Data Entry Documentation Specialist
Resume:
Shamika Neal
Plano, TX *****
*******.****@*****.***
Performance-driven administrative professional with experience in facilitating support services and office management. I have strong organizational skills. I am able to work independently as well as in team settings. I have been recognized in previous roles as well as my current one as a trusted advisor/ liaison. I am Proficient in Word, Excel, PowerPoint, Outlook and epic. I have over 12 years of experience managing busy reception areas and successfully interacting with a diverse and demanding group. I have been trained to handle confidential information properly. I am reliable when handling time sensitive correspondence. I also have experience with Executive support, Client Communications, and workflow planning. I have the ability Prioritization. I have also worked in records data Management, and record Keeping.
Work Experience
Eligibility Specialist/ social worker
Chase Brexton Health Care - Randallstown, MD
April 2022 to Present
The Financial Eligibility Specialist determines applicant eligibility for third party reimbursement, processes data necessary for admission of new patients into health services, ensures proper coding for insurance billing, and handles inquiries from prospective applicants and patients. Not responsible for Chase Brexton billing discussions or questions that are not related to Sliding Fee charges. MAJOR DUTIES AND RESPONSIBILITIES:
Analytical and Critical Thinking
• Conducts fee scale and self pay and insurance eligibility for clients following procedures and guidelines specific to each program.
• Calculate and implement the Ryan White Cap
• Review relevant reports and follow up to link patients to eligible insurance and/or assistance programs Problem Solving and Decision Making
• Ensure that the client’s fee scale is appropriately applied to any other payer source such as Medicare, Medicaid, MADAP, and any other third-party insurance.
• Refer clients to medical case manager should someone be entitled to additional assistance.
• Assist with onboarding training on sliding fee scale or self pay.
• Register clients into CPS and ability to complete Case Management visit note explaining any referrals or plans
Checking, Examining, and Recording
• Complete all necessary paperwork.
• Maintains up-to-date and orderly eligibility files.
• Provide comprehensive monthly reporting of patient statistics and metrics.
• Responding to billing discussions or questions related to Sliding Fee charges Planning and Organizing
• Conducts renewal eligibility as required by each program.
• Participation in workgroups and special projects, as assigned. Patient Focus
• Confirms eligibility appointments with clients.
• Sets initial service appointments once eligibility has been determined.
• Provides clients with list of required eligibility documentation.
• Refer patients to new Chase Brexton services based on patient treatment needs
• Working knowledge of all service areas offered by Chase Brexton MA/ Administrative Assistance /billing/ Medical Receptionist Washington nephrology
November 2021 to Present
Wages: 20.00 an hr
Duties: Answering incoming calls, Triaging patient's needs, scheduling patients
, Updating and verifying insurances and collecting copayment's, greeting patients,
, checking the patients in and out of their appointments. Collecting past due balances, rooming patients with vital collection, patient charting, pulling reports for all office sites, new pt registration Documentation specialist
Patient Service Coordinator
Hennepin Health -HCMC
April 2019 to Present
Wages: 20.68 an hr
Duties: Answering incoming calls, Triaging patient's needs, scheduling patients with providers based on their medical situations, verifying insurances and collecting copayment's, greeting patients, labeling and distribute the physician's mail/faxes, checking the patients in and out of their appointments. Documentation specialist
Senior Mortgage Loan Processor
Wells Fargo Home Mortgage - Minneapolis, MN
February 2020 to January 2021
Answering incoming calls and making outbound calls to clients. Collecting documents and providing updates on loans and options . Obtaining liens searches from attorneys and working with insurance companies to insure Adequate coverage. Facilitating closing and wire transfers. Patient Service Coordinator
Hennepin Health -HCMC
January 2018 to February 2020
Wages: 20.68 an hr
Duties: Answering incoming calls, Triaging patient's needs, scheduling patients with providers based on their medical situations, verifying insurances and collecting copayment's, greeting patients, labeling and distribute the physician's mail/faxes, checking the patients in and out of their appointments. Documentation Specialist
Allina Health (Westgate)
February 2016 to January 2018
Wages: 20.10 an hr
Duties:. Taking inbound calls from patients and medical professionals. Providing social work services and Facilitating rehabilitation resources, contacting patients in regard to their Rx status.. Obtaining patients Rx for cpap supplies and scanning into the patient's file.. Collecting and providing information through epic with providers.. Working with cpap team to release cpap supplies.. Generate compliance report for Allina branches and distributing them to branches so RT can follow up with the patients.. Obtain prior authorizations from insurance companies for re-supplies.. Mailing follow up instructions/care to patients. Back up for Cpap team- Placing orders for patients supplies. Medical ride coordinator and Methadone care specialist and claims specialist MHP- Metropolitan Health Plan
October 2015 to January 2016
Wages: 19.92 an hr.
Duties:
• Verify member appointment and booking medical ride to and from appointments.
• Scheduling rule 25 assessments.
• Taking inbound and outbound calls
• Medicaid enrollment
• Processing claims and providing claim statuses for providers
• Answering benefit questions for providers and members and eligibility inquiries Medical Ride Coordinator and Methadone Care Specialist UCare
March 2014 to October 2015
Wages: 19.10 an hr
Duties:
• Verify member appointments and booking medical transportation to and from medical approved appointments.
• Scheduling rule 25 assessments and rides.
• Taking inbound and outbound calls from members answering benefit questions
• Medicaid enrollment information and status
• Facilitating social services
Administrative Assistant
James K. Daniels Attorney - Law, TN
November 1999 to October 2012
Wages: 24.00an hr
Duties:
• Assisted the legal department by screening callers for potential clients and transferring the line to the appropriate department
• Coordinated meetings and appointments and updated the calendar accordingly
• Information research, retrieval and report generation and maintenance
• Prepared records for all new clients and maintained records
• Filing, Data Entry & Preparing Outgoing Correspondence Education
Some college in Nursing
University of Phoenix-Online Campus
Associate's degree
Skills
• Billing
• Data Entry
• Microsoft Excel
• Microsoft Word
• Outlook
• Receptionist
• Scheduling
• Organizational Skills
• Epic
• Microsoft Office
• EMR
• training
• Athenahealth (3 years)
• Medical Receptionist
• Insurance Verification
• Medical Billing
• Medical Office Experience
• Fair Housing regulations
• Microsoft Access
• Medical Scheduling
• Medical Records
• ICD-10
• Underwriting
• Triage
• Clerical Experience
Certifications and Licenses
Phreesia
NMLS
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