SHONTA ALLEN

**** ***** ********* ****** #** Goldsboro, NC 27534 919-***-**** advd2g@r.postjobfree.com

PROFESSIONAL PROFILE

Customer service oriented professional, able to provide administrative support and function as the primary interface between the patient and the provider. Follows policies, procedures, and guidelines to assure consistent quality. Ability to discreetly manage large amounts of sensitive and confidential information.

Well organized and experienced with Microsoft Word and Zoll RescueNet code review software.

Resourceful, flexible, and adept at acquiring new skills in support of company objectives.

Brings finely tuned attention to detail and commitment to quality to all assigned tasks.

KEY QUALIFICATIONS

Medical Administrative Assistant Medical Terminology Patient Processing Patient Registration

Medical Billing Medical Records Management Release of Information Introduction to ICD-10-CM Coding

HIPAA Compliance Anatomy & Physiology

Electronic Health Records EHR / EMR Greenway Computer Information Systems

Medical Transcription Office Accounting MS Office / MS Word

Medical Laws & Ethics Pathophysiology for Medical Office Principles of Management

EDUCATION

Ultimate Medical Academy

Health Sciences – Medical Administrative Assistant / Associate of Science Degree, 2016

Diploma – Medical Administrative Assistant, 2015

PROFESSIONAL EXPERIENCE

McKesson – Cary, NC 08/2021- 05-2022

Reimbursement Specialist (REMOTE)

Handled inbound and outbound telephone calls

Adhered to HIPAA law and McKesson procedures and policies

Insurance verification: review the healthcare plan to confirm coverage of the prescription and medicines

Medical Claims: following the confidentiality process and review the patient’s medical data to ensure proper billing and eligibility

Utilized McKesson medical management systems, portal, and electronic medical records to update the billing information.

Primarily responsible for working with insurance companies and medical billing staff to manage the billing/reimbursement process.

These professionals specialize in tasks related to ensuring that physicians and other medical professionals are paid appropriately for their services.

Ciox Health – Alpharetta, GA 06/2021 – 08/2021

Health Information Specialist (CONTRACTED/REMOTE)

Handle inbound and outbound telephone calls

Followed HIPPA law and Ciox Health procedures and policies

Provided excellent customer service to patients and the insurance providers

Verification of the patients’ demographics to ensure confidentiality

Utilize various electronic health and medical records software

Review and process patients and insurance providers request for medical records

Upload the data and confirm the request to submit to the third-party vendor

CVS – Goldsboro, NC 07/2020 – 06/2021

Customer Service/Pharmacy Tech

Handle inbound and outbound telephone calls

Follow HIPPA Regulations and CVS procedures and policies

Assist with customer inquires and CVS services

Assist customers and patrons with the COVID-19 test

Pharmacy Technician duties: document the patient’s prescription and dosage

CVS Medical Management EMR: review patients prescription history

Sam’s Club – Goldsboro, NC 08/2019 – 06/2020

HMS/ Rotisserie

Handle inbound telephone calls

Followed OSHA requirements for cleanliness and safety

Multitask and show creative skills

Cleaning and preppy the product for roasting/cooking

Prep work, chopping of vegetables and creation of salads

Prepared dishes for catering events

Personal Home Care Solutions – Goldsboro, NC 09/2017 – 09/2018

Patient Care Aide

Adhering to HIPPA guidelines and Personal Home Care Solutions policies

Assist patients with daily living and activities

Groom, bathe, dressing and provide nutrition dietary meals

Took the patients’ blood pressure and monitor the patient’s movement

Perform housekeeping as needed

Amerik Medical Billing – Goldsboro, NC 01/2017 – 09/2017

Medical Biller and Coder – Contract

Enter information into records such as patient medical histories, and document purpose of ambulance trip.

Verify patient demographic information, insurance coverage, and ensures all required signatures have been obtained.

Review physician orders for completeness in order to meet payer guidelines.

Add CPT and ICD-10 codes to represent patient condition during ambulance transport.

Manage electronic storage of patient care reports and uses Zell Rescue Net software to ensure efficient billing.

Johnson Ambulance Services – Goldsboro, NC 05/2016 – 12/2016

Communications Center Dispatcher

Handle inbound and outbound telephone calls and the dispatch communication

Followed HIPPA and OSHA Regulations and the organization procedures for safety

Johnson Medical Management EMR system: verified patients demographics and confirmed physician appointments

Perform patients scheduling of appointments for the EMT

Scheduled the dispatches release of the ambulance for the EMT

Verify patient’s medical insurance and confirm transport with the billing department

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