Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Timeline
Generic

Elaine Sheppard

Arnold

Summary

Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.

Overview

25
25
years of professional experience
1
1
Certification

Work History

DME Billing Specialist

Mednet Inc. LL / ERCM
St Louis
05.2019 - Current
  • In this position, I worked on claim rejections from insurance companies. I was responsible for obtaining prior authorizations on enteral services, ostomy supplies, urological supplies, and wound care supplies. Later, I was responsible for taking patient calls regarding the billing for one of our clients, which is a laboratory. These calls involved resolving insurance issues, and taking payments.
  • Currently, my position has transitioned into our call center, which handles several clinics.

Coder/Prior Authorization Specialist

Advanced Pain Center
Festus
04.2018 - 02.2019
  • My job duties as coder was to verify the CPT and ICD-10 coding the physicians assigned to their office notes and to send the claims to the insurance companies. My duties as a Prior Authorization Specialist I had to check with the insurance companies and verify which needed prior auths for the pain management procedures. I would then either call them or use online portals to obtain the authorizations. I then informed the clinics of either the authorization or the denial of the procedure. I then scanned the auth or denial into the CareTracker billing system

Medical Coder/Biller

Poplar Bluff Regional Medical Center
Poplar Bluff
04.2004 - 04.2018
  • I have been a certified coder for a multi-specialty facility since 2017. As one of three coders I specialized in Cardiology, Pediatric Hospitalist, Hematology/Oncology, and Wound Care I have also coded for Gastroenterology, Nephrology, Pulmonology, and Rheumatology. I coded the professional fee for these services. I was in the role of biller for 14 years and in that role I would take the coding sheets from the coders, verify eligibility, and then enter the charges in our Athena billing system

Receptionist

Manzoor Tariq, M.D
Festus
06.2000 - 03.2004
  • I was responsible for scheduling all appointments and procedures for this busy Cardiologist Clinic, as well as, receiving pre-certifications for those procedures from the patients insurance companies. I was responsible for taking messages and calling in medication refills to pharmacies, also drug sample inventory. During my 4 years at this employer I also learned some coding, posting payments from insurance companies, and how to work claim denials.

Education

High School -

Clayton High School
Clayton, MO
06.1982

Skills

  • Claim resolution
  • Medical billing
  • Prior authorizations
  • Insurance verification
  • Customer relationship management
  • Compliance standards
  • HIPAA compliance

Certification

  • CPC
  • February 2017 to 2020

Additional Information

I have worked with the NextGen, Athena And CareTracker billing systems

Timeline

DME Billing Specialist

Mednet Inc. LL / ERCM
05.2019 - Current

Coder/Prior Authorization Specialist

Advanced Pain Center
04.2018 - 02.2019

Medical Coder/Biller

Poplar Bluff Regional Medical Center
04.2004 - 04.2018

Receptionist

Manzoor Tariq, M.D
06.2000 - 03.2004

High School -

Clayton High School

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Elaine Sheppard