Shawna Dwyer
Dudley
Summary
Motivational leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experience stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance.
Overview
2026
2026
years of professional experience
Work History
Information Operator Anyalyst
US Army
- Coordinated and linked computer systems within organization to increase compatibility to share information
- Managed user authentication and authorization of data access
- Assisted staff and users with computer malfunctions and program problems
- Protected secure data files and regulated access
- Implemented security protocols to ensure data safety within the organization's system
- Evaluated existing system regularly for possible improvements or upgrades
Revenue Cycle Field Specialist
Saber Healthcare
02.2024 - Current
- Oversee billing and collections for all the LTC facilities in your region, ensuring that payments are processed timely and accurately
- Monitor and review accounts receivable to minimize outstanding balances and identify any problem areas.
- Work closely with the payor sources (Medicare, Medicaid, private insurance) to resolve billing issues and ensure proper reimbursement.
- Prepare and analyze financial reports, such as budget vs. actual, revenue cycles, and aging reports.
- Ensure compliance with all financial regulations and reporting requirements.
- Supervise office staff across multiple facilities, providing support and guidance in their day-to-day tasks.
- Conduct regular performance evaluations and assist with hiring, training, and staff development.
- Ensure that the business office staff at each facility follows company policies anEnsure adherence to state and federal regulations, such as Medicare/Medicaid billing rules, HIPAA, and other healthcare industry standards.d procedures, including those related to HIPAA and patient privacy.
- Keep up to date on any changes in healthcare laws, billing practices, and insurance requirements to ensure compliance.
- Conduct internal audits to ensure all financial documentation is in order and compliant with regulations.
Business Office Manage
Hilltop HRC
04.2022 - Present
- Oversaw all aspects of the business office of a 133 bed skilled nursing facility
- Responsible for Medicare/Medicaid/Insurance/Private billing including obtaining authorizations, initial and follow up billing, and processing accounts for long-term-care residents
- handled personal needs petty cash accounts for long-term-residents
- Assisted resident and families with private pay spend down and Medicaid application
- Completed annual and bi-annual Medicaid renewals
- Weekly accounts receivable meetings
- Weekly inter-department Utilization review meeting to determine discharge plans and possible long-term care placement for residents
- Processed accounts payable and consolidated billing invoices
- Performed month end close of all billing and collections and generated all necessary reports for corporate account department
- Facilitated successful internal and external audits
Regional Revenue Specialist
Panacea Health Corp
05/25/21 - 03/15/22
- Oversaw 7 long term care facilities
- Maintained confidential case records according to established polices and procedures
- Oversaw all applications filed through the County Assistance Office in 3 different counties
- Reviewed patients accounts to ensure accuracy and completeness of information
- Prepared financial documents for County Assistance Office
- Completed weekly account reconciliations to identify discrepancies
- Maintained bad debt expense at or under 1.75%
- Oversaw the completeness of payers and payer trees
- Completed the daily census
- Oversaw RFMS at facilities per regulations
- Private pay collections at or above 100% monthly
Medicaid Specialist
Cambria Care Center
10/29/19 - 05/20/21
- Oversaw all Medicaid applications for a 303 bed facility
- Assisted families and residents with the Medicaid process
- Worked with businesses to retrieve all financial documents
- Maintained confidentiality with families and long term care facility
- Proficient in Point Click Care (PCC)
- Maintained up-to-date knowledge of state and federal regulations pertaining to Medicaid eligibility
- Answered questions and responded to inquiries to deliver high level of service to residents and families
- Updated case management systems with current information regarding client status
- Provided technical guidance to staff on program requirements and procedures related to enrollment processes
- Conducted interviews with applicants, explaining benefits process and the programs that were available for them
- Collaborated with other departments within the organization in order to resolve issues relating to Medicaid eligibility requirements
Education
High School Diploma -
Warren Area High School
06-1989
Skills
- Administrative Support
- Database Administration
- Workflow Planning
- Records Management
- Account Reconciliation
- Office Management
- Business Operations Management
- Home Healthcare Management
- Office Administration
- Credit and Collections
References
- Rebecca Jenkins 301-707-8154
- Janine Gallagher 814-934-8254
- Ashley Traylor 478-919-0216
Education and Training
other
Timeline
Revenue Cycle Field Specialist
Saber Healthcare
02.2024 - Current
Business Office Manage
Hilltop HRC
04.2022 - Present
Information Operator Anyalyst
US Army
Regional Revenue Specialist
Panacea Health Corp
05/25/21 - 03/15/22
Medicaid Specialist
Cambria Care Center
10/29/19 - 05/20/21
High School Diploma -
Warren Area High School
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