Sheena Edwards
Business Office Coordinator/Billing Specialist at Rebound Behavioral Health Hospital- Claim this Profile
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Bio
Experience
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Rebound Behavioral Health Hospital
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Business Office Coordinator/Billing Specialist
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Jul 2019 - Present
▪ Review patient accounts for follow up on insurance processing ▪ Generate claims and submit to insurance for processing ▪ Complete insurance verification ▪ Research billing accounts for payment and resolution ▪ Financial counsel patient regarding patient liability due ▪ Complete outbound calls to insurance providers ▪ Maintain spreadsheets and weekly reports ▪ Experience using MedHost patient account system and SSI billing system ▪ Review patient accounts for follow up on insurance processing ▪ Generate claims and submit to insurance for processing ▪ Complete insurance verification ▪ Research billing accounts for payment and resolution ▪ Financial counsel patient regarding patient liability due ▪ Complete outbound calls to insurance providers ▪ Maintain spreadsheets and weekly reports ▪ Experience using MedHost patient account system and SSI billing system
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Receivable Solutions Inc
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Columbia, South Carolina Area
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Insurance Specialist
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Jun 2018 - Jun 2019
▪ Review hospital accounts for follow up on insurance denials ▪ Research billing accounts for payment and resolution ▪ Complete outbound calls to insurance providers ▪ Maintain spreadsheets and weekly reports ▪ Experience using Epic System ▪ Review hospital accounts for follow up on insurance denials ▪ Research billing accounts for payment and resolution ▪ Complete outbound calls to insurance providers ▪ Maintain spreadsheets and weekly reports ▪ Experience using Epic System
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Kelly
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United States
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Staffing and Recruiting
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700 & Above Employee
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Billing Specialist
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Nov 2017 - Mar 2018
▪ Assist with medical billing services for labs tests ▪ Follow up on claim submission, processing, adjudication, and payment ▪ Review payer explanation of benefits and other correspondences ▪ Utilize Work Queue patient accounting system to review accounts and move forward ▪ Mail hardcopy claims to insurance ▪ Assist with customer service support ▪ Assist with medical billing services for labs tests ▪ Follow up on claim submission, processing, adjudication, and payment ▪ Review payer explanation of benefits and other correspondences ▪ Utilize Work Queue patient accounting system to review accounts and move forward ▪ Mail hardcopy claims to insurance ▪ Assist with customer service support
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Gallman’s Personnel Services
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Columbia, South Carolina, United States
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Administrative Assistant
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Aug 2015 - Oct 2017
▪ Assist purchasing buyers/engineering department with administrative tasks including data entry and filing ▪ Verified Receivers and filed accordingly ▪ Managing spreadsheets for data entry and updating ▪ Managed Import Entry Log along with research and review import shipments ▪ Assisted with completing inventory control to include counting and entering count data in the system ▪ Research inventory for counting errors and corrections ▪ Utilized purchasing system AS400 to update, review, and print purchase orders, update schedule dates and purchase order dates and pricing information along with other information as needed ▪ Completed office duties when required to include making copies and sending faxes
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Palmetto Health
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United States
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Hospitals and Health Care
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700 & Above Employee
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Physician Billing Specialist
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Feb 2016 - Aug 2017
▪ Review delinquent accounts and determine the action needed to resolve them to include preparing the account for a collections agency. ▪ Initiates conversation and respond to inquiries on accounts, communicating with patients both orally and in writing for resolution of the account balance ▪ Research patient’s account for billing issues and resolution ▪ Identify accounts with credit balances and process refunds accordingly. ▪ Manage inbound and outbound calls with the patient concerning billing issues and payments ▪ Provide customer service to the patient via phones and walk-ins ▪ Review insurance remits to post payments received ▪ Post patient payments received ▪ Experience using the Cerner system
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Kelly Services-Kelly Connect
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Columbia, South Carolina, United States
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iOS Tier 2 Advisor
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Mar 2015 - Aug 2015
▪ Manage inbound calls for technical questions and issues with their mobile devices to include hardware and software issues ▪ Assist customers with completing back up on their devices, software updates, and email setup ▪ Troubleshooting across multiple customers and varying issues with iOS devices ▪ Accurately identify and resolved failures while maintaining accurate documentation in the customer’s ticket ▪ Provide technical support for current customers escalated from Tier 1 ▪ Manage inbound calls for technical questions and issues with their mobile devices to include hardware and software issues ▪ Assist customers with completing back up on their devices, software updates, and email setup ▪ Troubleshooting across multiple customers and varying issues with iOS devices ▪ Accurately identify and resolved failures while maintaining accurate documentation in the customer’s ticket ▪ Provide technical support for current customers escalated from Tier 1
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VBO Associates
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Columbia, South Carolina, United States
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Account Analyst
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Jun 2008 - Mar 2015
▪ Supervise approx. 8-15 collectors ▪ Conducted meetings and calls with clients and team members ▪ Research hospital billing accounts for resolution of balance ▪ Review hospital collection accounts for processing with insurance companies and accuracy ▪ Train new employees on policies, procedures, and job duties ▪ Assisting medical billing collectors with resolving receivable accounts ▪ Completed quality control on customer service phone calls with insurance companies and patients ▪ Maintain spreadsheets and reports from Excel and PowerPoint for the client reports ▪ Answered phones, faxed, copied, and completed office duties when needed
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USC School of Medicine
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Columbia, South Carolina, United States
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Administrative Specialist
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Jul 2007 - Dec 2007
▪ Review and manage patient charts for filing ▪ Scanned medical records into the system ▪ Set appointments for the employee health nurse ▪ Assisted the employee health nurse with employee checkups and shots ▪ Answered phones, faxed, and copied when needed. ▪ Review and manage patient charts for filing ▪ Scanned medical records into the system ▪ Set appointments for the employee health nurse ▪ Assisted the employee health nurse with employee checkups and shots ▪ Answered phones, faxed, and copied when needed.
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Education
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University of Phoenix
Bachelor's degree, Health/Health Care Administration/Management