Shawntay Gallmore

*** **. ******* ***, **********, SC 29445 ac9bj9@r.postjobfree.com

612-***-****

Highly Motivated Clinical Administrative Supervisor that's passionate about helping people live healthier lives and committed to providing an innovative customer experience and quality care. Skilled at Managing work of 6 or more-patient care professionals to ensure optimal Front-end support for patients. Experience providing supervisor expertise in a fast- paced medical office, delivering nothing less then high quality customer service.

Professional Experience

Park Nicollet - St louis Park, MN 12/16 - Present

Team Lead/Department Assistant

Patient care Supervisor

• Supervises a Team of 6-8 front end staff, handled refill request, respond to emails Via My chart or Mail, Prior authorizations

• Composes correspondence and constructs reports as needed for 22 -24 providers, Handles providers Templates and schedules

• Aids individuals and families in various crisis situations, assesses clients needs, and refers clients to programs

• provides enrollment assistance, and informs patients on managed health care, Handled High Volume of calls inbound/outbound

• Attend meetings and ensures meeting minutes takes lead role in hiring, orientation and on-boarding of new staff, update weekly news on Facets or SharePoint

• Ensure team training, certification and credentials are up to date, Improved office efficiency by implementing Color-Coded filing system and introducing additional time- saving measures Fairview-Minneapolis, MN 06/13 - 12/16

Team Coordinator/Supervisor

Team Lead/Administrative Assistant

• Handled incoming and outgoing correspondence Via email My Chart, calls, Mail

• Maintained and organized over 12 provider schedules, and Templates, Lead a Team of 6 front end staff

• Handled prior Authorizations, refill request, referrals, Handled float or on-call responsibilities to ensure adequate staff

• Arranged and assisted with hospital admissions and surgery, Handled Escalated calls or in person situations

• Type reports, charting, memoranda, letters and releases

• handled co-pays, bill discrepancies, ICD 9-ICD 10 codes

• Adhere to HIPAA rules and regulations and AIDET model

• Scheduled appointments, updated weekly news on SharePoint/ High volume of incoming and outgoing calls

• complete record keeping, case notes, data collection in EMR, demonstrates sound knowledge in HIM (Health Information Management)

Ucare-Minneapolis, MN 01/12 - 06/13

Provider Assistance Representative Supervisor

Health Reimbursement Specialists

• Efficiently provide insurance verification and pre-certification information to providers and pharmacies

• Handled billing and claims enrollment, ICD 9-ICD10 codes, Medicare/ Multiple Insurance companies and websites

• Supervised a Team of 12 CSR, documented the content of our calls in EMR database/ Handled High volume of incoming calls

• issued HRA debut cards educated clients on usage/ Educating Clients on EOB’s Access to employment- Goldenvalley, MN 10/08 - 09/11 Case Manager

Direct Service Professional for people with cognitive disabilities

• Assist clients in becoming independent/ Handled a case load of 25 -50 clients

• Developed waiver budgets/Monthly expenses/Helped with Housing assistants

• provided goal development and individual service plans to live an independent and healthy life

• Arranged monthly meetings with families and social workers/ Set up treatment plans for clients with HIV, Chemical dependency, Chronic alcoholism

• Worked on vocational skills/Resume building/Performance evaluation’s

• Advised clients on viable life options and promoted self-sufficiency Education

Hennepin Tech 09/11 - 07/12

Health Unit Coordinator

• Certificate

AMA- Management skills for Administrative Professionals and stepping up to leadership OSHA

Key Skills

• Microsoft Office, Word, Outlook, Excel. Power point, type 40-45 wpm

• Multiple years of Clerical/Administration experience working with diverse culture, Strong Leadership skills

• Case Management, Team Lead, Supervisory skills, HIPPA regulations, Mandated reporter

• Medical coding, Billing, Current Medicare guidelines/ ICD9-ICD10 Cpt codes

• Excellent performance, resolution skills, innovation skills

• Exceptional Verbal and Written Communication

• Epic, Access, Excellion, Maxis, AS 400, Athena Net, MDI, Share point, Facets

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