Shertear McDonald
Whitemarsh
Summary
Knowledgeable Radiology Manager with solid history of managing teams and driving operational success. Skilled in implementing strategic initiatives that enhance productivity and efficiency. Demonstrated ability in problem-solving and decision-making.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Radiology Assistant Production Unit Manager/ CPC
Johns Hopkins University
Baltimore, MD
01.2021 - Current
- Manage Accounts Receivable team in the Radiology PRO Fee department to ensure collection goals are met monthly. Create reports on trends and implement workflows to increase revenue. Review Medical coding denied claims and recode claims per AAPC and Correct Coding guidelines and refile to payers. Audit staff for process and improvement. Prepare training and education power points for refresher trainings. Review Insurance policies and procedures and maintain claims reimbursement. Patient Liaison for escalated medical billing inquires. Inbound/Outbound calls to patients and insurance for escalated management resolution accounts.
Business Analyst
Johns Hopkins University
Baltimore, MD
01.2016 - 01.2021
- Radiology PRO Fee auditor, project management, trainer, prepare trend reports for denied and paid claims. Monitor productivity for AR staff. Patient Liaison to customer service to review and resolve patient inquires. Inbound/Outbound calls to patients and insurance for escalated claims and billing review.
Billing/Collections Supervisor
Howard Radiology
Columbia, MD
01.2012 - 01.2016
- Primary function is working directly with the insurance companies and patients to ensure reimbursement is timely and accurate. Assist office manager in developing facility policies and procedures to improve collections, verification and insurance coverage. Monitor Aging reports, Coding reports, Credit reports and Edit and Error reporting to ensure revenue projections are met for the existing month. Provide one-on-one service to patients, to answer billing questions and concerns. Educate patients, existing and prospective, on insurance benefits and fee schedule rates for out of pocket liability. Review delinquent patient accounts for appropriate actions and appeal preparation. Monitor patient coordinators, to ensure accuracy in registration, pre certification and patient verification procedures were performed. Provide training and coaching. Collects, post and issue monthly business revenue reports to managing partners. Prepare and distribute patient statements daily. Act as liaison in transferring delinquent patient accounts to outside collections vendor in a timely manner. Actively manages the radiologist and facility credentialing requirements. HIPAA Officer and trainer. Manage outside coder and coding reports to ensure timely submission of claims. Negotiate and approve Liability reduction request from Attorneys.
Billing/Collections Coordinator
Seven Square Imaging Center/Olney Open MRI Center/Howard Open MRI, Howard Radiology
01.2010 - 01.2012
- Billing specialist for three Radiology facilities. Collect and post payments to patient accounts. Prepare and distribute patient statements and letters for account balances daily. Assist in creating a metrics for the facility insurance manual. Review delinquent accounts and process appeals timely. Recommend account write offs for approval. Handled inbound calls to resolve billing inquires from patients, insurance carriers and liability cases. Prepare delinquent accounts, for transfer to outside collection vendor in a timely manner. Maintained the same job requirements, as the fourth location, Howard Radiology opened October of 2012.
Education
High School Diploma -
Caver Voc Tech Senior High
Baltimore MD 06-1997
Skills
- Team Leadership/Training
- Financial Management
- Customer Service
- Radiologic imaging
- Patient support
- Patient education
Certification
- Diploma Carver High 1997
- AAPC: CPC 2018
Timeline
Radiology Assistant Production Unit Manager/ CPC
Johns Hopkins University
01.2021 - Current
Business Analyst
Johns Hopkins University
01.2016 - 01.2021
Billing/Collections Supervisor
Howard Radiology
01.2012 - 01.2016
Billing/Collections Coordinator
Seven Square Imaging Center/Olney Open MRI Center/Howard Open MRI, Howard Radiology
01.2010 - 01.2012
High School Diploma -
Caver Voc Tech Senior High