Customer Service Medical Billing
Resume:
Shawanna Shannon
*.*********@*****.***
PROFESSIONAL PROFILE
Customer service oriented professional with 9+ years of healthcare industry experience. Able to provide timely and accurate data to ensure reimbursement for patient services and communicate effectively with co-workers, patients, and staff. Follows policies, procedures, and guidelines to ensure quality. Maintains and safeguards patient privacy and confidentiality.
State of Georgia Certified Nursing Assistant (CNA) # CN0028909027.
Experience working in a hospital setting.
Team player who performs at high levels of productivity in fast-paced environments without missing a deadline.
Strong written and verbal communication skills.
QuickBooks; Microsoft Office Applications - MS Excel, MS Word; Typing Speed: 32 WPM.
KEY QUALIFICATIONS
Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs
Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers
Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO, PPO, and POS)
Workers Compensation Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04)
Front Office Operations Medical Office Procedures Scheduling Medical Terminology Anatomy & Physiology
HIPAA Compliance Medical Coding (ICD-10-CM HCPCS CPT)
EDUCATION AND PROFESSIONAL DEVELOPMENT
Ultimate Medical Academy Associate of Science Degree - Medical Billing and Coding, 2021
Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate
Covenant CNA School of Nursing Certified Nursing Assistant (CNA) Program, 2010
Omni Tech Institute Certificate - Medical Billing and Coding, 2007
PROFESSIONAL EXPERIENCE
Ballethnic Academy of Dance- East Point, GA
9/5/23 - Present
Academy Coordinator
●Administrative
●Customer Service
●Event planning
●Coordinating Productions and Events
●Data Entry
●Scheduling appointments
AmerisourceBergen(Spectraforce)-WorkfromHome, GA
11/22 - 2/23
Benefits Verifications Specialist Customer Service
●Verify insurance and eligibility for specific drug Eylea
●Input updated insurance information
●Properly update notes in patient's file
●Search insurance information utilizing MedConnect and NPT Tool
Change Healthcare - Work from Home, GA
12/21 - 8/22
Customer Service/Scheduling
●Schedule appointments
●Determine Urgency of calls and messages
●Adhere to Red flag symptoms
●Refill prescriptions
●Send In baskets
●Referral Coordinator
C3Everise- WorkfromHome,GA
03/2021 - 03/2022
Customer Service/Medical Billing and Coding
Retrieve fax Authorizations.
Determine Urgency of Authorization.
Complete fax Authorization expeditiously with correct Billing Codes.
Maintain accuracy of all faxes and complete with no errors while achieving targeted goal.
Ultimate Medical Academy - Atlanta, GA
08/2019 - 01/2021
Full Time Student
Remained self-directed, motivated, and accountable for personal actions.
Came prepared for class and completed assignments on time.
Navigated new technology, utilized available resources, and set realistic expectations.
Private Home Care - Atlanta, GA 02/2017 - 09/2020
Home Health Aide
Checked vital signs and assisted with activities of daily living - personal hygiene, mobility, exercises, and feeding.
Handled light housekeeping duties, prepared meals, and ran errands.
Completed daily logs documenting patient condition, changes in behavior, and activities.
Emory University Hospital - Atlanta, GA 03/2014 - 12/2016
Certified Nursing Assistant (CNA) / Patient Care Technician
Triaged patients during intake process and assisted with activities of daily living.
Took and recorded vital signs and performed services in a timely and professional manner.
Documented and reported changes in patient habits, condition, and activities.
Doctors Hospice of Georgia - Fayetteville, GA 01/2014 - 07/2014
Administrative Assistant / Receptionist
Answered inbound phone calls, coordinated calendars and meetings, and created and edited documents.
Documented information, updated paperwork, maintained documents, and operated office equipment.
Scheduled appointments, managed filing system, assisted owners, and opened and closed office.
United Healthcare System of Pruitt - Duluth, GA 02/2011 - 02/2014
Team Leader / Certified Nursing Assistant (CNA)
Provided care plans, created morning meeting outlines, and verified Medicare eligibility for each patient.
Assisted residents with activities of daily living - personal hygiene and mobility.
Reported health, comfort, and safety observations and ensured health and wellbeing of patients.
Took and documented vital signs and provided emotional support to residents and their families.
VOLUNTEER EXPERIENCE
Bethlehem Baptist Church - Atlanta, GA 01/2012 - Present
Certified Nursing Assistant (CNA) - Nurse’s Guild
Assist with direct patient care under the supervision of Registered Nurse and check vital signs.
Help with walking, exercising, and mobility within church and observe patient condition.
Report changes to professional staff.
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