Shonal Kaur
**** ***** **. ********, ** – 530-***-**** – **********@*****.***
Objective
As a medical coordinator, I can utilize my clinical and administrative skills to provide exceptional patient care. I am committed, dependable, confident, optimistic, upbeat, and always willing to help. I have depth knowledge CCS, Medi-Cal, Medicare, HMO, PPO and fee-for-service, county funded coverage, and workers' compensation, knowledge of ICD-9/ICD-10, CPT and HCPCS coding guidelines. I am eager to learn new things and use the invaluable training I have received from throughout the years of being in medical field
Experience
Senior Case Manager /Senior Authorizations
Coram Specialty Infusion Center
August 2017 – Present
Reviews, researches, and resolves pended claims for Medi-Cal types: medical, long term care, encounter data, other coverage, and batch claims within established production and quality standards.
Managing both internal and external staff / help train on coming case managers on EPIC and or internal processer
Initiate unique Letters of Agreements (LOA) when requested.
Call to prior authorize producer, insurance verification, in network and out of network.
Patient Care Coordinator
Western Dental
April 2014 – August 2017
Admitted new clients by reviewing records and applications; conducting orientations.
Auditing patients chart/following up with authorization/billing
Verifying Insurance/coordinate meetings/follow up with projects
Education
Degree obtained
University of Phoenix – Health Administration Bachelors concertation of management (2018)
Cambridge Junior College –Medical Assistant (March 2013 – November2013)
HIPPA CERITIFIED
Volunteer
Sutter Davis
Volunteer (infusion center/ Health information center)
File charting
Documenting and auditing patient care records
Ability to retrieve any document in a timely manner
References
Coram Infusion center
Omar- Supervisor
Western Dental
Amit- Manager