Sheena S. Goodman

**** * * *** ****** Philadelphia, PA. 19122 Phone (M1) 267-***-****

Email sheenasgoodman@.gmail.com

Education

Peirce College

Bachelors of Science May 2013 Philadelphia, PA

Majoring in Healthcare Administration

Community College of Philadelphia

Associates of Science June 2010 Philadelphia, PA

Certificates/Licenses: Pennsylvania Healthcare Billing and Coding

Work Experience:

2015- Current University of Pennsylvania Hospital

Patient Representative Department of Gastroenterology

Register patients, schedule change and confirm appointments in a friendly, courteous manner. Accurately collect record and ensure distribution of patient information to appropriate staff. Coordinate internal and external phone communications among staff, patients and providers. Perform clerical, scheduling and record keeping activities, often simultaneously in support of patients and staff. Provide information regarding financial policies, registration requirements and referral resources. Collect co-payments and balances when necessary.

Epic

Great customer service/ relationship building skills

Microsoft Word, Microsoft Office Outlook, Microsoft Excel, Internet Explorer

2012-2015 Keystone Mercy/AmeriHealth Caritas

Team Lead Claims Examiner/Research Analyst

Manage cases from receipt of referral through conclusion of review; prepare all referral documentation for investigation; perform preliminary review of documentation for an investigation; perform follow-up procedures for requests to providers for medical records or other documentation. Performs research and creates reports to monitor progress of cases in assigned line of business. Within areas of job responsibilities, identify systemic issues of fraud waste and/or abuse for the AmeriHealth Caritas Family of Companies. Initiate the request and follow up for re-processing of claims as a result of Fraud, Waste, and Abuse Audits/Investigations.

• Microsoft Word, Microsoft Office Outlook, Microsoft Excel, Internet Explorer

• Excellent written and verbal communication

• Excellent knowledge of ALL Medical Billing and Coding

• Great customer service / relationship building skills

• Team Lead for various projects

• Great organizational Skills

• Strong problem resolution skill

• Citrix

• Facets computer program

• Book Keeping/ Accounting

2011-2012 Peirce College

Billing Specialist/Front Desk Rep/Advisor

Educated students about college, admission process as well as help with financial aid. Helping and inspiring perspective students with choices for continuing their education. Assist students with billing and collections. In addition meet for Ambassador Meetings to demonstrate information about the college, share information on scholarships, financial aid, and paying for college Helped by giving speeches to inspire students to get scholarships and continue with their goals.

•Microsoft Word, Microsoft Office Outlook, Microsoft Office Suite,Internet Explorer, and WAR

•Customer Service Skills

•Train new hires

•Ability to manage and plan personal/company financial growth.

•Excellent written and verbal communication

•PowerPoint and Publisher

•Administrator Work

•Strong problem resolution skill

•Strong cold-calling/ability to take on leads

2010-2011 Wills Eye Surgery Center

Billing and Coder

•Microsoft Word, Microsoft Office Outlook, Internet Explorer, and WARM (Web Application Registration Module).

•Excellent written and verbal communication skills

•Ability to manage and plan personal/company financial growth.

•Strong knowledge of PowerPoint

•Great relationship building skills

•Strong cold-calling/ability to take on leads

2008-2010 Temple Kornberg School

Billing/ Patient Representative

Assists patients with financial concerns related to insurance billing. Greet and register at the time of appointment. Responsible for accurate dental coding, creating and submitting claims to insurance companies and billing and collection of patients accounts receivables in an accurate and timely manner.

•Microsoft Word, Microsoft Office Outlook, Microsoft Office Suite,Internet Explorer, and WAR

•Customer Service Skills

•Knowledge of Dental terms, dental insurance, dental records

Volunteer Work:

University of Pennsylvania Hospital Philadelphia, PA.

Pre Med/ Mentor

Contact this candidate