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SHANNON WINTERS
600 Mabeline Road
Apartment 65-C
Hanahan, SC 29410
240-682-3869
SUMMARY
Dedicated Business Operations Professional with extensive experience in medical practice management
and patient care systems. Excellent administrative skills with concentrated training in investigative
techniques and payment methods, guiding medical business groups to new standards of excellence. Able
to successfully connect with a wide-range of patients, colleagues, and practice customers, implementing
specific strategies for developing professional relationships and efficiently streamlining processes.
PROFESSIONAL EXPERIENCE
Carolina Eyecare Physicians,LLC, Mt. Pleasant,SC(Mt. PleasantOphthalmologymergedwithCarolina
Eyecare Physicians-July1,2015)
PhysicianManager
 Front desk:Checkin,checkout,charge entryandpaymentposting.
 Medical records:Updatedpapercharts and workedwithIntegrityEMR.
 Accountsreceivable:Workedpatientpayaccounts.
Mt. Pleasant Ophthalmology,Mt. Pleasant,SC 2011 - 2015
Practice Manager
 Directbusinessoperations,staff support,andpatientcare systems.
 Manage Quickbookaccounts andcommercial processes formedical practice,optical business,and
buildingincome andexpenses.
 Manage and maintainbothphysicianandemployeeschedulesaswell asthe physical propertyand
practice real estate.
 Administerandoversee payroll,tax timetables,andsurgical charges.
 Supportand assistlegal processesincludingattorneyrecordsforphysician review,medical
testimoniesanddepositions,andbilling.
 Assistpatientsin registrationandscheduling procedures,maintainmedical records,andverify
insurance.
 AcquiredHIPPA andOSHA certifications.
GreaterMetropolitanOrthopedicInstitute, 2005 - 2011
Surgical andMedical BillingManagerand Trainer
 Managed accountsreceivable,surgical coding,andsurgical andmedical claimswithinsurance
organizations.
 Servedasa liaisonbetweensurgical billingprocessesandsurgeons.
 Trainedcall centerand billingdepartments.
 Upgradedelectronicmedical practice systemfromMisysTigertoAllscriptsPractice Management.
 Supportedandassistedcorporate complianceofficerandchief executive officerwithMedicare
compliance.
Medical Data Systems, 2001 - 2001
Medical ClaimsProcessor/Coder
 Enteredcharges,filedinsurance claims,andpostedpaymentsforMedicare,Medicaid,Workman’s
Compensation,andcommercial organizations.
 Providedfollow-uptorejectedclaims,Medicare reviews,andMedicaidcrossovers.
 Managed andmaintainedagedtrial balance reportsandproviderupdates.
 Collaboratedwithhospital accountsreceivable andcodedpathologycharges.
Great WestLife and Annuity, 1995 - 2001
Senior Benefits Manager
 Trackedpaymentsandinvestigatedclaims.
 Acquiredanddevelopedknowledgeof medical codingsystems,insurance policiesandprocedures,
and the correspondingtechnological operations.
 Maintaineda24-hour turnaroundtime onservice referrals.
 Seniorclaimsanalystwhoconsistentlymetproductiongoalsandapaymentand procedural
accuracy of 97%.
Emergicare, 1994 - 1995
AdministrativeAssistant
 Managed accountsreceivable,accountspayable,and bothfederal andprivate insurance claimfiling.
 Maintainedpatientflow andadministration,includingcheckin,chartcompilation,andfollow up.
EDUCATION
2011
BusinessAdministrationCertificate

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SHANNON WINTERS JDW 1 (9)

  • 1. SHANNON WINTERS 600 Mabeline Road Apartment 65-C Hanahan, SC 29410 240-682-3869 SUMMARY Dedicated Business Operations Professional with extensive experience in medical practice management and patient care systems. Excellent administrative skills with concentrated training in investigative techniques and payment methods, guiding medical business groups to new standards of excellence. Able to successfully connect with a wide-range of patients, colleagues, and practice customers, implementing specific strategies for developing professional relationships and efficiently streamlining processes. PROFESSIONAL EXPERIENCE Carolina Eyecare Physicians,LLC, Mt. Pleasant,SC(Mt. PleasantOphthalmologymergedwithCarolina Eyecare Physicians-July1,2015) PhysicianManager  Front desk:Checkin,checkout,charge entryandpaymentposting.  Medical records:Updatedpapercharts and workedwithIntegrityEMR.  Accountsreceivable:Workedpatientpayaccounts. Mt. Pleasant Ophthalmology,Mt. Pleasant,SC 2011 - 2015 Practice Manager  Directbusinessoperations,staff support,andpatientcare systems.  Manage Quickbookaccounts andcommercial processes formedical practice,optical business,and buildingincome andexpenses.  Manage and maintainbothphysicianandemployeeschedulesaswell asthe physical propertyand practice real estate.  Administerandoversee payroll,tax timetables,andsurgical charges.  Supportand assistlegal processesincludingattorneyrecordsforphysician review,medical testimoniesanddepositions,andbilling.  Assistpatientsin registrationandscheduling procedures,maintainmedical records,andverify insurance.  AcquiredHIPPA andOSHA certifications. GreaterMetropolitanOrthopedicInstitute, 2005 - 2011 Surgical andMedical BillingManagerand Trainer  Managed accountsreceivable,surgical coding,andsurgical andmedical claimswithinsurance organizations.  Servedasa liaisonbetweensurgical billingprocessesandsurgeons.  Trainedcall centerand billingdepartments.  Upgradedelectronicmedical practice systemfromMisysTigertoAllscriptsPractice Management.  Supportedandassistedcorporate complianceofficerandchief executive officerwithMedicare compliance.
  • 2. Medical Data Systems, 2001 - 2001 Medical ClaimsProcessor/Coder  Enteredcharges,filedinsurance claims,andpostedpaymentsforMedicare,Medicaid,Workman’s Compensation,andcommercial organizations.  Providedfollow-uptorejectedclaims,Medicare reviews,andMedicaidcrossovers.  Managed andmaintainedagedtrial balance reportsandproviderupdates.  Collaboratedwithhospital accountsreceivable andcodedpathologycharges. Great WestLife and Annuity, 1995 - 2001 Senior Benefits Manager  Trackedpaymentsandinvestigatedclaims.  Acquiredanddevelopedknowledgeof medical codingsystems,insurance policiesandprocedures, and the correspondingtechnological operations.  Maintaineda24-hour turnaroundtime onservice referrals.  Seniorclaimsanalystwhoconsistentlymetproductiongoalsandapaymentand procedural accuracy of 97%. Emergicare, 1994 - 1995 AdministrativeAssistant  Managed accountsreceivable,accountspayable,and bothfederal andprivate insurance claimfiling.  Maintainedpatientflow andadministration,includingcheckin,chartcompilation,andfollow up. EDUCATION 2011 BusinessAdministrationCertificate