Entry Clerk Data
Resume:
SHANTEL T. TAYLOR
PROFESSIONAL EXPERIENCE
Cedars Sinai Medical Center
Health Information Technician 1- September 2021- Present
Performs health information activities necessary to coordinate, maintain and use electronic and paper patient health records. Depending on assignments, specialize in one or more clerical functions, such as coding clerical support, transcription processing. Coordination of record request, image scanning quality auditing, or serve as the satellite rep in off-campus locations.
• Analyze/research errors. Participate in quality reviews.
• Compile and trend data and generate reports.
• Queries multiple electronic records and tracking systems.
• Understands chart organization and content, CSMC and external requirements related to chart documentation and privacy.
• Performs as a backup for prepping and scanning records as needed, to meet department goals.
BHS Behavioral Health Services
Registration Receptionist May 2021- September 2021
Scheduling various appointments requested
Transferring calls appropriately
Composing messages for providers & patient’s prescriptions when necessary
Providing general information to providers & patients
Working in various vaccine clinics
Heavy data entry daily
USC Care
Charge Entry Clerk - January 2020- March 2020
Responsible for reviewing patient’s billing & insurance
Responsible for submitting claims to the correct insurance provider
Reached out to Workers Comp clients to retrieve important claim information
Responsible for updating and verifying insurances
Reviewed commercial, government, medi-care & medi-cal insurances oResponsiblus websites to check members eligibility
Customer service/phones calls to providers offices regarding claims etc.
Blue Shield of California- October 2018-January 2020
Contact internal staff to verify info and occasionally contacts external entities to resolve problems
Research information to resolve problem encounters make correction to codes
Database input and maintenance
Accesses and updates many complex system screens verifies accuracy of data submitted
Processes group or member level enrollment, cancellations, and assist with related clerical duties
Customer Service heavy phones
Data Specialist
April 2017 – March 2018
United Healthcare
Implement new provider networks and maintain necessary network access levels in accordance with internal external performance standards
Communicated contract terms, reimbursement rates, benefits to provider community
Initiated, generated, and tracked provider service agreements, amendments, or letters of intent from initial draft to full execution
Coordinated preparation and routed documents to complete the contracting process in a timely manner
Ensure executed contracts are administered timely and accurately
Performed entry of provider and vendor information to ensure accurate rosters and overall data integrity
Followed and supported guidelines set by the department and organization to ensure overall goals are met
Customer Service experience heavy phones to providers offices
Claims Processor
April 2016 – October 2016
Kaiser Permanente
Monitor daily incoming claims and processed incoming claims
Data entry and authorizations according to procedures
Kept daily log of productivity and escalated issues to supervisors as needed
Customer service- phones calls to providers offices regarding incoming claims
Lead Billing Specialist
March 2012 – September 2013
NetSmart
Managed daily task of verifying patient’s insurance policy, preparing and submitting eligibility claims
Conducted billing using ICD-9 and CPT coding
Conducted daily and monthly balance and controls reports
Medical Biller
July 2011 – March 2012
Apollo Health
Oversaw final resolutions on Medicare and Medi-Cal claims
Submitted payment errors for Medicare/Medicaid remittances
Created rejections and denials letters for patients
Stayed current with Medicare regulations and procedure as well as flexible with departmental and client changes
Administrative Assistant II
April 2008 – May 2011
Blue Shield of California
Oversaw day to day operations claims
Validated Medi-care balances and verified responsible party for Medi-care claims
Payment submissions for patients to claims providers
TECHNICAL SKILLS
MS Word, Excel, Internet Explorer, Outlook, Chartmaxx, IDX, Medisoft, Med Asset, IBEX, Brightree, Med Force, Avatar, MS-Prodscal, MS400 Bay, Meditech,Epic,Citrix,Onbase
Working knowledge of AS400, ICD-9/CPT coding, SMS, and PMOC
EDUCATION
Bryman College
Medical Assistant Program 04/1998
Hamilton High school
High school Diploma 06/1994
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