Shierylen Basco

Revenue Cycle Management and Medical Billing professional with 15+ years of experience supporting specialty practices and hospital systems. Experienced in full-cycle medical billing, claims submission, payment posting, accounts receivable follow-up, denial management, appeals, coding validation, and patient collections. Proven experience leading billing operations, supervising staff, reviewing ICD-10-CM, CPT, and E/M coding, and resolving complex payer and patient account issues.

Proficient in EPIC, Emdeon, TriZetto, Nextech, DrChrono, Intergy, Availity, and multiple payer portals.

Senior Medical Billing & Coding Specialist - National Center for Plastic Surgery - McLean, VA

(2024-02)

• Manage full-cycle medical billing, including patient intake, claims submission, payment posting, adjustments, and collections.
• Perform AR follow-up on denied, underpaid, and unpaid claims to support timely reimbursement.
• Identify, correct, and resubmit denied and rejected claims.
• Prepare and submit claim appeals and payment disputes with supporting documentation.
• Post insurance and patient payments, adjustments, write-offs, and contractual allowances accurately.
• Reconcile insurance payments, patient payments, and bank deposits to support accurate financial reporting.
• Review billing activity for compliance with payer requirements and applicable coding guidelines.
• Utilize EPIC, Emdeon, TriZetto, Nextech, DrChrono, Intergy, Availity, and payer portals for billing and claims management.

RCM Billing & Coding Specialist / Team Leader (Billing Manager) - Virginia Neurosurgeons, PC - Arlington, VA

(2016-05 - 2024-02)

• Led full-cycle revenue cycle operations, including charge capture, claims submission, payment posting, adjustments, AR follow-up, and collections.
• Supervised billing staff and monitored workflow to support accurate and timely completion of billing activities.
• Reviewed clinical documentation and validated ICD-10-CM, CPT, and E/M coding for compliance and reimbursement.
• Managed insurance denials and appeals, performed root-cause analysis, and implemented corrective actions to improve claim outcomes.
• Coordinated with insurance payers and patients regarding eligibility, coverage, billing questions, and payment arrangements.
• Trained and mentored junior billing staff to improve accuracy, workflow consistency, and productivity.
• Used EPIC, Emdeon, TriZetto, DrChrono, Availity, and payer portals for claims processing and reporting.

Collection Specialist III - Inova - Falls Church, VA

(2015-02 - 2016-01)

• Managed patient accounts, including adjustments, credit memos, and small-balance write-offs.
• Conducted outbound collection calls and performed timely account follow-up.
• Established repayment arrangements based on patient financial circumstances.
• Resolved patient account issues while maintaining accurate account documentation.

Billing Administrator - Gastroenterology & Hepatology Associates - Alexandria, VA

(2009-09 - 2015-02)

• Collected, posted, and managed patient and insurance payments.
• Prepared and submitted electronic and paper insurance claims.
• Communicated with patients regarding billing questions, account balances, and insurance coverage.
• Evaluated patient financial circumstances and established appropriate payment plans.
• Maintained daily deposits and accurate financial and billing records.

High School Graduate - DNHS Annex G