Shyann Rasmussen
Waynesburg
Summary
Applications professional with proven track record in application development, troubleshooting, and support. Known for delivering high-quality solutions and consistently meeting project deadlines. Strong focus on team collaboration and adaptability, ensuring reliable support and smooth operations. Expertise in technical analysis, problem-solving, and user training.
Overview
13
13
years of professional experience
Work History
Revenue Applications Specialist 2
St. Luke's Hospital
12.2020 - Current
- Managing provider relations and insurance contracts.
- Handling contract variances on accounts.
- Ensured medical claims were processed accurately through effective communication with insurance companies.
- Documenting and reviewing single case agreements for non-contracted insurance companies to alleviate patient balances.
- Acting as a liaison between St. Luke’s and the insurance company.
- Providing prompt resolution to high dollar claims that are outstanding.
- Facilitated effective communication with external teams to support claims, appeals, and audits review.
- Maintaining RHB390 Epic Certification.
- Maintaining work queues of accounts
- Demonstrated initiative and ability to work independently.
- Attending and facilitating meetings among several departments.
- Analyzed contract data to verify compliance with terms.
- Conducted research on patient accounts to verify proper handling of claims.
Billing and Insurance Specialist 2
St. Luke's Hospital
09.2017 - 12.2020
- Reviewing and resolving commercial insurance accounts over $25,000.
- Reviewing commercials insurance claims and sending accounts to the appropriate teams when needed, for example, coding, coverage change, billing review, etc. when needed.
- Providing medical records, itemized bills, additional information to the insurance when needed for claim processing.
- Ensuring that claims get processed within timely manner.
- Handling customer service escalation accounts when insurance review is needed.
- Appealing claim denials for reconsideration and payment.
- Posting contractual adjustments and non-payable code adjustments.
- Reviewing self-funded account adjustments and correspondence and handling them appropriately.
- Making patient phone calls when the insurance has requested additional information.
- Calling insurance companies to get a better understanding of how claims have processed and to ensure that claims are processed correctly.
- Requesting review for missing payments.
- Working under CMS guidelines and following HIPAA rules.
Office Manager
Mt. Harrison Audiology
10.2015 - 09.2017
- Responsible for insurance billing and claim processing.
- Responsible for patient insurance verifications.
- Responsible for managing patient data base.
- Assisting with facility marketing and advertising.
- Responsible for patient intake, filing, as well as making reminder and follow-up phone calls.
- Responsible for making sure that the office is clean and well organized.
- Recording daily deposits.
- Managing and updating patient data base and email newsletter.
- Responsible for sending out patient mailings.
Administrative Clerk
Dot Foods
09.2012 - 08.2015
- Responsible for processing over 150 drivers payroll, including miles paid, submitting driver weekly expense's for reimbursement, processing paper TCheks including coding them into the correct categories for payroll purpose.
- Responsible for processing and submitting over 75 warehouse employee's payroll.
- Duties included biweekly increases, managing the work force time management system, fixing missed time clock punches, assuring that time off is entered in to accurately be paid.
- Responsible for keeping employee files up to date, new employee entry, updating and maintaining all employee personal information, behavioral interviewing, assisting with hiring, managing hiring website.
- Responsible for updating and maintaining excel employee tracking spreadsheets, employee benefits, drug testing, entering and invoicing employee product orders, tracking safety programs, invoicing, employee safety purchases.
- Work directly with HR manager and assist with functions as needed.
Education
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College of Southern Idaho
Twin Falls, IDHigh School -
Minico Senior High School
Rupert05.2008
Skills
- Detail oriented
- Fast learner
- Microsoft Office (10 years)
- Organization skills (10 years)
- Administrative Experience (10 years)
- Office Management (3 years)
- Payroll (3 years)
- Medical Billing (8 years)
- Human Resources (3 years)
- Microsoft Excel (10 years)
- Leadership (2 years)
Timeline
Revenue Applications Specialist 2
St. Luke's Hospital
12.2020 - Current
Billing and Insurance Specialist 2
St. Luke's Hospital
09.2017 - 12.2020
Office Manager
Mt. Harrison Audiology
10.2015 - 09.2017
Administrative Clerk
Dot Foods
09.2012 - 08.2015
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College of Southern Idaho
High School -
Minico Senior High School
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