Shawna Sanchez

Scottsdale Az

adxzg2@r.postjobfree.com

PROFESSIONAL PROFILE:

Most Recent: 3 years LabCorp COVID 19 Specimen Management Dept

●15 years of experience as a Customer Service Representative Medical Records

●8 years of experience working in the healthcare industry

●8 years of experience on Medicare and Medicaid and other pharmaceutical insurances.

●2 years of Intake Care experience

●Well-versed in Medical Programs, Medical Insurance Programs, Med X, Sonora, Aetna, BCBS, Cigna, Medicare/Medicaid

●Well versed in handling a high-volume of calls and multi-line/switchboard operations.

●Excellent interpersonal and communication skills with associates and clients/customers

●Attention to detail, ability to prioritize work effectively and manage multiple deadlines

●Proficient with MS Word, Excel, Outlook, Internet Explore, Google Chrome,

●Accounting Programs: Excel Spreadsheets, Peachtree, and QuickBooks, Admin programs Visio

●Type 45 WPM; 10 key-forward and reverse approx. 15000 SPM

PROFESSIONAL EXPERIENCE:

Tip Top Nursery

2018-2021

Loading and Unloading deliveries, processing orders for online customers, answering phones helping customers in the yard with questions, loading, and purchases.

Rural Metro/

AMR American Medical Response Team

04/2016 – 11/2018

Admin/Dispatcher

●Schedule meetings, scheduled itinerary for meetings and meeting space

●Type documents and gathered information for clients and customers

●Dispatch for 12 units, AMR and Rural Metro Fire Rescue

McKesson

08/2015 – 03/2017

Claims Support Analyst

●Update and evaluate information sent by customer care providers, patient or medical insurers

●For prior authorizations of procedures or medications requested by physician

●All documents and letters must be signed and dated prior

●All forms must be received in timely manner EOB’s LOR’s etc.

●Facets Medicare and Medicaid programs

●OSHA, HIPPA, guidelines

●Follow up on denials for appeal processing or resubmissions

Schaffer and Sons

03/2012 – 10/2015

Office Manager

●Mapquest daily routes for dispatching techs to their daily appointments

●Pre-call customers to let them know when tech would be there

●Print job quotes calling customers to check HOA insurance see what is covered and what is not

●Order parts and supplies. Billing and part pick ups

●Daily invoicing, collections of non or short pays

●Schedule and dispatch for 15 techs daily throughout AZ

Shutterfly

02/2012 – 01/2015

CSR

●Assist customers with their self-serve web site, update accounts’ refunds and returns

●Quality Assurance Representative backup to assist the floor and recordings

Pima Inn Suites

2010 – 2013

Night Audit

●In charge of front desk duties, reservations, prepare reports and ledgers from day shift to reconcile all the days transactions and rebooted system for next day

RSI

2009 – 2011

Accounts Payable Representative

●Review, sort and match invoices and check requests

●Prepare and process payments; Monitor accounts for payments up to date

●Resolve invoice discrepancies

●Vendor file maintenance, monthly reports and month end closing

United Health Care

2006 – 2009

Collections/Customer Service

●Maintain AARP accounts for United Health Care

●Provide results for Dr's, provide information to patients, update and make payments on accounts

●Research information and set up accounts for patients with disability assisted needs

●Collections on closed accounts waiting for claims to be processed with insurance companies

Scottsdale Handy

1999 – 2007

Office Manager

●Update and add information into the clients file, credit evaluations, research information online as far as history and credit information

●Assist clients with information needed or information requested

●Make copies, send faxes, look over files and contracts

●Some dispatch when needed directing drivers all over the valley

Sonora Quest Laboratories

2002 – 2004

AccountsReceivable/Data Entry

●Update Medical billing accounts, add test results, insurance information on patient charts/files

●Schedule appointments for blood work, Collections of unpaid balances, out of office tests

●Contact insurance carriers to verify insurance coverage

Rural Metro contracted Manpower

2001 – 2002

AccountsPayable/Receivable Representative

●Update account information, insurance claims adjustments, hospital reports, Lab work, ambulatory claims and collections

●Talk directly with insurance companies Aetna, BCBS, Cigna, Medicare/Medicaid, to receive information for closure on outstanding accounts

●Assist patients with billing and customer service-related issues

Education:

Bryman Medical College,

1990-1994

Certified Medical Assistant

SCC Scottsdale Community College

1990-1991

Business/ general requisitions

Saguaro High School

Scottsdale, AZ

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