Medical Records Prior Authorization

SHEVELLE MADISON

KEY SKILLS CPT, CDT & ICD-** Coding

Medical Chart Auditing & Compliance

Insurance Verification & Prior Authorization

Patient Scheduling & Coordination

Claims Review, Denial Prevention, & Billing

support

Electronic Medical Records (EMR/EHR)

Management

General Anesthesia Case Coordination

& Hospital Scheduling

HIPPA, OSHA, & Documentation Standards

EDUCATION

Bachelors of Science in Business Administration

University of Phoenix/Completed

Associate of Arts in Medical Billing & Coding

University of Phoenix/Completed

WORK

EXPERIENCE

Walgreens-Shift Leader Janurary 2004 - August 2015 Supervised staff, delegated duties, and maintained compliance with store policies and procedures.

Oversaw cash handling, inventory, vendor ordering, and customer service operations. Trained and coached employees to improve workflow efficiency and service quality. Resolved customer concerns and provided service recovery to maintain customer satisfaction. August 2015 - April 2023

Taylor Dental - Chart Auditor

Audited General Anesthesia documentation for accuracy, completeness, and regulatory compliance. Verified proper documentation of x-rays, consent forms, and dates of service to support billing and medical record standards.

Identified discrepancies and communicated required correction to office managers and clinical team Maintained organized patient files to ensure smooth billing, insurance processing, and compliance readiness.

April 2023 - September 2025

Taylor Dental-General Anesthesia/Patient Coordinator Scheduled office and hospital based dental procedures, including those requiring general anesthesia. Verified insurance, obtained prior authorization, and confirmed medical clearance for treatment. Managed high volume patient communication, appointment scheduling, and intake. Prepared and reviewed patient files, consent forms, and treatment plans for providers and hospital teams.

Served as main point of contact between patients, dental providers, and anesthesia teams, and hospitals.

Processed payments, posted insurance responses, managed pre-op/post-op instructions, and maintained accurate records in dental EMR systems. SUMMARY Experienced healthcare professional with 10+ years in patient coordination, medical records auditing, and medical office administration. Proficient in CPT coding, insurance verification, and maintaining compliant, accurate patient documentation. Known for exceptional organization, fast paced multitasking, and delivering high quality support to both patients and providers. Dedicated to improving workflow efficiency and ensuring positive patient experience in high volume healthcare settings.

***************@*****.*** 504-***-**** New Orleans, La 70112

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