Shelby Godwin
CommonSpirit Health
Powell
13
years of professional experience
Accomplished Anesthesia Follow Up Specialist at TeamHealth, adept in problem-solving and payer reimbursement. Excelled in resolving complex claims, leveraging technical skills in Epic and Microsoft Excel. Demonstrated teamwork and collaboration, achieving a 95% resolution rate on denied claims. Proven track record in enhancing payment integrity and ensuring compliance with payer guidelines.
Work History
Anesthesia Follow UpSpecialist
4 Years 7 Months- Managed insurance follow up for Anesthesia claims.
- Researched claim status , denial rejections, and payment discrepancies.
- Identified reasons for non payment
- Communicated directly with Insurance Companies to resolve complex claims
- Documented all followup activity and maintained thru final resolution
Manage Care Analyst Insurance
8 Years 1 Month- Experienced ManageCare analyst
- Specializing in health care revenue cycle,payer reimbursement,claim resolution, and contract compliance
- .Responsible for identifying and resolving underpaid claims while ensuring reimbursement aligns with contractual agreements and payer guidelines
Insurance Specialist
4 Years 7 Months- Managed insurance follow-up on hospital claims
- Researched unpaid ,denied ,rejected , and underpaid claims
- Contacted All commercial insurance plans along with Medicare and Medicaid
- Utilized all payer portals
- Collaborated with billing and other revenue cycle departments to resolve complex accounts
Skills
Friendly
positive attitude
Teamwork and collaboration
Customer service
Problem-solving
Problem resolution
Technical skills
Epic
Microsoft Excel
Microsoft Word
Google Docs
Drive
Payer Webb Portals
Availity
Turquoise Health
Clear Contracts
Payment integrity platforms
EMR
Dar
Timeline
Manage Care Analyst Insurance
CommonSpirit Health
08.2018 - CurrentRead More
Anesthesia Follow UpSpecialist
TeamHealth
01.2014 - 08.2018Read More
Insurance Specialist
Tennova Healthcare
01.2014 - 08.2018Read More