Marshonda Wooten
Charlotte,NC
Summary
Seasoned professional with 10 years of experience in healthcare customer service roles, including Patient Connection Specialist and Patient Relations Representative. Skilled in insurance verification, claims processing, patient registration, and providing knowledgeable responses to inquiries. Seeking a Patient Service Specialist position to leverage expertise in patient engagement and support.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Engagement Center Specialist
Syneos Health
09.2023 - Current
- Provide patients with exceptional service, ensuring a positive inbound calling experience by effectively utilizing CRM systems, including Salesforce, for call documentation.
- Served as a liaison between patients and management, communicating effectively to address concerns or resolve issues quickly.
- Document critical information from customers related to adverse events, product technical complaints, and safety, including replacement and return procedures.
- Maintain adherence to company policies and scripts, consistently meeting call-time and quality performance standards.
- Educated patients on the proper use of medication and how to administer Diabetic and weightloss medication.
- Maintained up-to-date knowledge of product and service changes.
Patient Connection Specialist
Atrium Health
01.2022 - 12.2022
- Maintained accurate patient records by updating personal and financial details, ensuring thorough verification of demographics and insurance for system registration.
- Facilitated patient intake by conducting telephonic interviews to gather essential medical information and documented interactions for efficient follow-up.
- Provided patient support by managing appointment scheduling, addressing inquiries on products and services, and processing medication refill requests.
Patient Relations Representative
Advance Community Health
05.2017 - 10.2020
- Managed patient check-in and check-out processes, ensuring swift service while maintaining strict adherence to confidentiality protocols.
- Accurately registered patient demographics and medical information into the Electronic Health Record system.
- Facilitated patient referrals to specialty practices and proficiently handled records transfer and communication with external medical offices.
- Processed Medicaid and Sliding fee applications for uninsured patients, enhancing healthcare access within the community.
Claims Processor
Anthem Provider Services
09.2015 - 12.2016
- Analyzed claims and medical records to validate insurance coverage, ensuring adherence to policy terms for patient care approval.
- Facilitated communication between patients, healthcare providers, and insurance carriers to confirm insurance benefits and clarify billing procedures.
- Reviewed and interpreted CPT-4 and ICD-9 codes to assist in the pre-certification and pre-determination processes, enhancing accuracy in billing and documentation.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Managed workload and priorities to meet claims processing meet deadlines.
Data Collection Specialist
RTi Research
02.2015 - 08.2015
- Compiled and refined research materials and data, ensuring accuracy for reports and publications, and executed data editing to streamline subsequent analysis and activities.
- Coordinated and performed interviews for data gathering, maintaining meticulous documentation and adherence to data security protocols.
- Enhanced data accuracy by implementing rigorous quality control measures during data collection.
Medical Receptionist
ENTAllergy Associates
03.2010 - 12.2011
- Streamlined patient intake by accurately entering insurance, demographic, and health history information into the database, enhancing the efficiency of patient record management.
- Facilitated optimal patient flow by scheduling appointments, processing payments, and maintaining organized patient files, ensuring timely access to care.
- Supported clinical operations by managing a multi-line phone system, directing calls, retrieving faxes, and uploading documents to patient charts, contributing to a collaborative healthcare environment.
Medical Assistant
Brooklyn Hospital
05.2009 - 01.2010
- Conducted patient interviews to collect medical histories and chief complaints, documented vital signs, and ensured the readiness of treatment rooms through effective cleaning and restocking practices.
- Maintained medical equipment to uphold sanitation standards and organized patient documentation, contributing to the efficiency of outpatient care processes.
Education
CMA - Certified Medical Assistant -
The New York School For Medical And Dental Assistants
Long Island City, NY07.2009
High School Diploma - undefined
George Wingate High School
Brooklyn, NY08.2004
Skills
- Dedicated professional attitude
- Troubleshooting expertise
- Supportive interpersonal skills
- Proficient in active listening
- Proficient in Salesforce
- Proficient in EPIC and eClinicalWorks
- Effective time management
- Authorization processing expertise
- Facilitate referral coordination
- Sliding scale evaluation
- Project management
- Strategic project planning
Certification
CMA - Certified Medical Assistant Jul 2009
Timeline
Engagement Center Specialist
Syneos Health
09.2023 - Current
Patient Connection Specialist
Atrium Health
01.2022 - 12.2022
Patient Relations Representative
Advance Community Health
05.2017 - 10.2020
Claims Processor
Anthem Provider Services
09.2015 - 12.2016
Data Collection Specialist
RTi Research
02.2015 - 08.2015
Medical Receptionist
ENTAllergy Associates
03.2010 - 12.2011
Medical Assistant
Brooklyn Hospital
05.2009 - 01.2010
High School Diploma - undefined
George Wingate High School
CMA - Certified Medical Assistant -
The New York School For Medical And Dental Assistants
Similar Profiles
Lauren M. Wahl-RiversLauren M. Wahl-Rivers
Clinical Research Associate II at Syneos HealthClinical Research Associate II at Syneos Health
Marie Emmanuelle Koffi KouameMarie Emmanuelle Koffi Kouame
Results Analyst II – Immunology at Syneos HealthResults Analyst II – Immunology at Syneos Health
Ayanna KingAyanna King
REMS Specialist at Syneos HealthREMS Specialist at Syneos Health
Jessica YoungJessica Young
Teacher at Novant Health CDCTeacher at Novant Health CDC
Lorenda OkpalaLorenda Okpala
Crew Chief at American AirlinesCrew Chief at American Airlines