Shawn Boyd
Beverly Hills,CA
Overview
5
5
years of professional experience
Work History
Patient Financial Associate (Radiology)
Medstar/Georgetown University
Georgetown, MD
12.2023
- Tracks and maintains referral and preauthorization's for all patients and ensures that authorizations are obtained, updated, and documented in a timely manner, that patient care is not delayed and that denials are minimal
- Maintain patient registration to include the use of GE Centricity Business/IDX to ensure accurate registration, authorization/referral information for both IDX and SMS Invision
- Update patient demographic and insurance information; Maintain Department standards in terms of accounts access & accuracy rates for Non-Participating Health Plans
- Assists MRI, Nuclear Medicine, Breast Imaging, CT, US, & Interventional Radiology technologist with Scans, appointments, and post-op needs as well.
Case Manager Coordinator
Cal Rehab Institute
Century City, CA
12.2022 - 10.2023
- Coordinate with hospital personnel and prepare necessary information for team meetings, huddles and conferences for admitted patients
- Obtain authorizations from insurance to confirm patient coverage while in housed
- Schedule follow up appointments per attending physicians' request
- Ensure daily workload is complete in a timely manner, and information provided is true and accurate such as transportation invoices, authorizations, and out of facility appointment information as well
- Coordinate with Case Managers on treatment plans for patients while they are In-House
- Scan/Upload patient charts and discharge paperwork into a shared drive for medical record purposes.
Patient Benefits Cord/Billing
SoCal Orthopedic Int.
Van Nuys, CA
10.2020 - 09.2022
- Communicated with various insurance plans and IPA’s such as Healthcare LA, Preferred IPA, Tri-Care West, Facey Medical Group and more to ensure 100% compliance of In & Out of Network eligibility
- Obtained Pre-Certification for EMG’s, Epidurals, Injections and Surgeries based off ICD-10/HCPC Codes and medical records submitted to insurances and verified medical necessity requirements with insurances to ensure 100% compliance
- Scheduled all surgical procedures and assured that all appropriate clinicals and insurance coding information is collected for the surgery schedule.
Patient Contact Rep
Cedars Sinai Medical Group
Beverly Hills, CA
08.2018 - 09.2020
- Effectively assisted Team Lead with work queues for referrals, lab result errors, and scheduling procedures via EPIC systems
- Evaluated any issues with patients for Medication refills, prior authorizations, referrals and Xray’s
- Contacted patients for any out of the facility medical records for clinical review needing authorizations
- Served as a liaison between Nephrology and Gastroenterology.
Education
Certified Medical Billing and Coding -
US Career Institute
01.2024
Honors High School Diploma -
Northwest High School
Indianapolis, Indiana01.2013
Skills
- Surgery Scheduling
- ICD-10/HCPC Codes
- Microsoft Office
- Type 50 WPM
- Collections Specialist
- Medical Records
- Utilization Management
- Epic & Lanes EMR Systems
- HIPAA Certified
- Organizational Skills
- Verbal/Written Comm Skills
- Customer Service Skills
- Billing & Coding Certified
- Cerner EMR
- GE Centricity/Business IDX
Personal Information
Title: Medical Administration Specialist
Timeline
Patient Financial Associate (Radiology)
Medstar/Georgetown University
12.2023
Case Manager Coordinator
Cal Rehab Institute
12.2022 - 10.2023
Patient Benefits Cord/Billing
SoCal Orthopedic Int.
10.2020 - 09.2022
Patient Contact Rep
Cedars Sinai Medical Group
08.2018 - 09.2020
Certified Medical Billing and Coding -
US Career Institute
Honors High School Diploma -
Northwest High School