Summary
Overview
Work History
Education
Skills
Timeline
Generic

Sherelle Giddens

Norristown

Summary

Results-driven AR Billing Specialist with extensive experience at Promptcare Respiratory, excelling in medical billing and insurance claim processing. Proven ability to enhance cash flow through meticulous claims follow-up and exceptional problem-solving skills. Adept at utilizing billing software while maintaining strong patient communication and regulatory compliance.

Overview

25
25
years of professional experience

Work History

AR Billing Specialist

Promptcare Respiratory
King of Prussia
05.2020 - Current
  • Strong understanding of medical billing processes, coding, and insurance claim procedures.
  • Experience and billing software.
  • Excellent communication and interpersonal skills, including the ability to handle patient inquiries and follow-up with insurance companies for claim processing and denials.
  • Attention to detail and accuracy in maintaining financial records and managing accounts receivable.
  • Ability to work independently and as part of a team, with strong problem-solving and analytical skills.
  • Knowledge of healthcare regulations and compliance requirements, particularly those related to billing and coding.
  • Claim Submission and Follow-up: Submit and follow-up on insurance claims to ensure timely reimbursement, including managing denied claims and appeals.

Call Center Representative

Main Line Gastroenterology Associates
Malvern
12.2014 - 05.2020
  • Answering multiple phone lines for multiple doctors.
  • Scheduling appointments for short procedures for all hospitals.
  • Registering new patients for office visits and procedures.
  • Researching patient recall dates for procedure.
  • Updating medical records with recent test results and procedures.
  • Responsible for communication from the patient and all doctors.

Patient Account Representative

Conifer Healthcare
11.2010 - 12.2014
  • Produces and sends daily bills to payors within policy time limits.
  • Verifies accuracy of all bills produced.
  • Identifies and resolve billing errors.
  • Contact patients on high dollar claim that the insurance carrier denied.
  • Daily use of insurance carrier’s website for research for unpaid claims, payment information.
  • Follows up on accounts with third parties for proper and timely reimbursement.
  • Resolves issues holding up timely claim payment, including requests for medical records, Coordination with Customer Services and communication with the patient.
  • Calls insurance companies as required for timely claim payment according to the policies.
  • Interacts with specific payors to resolve billing and/or claim payment problems.
  • Maintains positive customer relationships.
  • Functioning payor team member to ensure maximum cash flow and reimbursement for the hospitals.
  • Comply with all of HIPPA compliance policies.
  • Follow-up on outstanding AR balances.
  • File Appeals when on denied claims.

Accounts Receivable Billing Clerk

Allied Waste Management
11.2008 - 03.2009
  • Posting unidentified cash receipts to the correct division, account and invoices.
  • Inputting information into excel spreadsheet for daily balancing of cash.
  • Made adjustments for calculating percentages of bills and invoices using 10-key.
  • Research customer payments, where applied, adjustments needed, copied of checks etc.
  • Posting bank adjustments including NSF's to customer's accounts.
  • Identifying EFT and ACH payments to correct division account.
  • Sort and file customer correspondence, Credit Card payments and rejects, rejected customer checks received from lockbox to be sent to divisions each week.
  • File completed research and Unidentified Batch Processing at end of day.
  • Scan copies of backup to Share Drive for Corporate Intercompany payments and charges to field divisions.
  • Notify Field Divisions of Credit Card Charge backs for lockbox and Online Bill Pay systems.
  • Assisted other A/R departments as time as work load permit.
  • Assisted Staff Accountant with month and year end close of books for division.

Control Accounting Specialist

PNC Global Investment Services
06.2005 - 07.2008
  • Oversee all bank reconciliation for Mutual funds, account payable processing and closing activities with the NYSE regulations.
  • Daily processing of all high dollar transactions for all mutual funds.
  • Responsible for all accurate monetary movements for all funds and shareholders.
  • Daily communication with other departments to resolve daily trade problems.
  • Responsible for all Quality Control of transactions that were processed within the unit.
  • Resolve settlement differences of all trades that were brought or sold by the traders.
  • Responsible for all Quarter End fees payable to all brokers.
  • Monthly deposits for fund families.
  • Responsible for cross-training on mutual funds and fees.
  • Resolve all month end share differences for all Money Market funds.
  • Daily communication with all Mutual funds family for Temp Funding.
  • Utilized 10 Key to calculate trade differences.

Senior Settlement Associate

Fiserv Securities
03.2000 - 06.2005
  • Daily processing of all money transactions via Depository Trust Company relating to options, market to markets, dividends and trade settlements differences.
  • Bookkeeping and accounting duties using 10-Key adding machine.
  • Responsible for the accurate movement and processing of free positions as requested by clients.
  • Daily suspense account and general ledger reconciliation.
  • Responsible for notifying introducing broker of Do’s for Delivery Versus Payment clients and the issuance of extensions and sell-outs for adherence to NYSE regulations.
  • Responsible for all Depository Trust Company settlement related activities utilizing a vendor supplied processing system known as Power Cage.
  • Interactions with cash management for Fed wires and end of the day settlements.
  • Troubleshoot failing trades by constant communications with IB's and clients.
  • NSCC settlement processing.
  • Resolution of client inquiries with regards to failing trades, money difference and discrepancies.
  • Oversee bank reconciliation, account payable processing, general ledger accounts analysis, proof and control functions and closing activities.

Education

High School -

Martin Luther King High School
Philadelphia, Pa

Skills

  • Peachtree
  • Quickens
  • ADP
  • JD Edwards
  • SAP
  • PeopleSoft
  • Medical billing
  • Insurance claim processing
  • Claims follow-up
  • Billing software
  • Attention to detail
  • Patient communication
  • Regulatory compliance
  • Problem solving
  • Customer service
  • Data entry
  • Team collaboration
  • Adaptability and flexibility

Timeline

AR Billing Specialist

Promptcare Respiratory
05.2020 - Current

Call Center Representative

Main Line Gastroenterology Associates
12.2014 - 05.2020

Patient Account Representative

Conifer Healthcare
11.2010 - 12.2014

Accounts Receivable Billing Clerk

Allied Waste Management
11.2008 - 03.2009

Control Accounting Specialist

PNC Global Investment Services
06.2005 - 07.2008

Senior Settlement Associate

Fiserv Securities
03.2000 - 06.2005

High School -

Martin Luther King High School

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Sherelle Giddens