Sharon Abey

Billing Specialist @Zywie, Inc.

GA, US

Investigates and resolves, denied, rejected, or delayed claims by identifying root causes, appealing denials, and resubmitting corrected claims within payer timelines- Collaborates with the provider enrollment and credentialing teams to onboard new providers and successfully enroll them with commercial and government payers, ensuring minimal disruption to revenue flow-Oversees the ongoing maintenance and follow-up of provider credentials and payer contracts, ensuring timely renewals and continued compliance with regulatory and payer-specific requirements- Post insurance and patient payments, including electronic remittance advice (ERA) and manual checks, reconciling with bank deposits when needed- Introduced a new system for real-time eligibility verification, enhancing claim accuracy and reducing pre-submission rejections- Trained teams on the implementation of the new system usage across the board and best practices, improving and reducing errors- Work closely with coding consultants to resolve billing edits, invalid CPT/ICD-10 codes, and modifier issues to ensure clean claim submissions- Review patient accounts and EOBs to ensure timely and correct billing, making necessary adjustments and corrections before claim submission.

Jain (Deemed-to-be University)

Bachelor of Science - BS

Western Governors University

Bachelor of Science - BS

Western Governors University

Master of Business Administration - MBA