SHERLITA SCOTT
Red Lion
Summary
Medical Billing Specialist known for optimizing claims processing and insurance verification, resulting in improved patient satisfaction. Demonstrates a commitment to professional growth by pursuing Certified Coding Specialist certification, aiming to enhance expertise and innovate patient care solutions.
Overview
17
17
years of professional experience
1
1
Certification
Work History
CARE COORDINATOR
Cardinal Health
Remote
10.2023 - Current
- Investigated and resolved patient and physician inquiries and concerns promptly.
- Stewarded patient accounts from initial contact to final approval or denial, ensuring smooth process.
- Provided exceptional customer support by addressing inquiries and resolving issues effectively.
- Managed inbound and outbound calls to identify customer needs and resolve inquiries effectively.
- Place outbound phone calls for patient follow ups or confirmations.
- Documented adverse events promptly and within the designated timeframe.
- Enter detailed information into company proprietary software while conversing via telephone.
BENEFIT VERIFICATION SPECIALIST
Amer source Bergen
Remote
11.2022 - 03.2023
- Verified benefits, cost-sharing, and provider access, contributing to improved patient satisfaction.
- Streamlined insurance verification process, enhancing accuracy and reducing processing time for patient benefit assessments and authorizations.
- Initiated prior authorization and claims appeals, reducing reimbursement delays.
- Partnered with healthcare providers to resolve complex insurance issues, strengthening relationships and improving patient care outcomes.
- Reported reimbursement trends and delays to management, leading to targeted process improvements.
- Updated patient insurance details, ensuring accurate records and timely processing.
LAB TECHNICIAN
Essilor of America
Baltimore
02.2022 - 10.2022
- Optimized inventory management through precise cycle counting and variance analysis, enhancing accuracy and operational efficiency.
- Performed variance analysis on lenses, identifying discrepancies and implementing corrective actions to enhance inventory accuracy.
- Executed lens retrieval for healthcare payers, facilitating timely and accurate order fulfillment.
- Recorded jobs in DVI database, ensuring precise lens processing documentation.
IMAGING TECHNICIAN II
Humanim
Woodland
01.2020 - 01.2022
- Oversaw digital archiving for Maryland State Archives, ensuring accurate cataloging of documents.Implemented quality control measures for scanned documents in a high-volume environment.
- Verified accuracy and legibility of scanned documents to ensure compliance with retention guidelines.
- Pioneered remote transcription and indexing of marriage records to improve accessibility of historical documents.
- Oversaw digital archiving for Maryland State Archives, ensuring accurate cataloging of documents.
Implemented quality control measures for scanned documents in a high-volume environment. - Sorted and classified documents into batches, increasing processing efficiency and workflow organization.
INSIDER
IKOS
Baltimore
08.2018 - 12.2021
- Streamlined tenant acquisition process by efficiently handling inquiries, scheduling showings, and collecting documents, resulting in increased occupancy rates.
- Managed communication with prospective tenants in DC and Baltimore, enhancing occupancy rates through real-time market insights for rental decisions.
- Fostered strong relationships with landlords and tenants, facilitating smooth communication and ensuring high-quality customer service throughout the leasing process.
- Analyzed market trends to inform landlords' rental and investment decisions, contributing to optimized occupancy rates in DC and Baltimore.
ELIGIBILITY SPECIALIST, PATIENT ACCOUNT REPRESENTATIVE, MEDICAL PRACTICE REPRESENTATIVE
University Of Maryland (FPI), INC.
Baltimore
01.2009 - 10.2016
- Optimized insurance verification and co-payment collection, increasing reliability in financial processes.
- Collected co-payments and verified patient insurance, enhancing accuracy in financial transactions.
- Coordinated appointment scheduling and payment collection, improving patient satisfaction and operational flow.
- Streamlined front desk operations, minimizing wait times and ensuring accurate patient data.
- Managed medical records, maintaining compliance and data integrity through systematic scanning and indexing.
Education
UNDERGRADUATE CERTIFICATE - MEDICAL BILLING AND CODING- HEALTH INFORMATION CODING
DeVry University
Naperville, IL02-2024
MARYLAND HIGH SCHOOL DIPLOMA -
Woodland Job Corp Center
Laurel, Maryland09-2007
Skills
- Care Coordination
- Care management
- Patient Advocacy
- Insurance Verification
- HIPAA Compliance
- Electronic Health Records
- Patient account management
- Documentation accuracy
- Resource Management
- Medical Terminology
Certification
- WORLD OF MEDICARE, 05/01/24, CMS
- MEDICARE BILLING: 837P & FORM CMS-1500, 05/01/24, CMS
- MEDICARE BILLING: 837I & FORM CMS-1450, 05/01/24, CMS
- DIAGNOSIS CODING: USING THE ICD-10-CM, 05/01/24, CMS
- PROCEDURE CODING: USING THE ICD-10-PCS, 05/01/24, CMS
Additional Information - Membership
- American Health Information Management Association (AHIMA)
- The National Society of Leadership And Success (NSLS)
Timeline
CARE COORDINATOR
Cardinal Health
10.2023 - Current
BENEFIT VERIFICATION SPECIALIST
Amer source Bergen
11.2022 - 03.2023
LAB TECHNICIAN
Essilor of America
02.2022 - 10.2022
IMAGING TECHNICIAN II
Humanim
01.2020 - 01.2022
INSIDER
IKOS
08.2018 - 12.2021
ELIGIBILITY SPECIALIST, PATIENT ACCOUNT REPRESENTATIVE, MEDICAL PRACTICE REPRESENTATIVE
University Of Maryland (FPI), INC.
01.2009 - 10.2016
UNDERGRADUATE CERTIFICATE - MEDICAL BILLING AND CODING- HEALTH INFORMATION CODING
DeVry University
MARYLAND HIGH SCHOOL DIPLOMA -
Woodland Job Corp Center