Shelly Voris

Healthcare revenue cycle and government programs specialist with experience researching Medicaid fee schedules, monitoring regulatory updates, loading and modifying fee schedule content, supporting pricing-system changes, and performing quality assurance for pay-file deployments. Brings a strong foundation in medical billing and coding, healthcare management, content research, data entry, customer service, training, and remote collaboration.

Associate Government Programs Specialist - FinThrive - Yakima, WA

(2024-12 - 2026-08)

• Researched government websites to identify updated fee schedules, base rates, and reimbursement information for multiple state Medicaid programs.
• Collaborated with Government Programs Specialists to plan and coordinate pricing-system updates and develop detailed specifications for development teams.
• Analyzed, loaded, and modified fee schedules to support accurate pricing-system content.
• Actively participated in departmental and company-wide meetings
• Adhered to all departmental and company-wide policies and procedures
• Checked for regulatory updates on a weekly basis
• Performed quality assurance testing for weekly pay-file deployments.

Senior Content Specialist - FinThrive - Yakima, WA

(2012-01 - 2024-12)

• Intermediate Experience in Microsoft Office Applications
• Researched, entered, maintained, and updated healthcare content in the company portal.
• Created process documents to support accurate and consistent content entry.
• Created Excel Spreadsheets to record content entry.
• Compiled monthly team statistics for management and created audit-based graphs to communicate content-quality findings.
• Audited Content and created graphs from information on audit.
• Cross-trained in additional functional areas, assisted team members, and trained new colleagues on processes and content-entry requirements.
• Trained new colleagues on processes and content to be entered.
• Experienced working remotely.
• Maintained content for initial entry and update of content.
• Notified Manager of missing content
• Added items to Team Calendar for Manager
• Participated in Heart and Soul (volunteer work) monthly.
• Separated PDFs to create separate or multiple documents.
• Actively Participated in departmental and company-wide meetings
• Experience with Salesforce

Provider Services Representative - Adaptis - Yakima, WA

(2005-08 - 2010-03)

• Responded to provider calls, researched claim and eligibility status, located PIC numbers, and transferred providers and members to the appropriate departments.
• Provided claim and eligibility status.
• Researched out and located PIC numbers.
• Trained co-workers on office policies and procedures.
• Transferred providers and members to appropriate departments.
• Maintained a schedule for the provider service team utilizing MS Excel.
• Built professional rapport with providers while helping them obtain accurate claims, eligibility, and account information.

Customer Service Representative - ClientLogic - Yakima, WA

(2002-02 - 2004-04)

• Received calls in all business streams.
• Directed customers in finding correct information for technical support.
• Guided customers to sales of computer equipment.
• Resolved issues for satisfied and dissatisfied customers.
• Requested account information for customers.
• Provided information to customers when supervisor was unavailable.

Master of Business Administration - Healthcare Management - American InterContinental University (2013-08)

Bachelor of Business Administration - Healthcare Management - American InterContinental University (2011-09)

Certificate - Medical Billing and Coding - Yakima Valley Community College (2005-08)

Certificate - Medical Terminology - Yakima Valley Community College (2004)