicalinformationregardinginsuranceclaims;proficientwith recording,organizing,and filing
patientmedicalrecords.Fluentin HIPAA, claimforms,customized healthcaresoftware,MS Office,and Medical
Terminology.
Skills
Medical Terminology Microsoft Office 2010 Scanning
Privacy Regulations HIPAA Copying
Anatomy & Physiology HCPCS Level II NaviNet
Timely Filing Limits Next Gen HCFA Forms
CAQH Data Entry Typing 50 wpm
ElectronicBilling ICD-9 CPT
Pathlinks Millennium Insurance
ExplanationofBenefits ProblemSolving Analysis
RemittanceAdvices ComputerLiteracy Filing
Critical Thinking Faxing Email
Seibel ReimbursementMethods ThirdParty Billing
UB-04Forms HumanDisease&Treatment MHS
3M Coding/Reimbursement ICD-10 GEMs
Experience
Billing Analyst, 07/2014-11/2014 Philadelphia, PA
CONTEMPORARY STAFFING SOLUTIONS/INDEPENDENCEBLUECROSS
 Demonstrated analytical and problem solving skills with thorough research and investigation of customer
inquiries.
 Resolved and clarified issues with patient accounts by collaborating with Customer Service Representatives and
other departments.
 Exceeded customer service satisfaction levels at 90% or above by providing resolutions in a timely manner.
Data Entry Clerk, 09/2013-02/2014 Horsham, PA
MANPOWER STAFFING/TELERX
 Viewed and prepped scanned images to be keyedfor verificationand processing.
 Entered data in specific data fields forsubsequent entry using keyboards.
 Compared data with source documents to detect or correct any errors.
 Sorted, archived,and filed records of officeactivities,business transactions, and other activities.
Payroll Clerk, 9/2012-01/2013
Philadelphia, PA
CONTEMPORARY STAFFING SOLUTIONS /LIBERTY RESOURCES
 Completed employment verification forms forgovernment agencies as requested.
 Compiled and entered employee data fromtime sheets for each bi-weekly pay period.
 Distributed and mailed employee paychecksand statements of earnings and deductions.
Credentialing Coordinator, 04/2012-08/2012 Philadelphia,PA
CONTEMPORARY STAFFING SOLUTIONS/KEYSTONEMERCY HEALTH PLAN
 Processed provider files for credentialing with data entry and document attaching.
 Submitted requests to credentialing contacts via phone, email, or fax.
 Acquired provider licensure, certification, and education by navigation of websites.
 Received scores of 90% or better on audits resulting in deadlines being met ahead of schedule.

2. Medical Records Coder, 12/2011-03/2012 Philadelphia, PA
PROTOCALL STAFFING /PHILADELPHIA NURSINGHOME
 Accurately entered diagnosis codes and patient information into billing software.
 Recorded and filed patient data and medical records.
 Interpreted and abstracted Physician Progress Notes to apply appropriate ICD-9 codes.
 Resolved or clarified codes or diagnoses with conflicting, missing, or unclear information by consulting with
doctors or physician assistants.
Workers Compensation Biller, 12/2009-06/2010 King of Prussia, PA
CONTEMPORARY STAFFINGSOLUTIONS/MEDRISK
 Carefully reviewed medical records for accuracy and completion as required by insurance companies.
 Reviewed diagnostic and procedural terminology for consistency with acceptable medical services.
 Analyzed proper medical codes on claims consistent to services performed for correct payment to providers.
Medical Claims Assistant, 06/2008-12/2008 Plymouth Meeting, PA
UNITRINDIRECTAUTOINSURANCE
 Investigated and researched medical claims for discrepancies or incomplete data.
 Transmitted claims to assigned adjustors for payment or further investigation.
 Communicated with department staff and supervisors to resolve billing issues in the billing system.
 Accomplished monthly goals by accurately and timely processing over 300+ bills per day.
Customer Service Representative, 10/2007-02/2008 Fort Washington, PA
SPHERIONSTAFFING /AARP
 Providedappropriate information in response to customer inquiries regarding policy information and
healthcare coverage.
 Communicated with healthcare providers regarding status of submitted claims.
 Kept records of customer transactions by documenting details of inquiries, complaints, or comments, as wellas
actions taken.
 Properly directed inbound calls in phone queues to improve call flow.
Medical Data Entry Clerk, 02/2007-04/2007 Conshohocken, PA
MERCY HEALTH SYSTEM(Temporary)
 Entered data, such as demographic characteristics, diagnostic procedures, or treatment into computer.
 Input proper ICD-9 and CPT codes for services rendered by medical providers to minimize claim errors along
with correct charges for proper billing procedures.
 Generated electronic medical records and medical claims for submission to insurance companies.
Education
LINCOLN TECHNICAL INSTITUTE 01/2006-08/2006
Medical Administrative Assistant, Certificate
 Graduated with 3.98 GPA
COMMUNITY COLLEGEOFPHILADELPHIA 09/2013-06/2015
 Medical Billing Proficiency, Certificate