JoLynn Shollenburg
Boise
Summary
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Utilization Management Team Lead
PacificSource Health Plans
02.2018 - Current
- Ensured compliance with company policies and industry standards for team operations.
- Enhanced productivity by streamlining workflows and reducing bottlenecks.
- Coordinated team activities to achieve project deadlines and deliverables.
- Boosted team performance by implementing effective communication strategies and fostering collaboration.
- Conducted performance reviews for continuous improvement and goal setting.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Influenced positive change within the organization through strategic thinking, innovation, problem-solving abilities, and consistent leadership style.
- Led cross-functional teams for successful project execution while maintaining strong collaboration among team members.
Provider Service Representative
PacificSource Health Plans
02.2018 - 11.2018
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Educated providers on billing procedures, coding guidelines, and reimbursement policies for optimal claim submissions.
- Established rapport with provider community by facilitating industry conferences, trade shows, and other networking events.
- Boosted accuracy of provider directories through meticulous data verification and updates.
Customer Service Team Lead
PacificSource Health Plans
04.2013 - 12.2017
- Supported representatives in navigating difficult interactions with customers, offering guidance on appropriate de-escalation techniques when needed.
- Coached new team members on service techniques and provided scoring through quality assurance program.
- Addressed escalated customer concerns promptly, ensuring satisfactory resolutions while preserving long-term relationships.
- Led regular team meetings to review performance data, discuss best practices, and collaborate on continuous improvement initiatives.
- Enhanced team productivity by providing ongoing training and coaching to Customer Service Representatives.
- Assisted customers by answering Medicare and Medicaid questions and suggesting information about other products and services.
Medical Billing Manager
Orion Eye Center
01.2007 - 03.2013
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
- Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
- Enhanced revenue cycle management by overseeing timely and accurate claims submission.
- Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
- Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
- Analyzed reports to identify areas for improvement in the overall billing process, leading to increased revenue collection rates.
- Performed back office duties as a Medical Assistant in the Ambulatory Surgical Center once a week.
Education
Medical Assistant And Front Office Procedures
Apollo College of Medical And Dental Careers
Portland, OR05-1992
Skills
- Team leadership
- Project management
- Conflict resolution
- Performance monitoring
- Organizational skills
- Analytical skills
- Adaptability
- Coaching and mentoring
- Problem solving
- Process improvement
Certification
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
Timeline
Utilization Management Team Lead
PacificSource Health Plans
02.2018 - Current
Provider Service Representative
PacificSource Health Plans
02.2018 - 11.2018
Customer Service Team Lead
PacificSource Health Plans
04.2013 - 12.2017
Medical Billing Manager
Orion Eye Center
01.2007 - 03.2013
Medical Assistant And Front Office Procedures
Apollo College of Medical And Dental Careers
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