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SHONTA C. BARRE’

Expertise In: Hospitalist Billing

Name : SHONTA C. BARRE’
Experience : 24
Specialty : Hospitalist Billing
Location : Highland,CA
Description :

Shonta Barre' has over 24 years of extensive experience in medical administration and billing. Shonta wishes to obtain a fulfilling role in medical billing and coding where she can utilize her aquired skills and expertise.


Skills:

  • Microsoft Office
  • ICD-9 Codes
  • CPT Codes
  • HIPAA
  • Medical Terminology
  • 10 key
  • Medi-Cal
  • Medicare
  • PDR
  • 1500 and UB04 forms
  • 3rd party and private insurance

System/Billing Software: Quadro Med, Chase, Medisoft, Athena, Cerner,HMS,Kodiak Meditech, HPF, Emdeon, and UGS

Experience:

  • Medical Biller/Insurance Verification Specialist
  • Hospital billing,submitting claims on UB04 forms for hospital stays for inpatients, and Emergency room visits for Out patients
  • Process claims to insure that they are properly coded
  • Perform CPT,and ICD 9 coding,DCN and taxonomy coding
  • Perform claims adjudication,and review EOB’s to make proper adjustments,Verify eligibility and benefits, for commercial, PPO,HMO,and worker compensation insurances

Referral Coordinator/Insurance verification specialist

  • Performed referral duties for 7 outpatient clinics
  • Collect data from patients,and register them into system, and obtain medical records from physicians offices
  • Review patient accounts to ensure procedure charges, and coding accuracy
  • Review and analyze EOBs to make adjustments per contract
  • Perform payment posting duties, and refunds
  • Initiate preauthorization’s, and verify eligibility and benefits with commercial, managed medical, managed medicare, PPO insurance, and workers compensation referrals
  • Conduct daily statistical review and maintain reporting of such data for corporate and manager review

Hospital Biller/Collector

  • Submit claims on UB04 forms for hospital visits
  • Follow up on claims when denied, or delinquent
  • Perform claims adjudication, launched appeals for any payment in dispute
  • Perform CPT coding, and Diagnosis coding
  • Analyze EOBs and posted payments
  • Verify eligibility and benefits with private insurance, workers comp, PPO, and government insurances such as Medicare and Medi-Cal
  • Initiate preauthorizations, Collect on government insurance, PPO, commercial insurance, workers comp, and self pay

Education:

  • Certified Medical Biller/Coder
  • Certified Nurse Assistant