Sharon N. Russell, CPC209 Lila Street, Greenville SC 29609 | (864)386-8692 | shrussell34@gmail.com

ObjectiveSeeking a challenging opportunity in the medical billing field which will fully utilize my office experience, strong work ethic and dedication. Desiring employment where advancement is based on efficiency and contributions to the company growth.

EducationAAS 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

SkillsSignificant medical billing/medical collections experience, 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 Provider enrollment issues, patient statements, insurance appeals, insurance claim/payment issues, insurance/patient refunds, medical record requests. Specializing in collections of over 180 days

ExperienceMEDICAL LABORATORY BILLING SPECIALIST | LABSOURCE, LLC | 12/2014-PRESENT· Work denials and rejections by reviewing the patients EOB and 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 software AthenaNet· 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/EPO plans are utilized

MBC SPECIALIST | UPSTATE HEALTHCARE REIMBURSEMENT SVS | 05/2012-12/2014· Performed various collection actions including contacting patients by phone and mail

Sharon N. Russell, CPC· Obtained precertification and preauthorization for chiropractic processors· Maintained confidentiality by adhering to all HIPPA guidelines· Verified patient’s benefits and eligibility · Entered patient charges and payments using SuccessEHS and ChiroTouch· Processed personal injury claims including faxing invoices and 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 Practice Management System· Answer phone calls, filed papers, made copies, faxed, scanned and emailed information for the office

manager· Obtained authorizations for both VA and Medicaid patients

GED MATH INSTRUCTOR | SAVING A GENERATION MENTORING | 03/2012-09/2012· Organized and developed curriculum framework for the GED· Assisted with recruitment 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· Provided guidance 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 technical issues· Provided information 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

CertificationAAPC Certified Professional Coder since 2012

Reference Available upon Request

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