Shannon King-Oakes

Healthcare revenue cycle and operations professional with 30+ years of experience across dental, medical, behavioral health, and administrative healthcare settings. Brings direct dental office management experience alongside strengths in insurance billing, claims follow-up, denial resolution, accounts receivable, payment coordination, and patient financial communications. Managed high-volume claims workflows, achieved a 98% claim approval rate and 80% appeals success rate, and contributed to more than $5.6M in recovered revenue across roles.

Known for investigating reimbursement discrepancies, improving documentation and billing workflows, and supporting audit readiness and compliance.

Revenue Cycle & Operations Consultant (Contract) - Therapy Insights Practice - Remote

(2025-04)

• Analyzed payer trends and reimbursement gaps in behavioral health operations, leading denial-resolution initiatives.
• Partnered with billing and administrative teams to strengthen documentation accuracy and operational compliance.
• Resolved complex insurance discrepancies and implemented process improvements to address recurring issues.

EHR & Billing Specialist - Saint Regis Mohawk Tribe – Indian Health Services - Akwesasne Territory

(2022-08 - 2024-11)

• Managed more than 3,000 monthly claims across medical, behavioral health, OPWDD, and Medicaid reimbursement workflows.
• Achieved a 98% claim approval rate through denial prevention, documentation review, and billing accuracy initiatives.
• Secured an 80% appeals success rate through payer analysis and compliant claims resolution.
• Contributed to more than $5.6M in recovered revenue across roles by resolving outstanding reimbursement issues.
• Reviewed attendance records, treatment logs, and billing documentation to support claim integrity and audit readiness.
• Supported reconciliation, accounts receivable reporting, utilization review, and revenue cycle analysis.
• Maintained compliance with HIPAA, OMIG, Medicaid, and healthcare documentation requirements.

Health Information Management Technician - Saint Regis Mohawk Tribe – Indian Health Services - Akwesasne Territory

(2021-03 - 2021-08)

• Audited medical records for documentation accuracy and regulatory compliance.
• Managed protected health information and supported release-of-information workflows.
• Worked with providers and billing staff to correct documentation supporting reimbursement accuracy.

Office Manager - HQRC Management Services / Pediatric Dentistry

(2021-10 - 2022-04)

• Managed dental billing, insurance follow-up, scheduling coordination, and patient financial communications.
• Improved accounts receivable performance through workflow optimization and denial-reduction strategies.
• Increased quarterly office production by more than $60,000 through operational and contract-management initiatives.
• Coordinated insurance verification, payment arrangements, treatment financing, and front-office operations.

Treatment Coordinator • Patient Coordinator • Lead Dental Assistant • Dental Receptionist - Additional Dental & Clinical Administrative Experience

• Provided more than 20 years of clinical and administrative dental support in oral surgery, orthodontics, pediatric dentistry, and general dentistry.
• Coordinated treatment, pre-authorizations, predeterminations, narratives, coding verification, scheduling, and surgical workflows.
• Trained staff on HIPAA compliance, infection control, accurate patient intake, and workflow efficiency.
• Supported providers with insurance communications, claim resubmissions, and reimbursement reconciliation.

Associate Degree with Honors - Medical Reimbursement & Coding - Bryant & Stratton College

Bachelor’s Degree (In Progress) - Healthcare Management - SUNY Canton

Program (In Progress) - Healthcare Management: Cannabis - Syracuse University