Customer Service Medical Office
Resume:
Shantel McMillan
Address *** **** ****** ***********, ** 29851
Contact 803-***-**** ***********@*****.***
PROFESSIONAL PROFILE
Customer service oriented professional, capable of ensuring smooth patient flow by providing prompt attention to pulling patient charts and necessary medical records. Backed by solid work history, reputation as a team player, and passion for helping others.
Backed by 16+ years of management experience.
Implement course of action and able to make decisions.
Regarded as a natural people person with strong interpersonal communication skills.
Work to create an environment of efficient practice operations in cooperation with employees.
Able to assess workflow priorities and respond to departmental needs accordingly.
Microsoft Office Applications: MS Excel MS Word Typing Speed: 29 WPM.
Communication Platforms: Zoom Skype Google Meet. Academic Honors Recognition / Honor Roll
KEY QUALIFICATIONS
Medical Practice Management Systems Medical Terminology Medical Records HIPAA Compliance
Insurance Verification Insurance Claim Processing Reimbursement Processing Revenue Cycle Management
Medicare / Medicaid / Market Place Government Payers Third Party Payers CPT & ICD-10 Coding Medical Billing Medical Office Medical Administrative Patient Registration Data Entry Salesforce Change Healthcare
EDUCATION & PROFESSIONAL DEVELOPMENT
Ultimate Medical Academy Associate of Science Degree / Health Sciences – Medical Office and Billing Specialist, 2022
Ultimate Medical Academy Diploma – Medical Office and Billing Specialist, 2022 Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate McDonald's Atlanta Region
Basic Shift Management (BSM) / Advanced Shift Management (ASM) Department Manager Capstone (Guest Service Manager / People Manager) / ServeSafe Certification PROFESSIONAL EXPERIENCE
Mindlance/ Ciga- Accredo Specialty Pharmacy - Warrenville,SC 10/2023 - 02/2024
Patient Access Representative
● Help patients get the medication they need. Use the knowledge you gain from training, your problem-solving skills and support from your team to answer patient calls effectively. You’ll coordinate and ensure services are covered under insurance coverage and talk to patients about their deductibles, co-payments, and authorizations.
● Interact directly with healthcare providers. You’ll research issues on benefits coverage with pharmacist and doctors’ office and provide guidance to our patients about medication coverage.
● Juggle multiple tasks without sacrificing attention to detail. You will be busy handling multiple requests at any given time as well as documenting information from your conversations in our computer system.
NLB/ Molina Health - Warrenville,SC
03/2023 - 06/2023
Provider Service Repersentative - Call Center
● Respond to inbound provider calls and assist providers with eligibility and benefits and schedule fees and Timely filing request
● Provide claims and appeals decisions
● Constantly meet and established adherence and productivity and quality standards. Salesforce. Sitel United Healthcare – Warrenville, SC
03/2022 – 2/2023
Customer Service Representative – Call Center
Respond to inbound customer calls and assist clients with plan selection and enrollment.
Resolve customer service inquiries including benefit and eligibility information, billing and payment issues, material requests, physician assignments, authorization for treatment, and explanation of benefits (EOB). Salesforce.
Constantly meet established productivity, schedule adherence, and quality standards. McDonald’s – Aiken, SC 08/2006 –
Present
People Manager / Customer Service
Oversee 80 employees, provide assistance to General Manager, and complete new hire orientation.
Evaluate employee job performance, train new hires, and discuss job performance problems.
Implement policies and procedures, delegate tasks, and Recruit, interview, and select new employees.
Provide employees with guidance in handling difficult problems or in resolving escalated complaints or disputes.
Resolve customer complaints or answer customers' questions regarding policies and procedures
Review payroll, meet deadlines, and complete various duties as needed.
Contact this candidate