Melanie Shaw
Union,NJ
Summary
Business professional with 5 years of health care experience. Very organized and detail oriented. Able to work in fast paced environments while still creating business solutions within the scope of business compliance. Prioritize working to improve quality, productivity and efficiency.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Property Damage Adjuster
NJM
Parsippany, NJ
01.2023 - Current
- Utilize multiple systems that allow for a claim to be processed successfully
- Investigate, evaluate and settle insurance claims
- Negotiating settlements, authorizing and issuing payments
- Simultaneously tasked with phone calls, emails and desk activities while providing the best claim experience
- Contact necessary parties to ensure that claim is thoroughly investigated to be settled fairly following NJM's guidelines
- Liability decisions
- Ensure that guidelines and procedures are followed to allow for operations to be run smoothly
- Collect, analyze and document data
- Process 9-10 claims daily while maintaining a successful workflow.
Office Manager
SportsMed Physical Therapy
Parsippany, NJ
06.2021 - 01.2023
- Ensuring that all areas of operations perform optimally by collecting and analyzing data
- Overseeing daily operations, staffing needs and scheduling challenges to better improve ability to carry out vision and mission
- Setting performance and quality standards for services rendered
- Monitor practice performance metrics to ensure continuous improvement of office productivity
- Provide coaching and support to team members, address issues in a timely manner, and communicate both informally and formally through the appropriate channels
- Evaluate team member performance, give guidance, and participate in disciplinary action.
Office Coordinator
Ivy Rehab Physical Therapy
Union, NJ
02.2020 - 06.2021
- Managing daily operations that include answering phone calls, coordinating schedules and staffing needs, and collecting data to analyze office performance
- Verifying all insurances to ensure that there are no billing errors
- Leading superuser in transitional period of switching EMR systems
- Maintaining order of office and clinic supplies allowing operations to be run smoothly
- Coordinating monthly meetings of budget for the month, relaying goals and action plans to be able to meet those goals.
Office Coordinator
Twin Boro Physical Therapy
Union, NJ
07.2018 - 02.2020
- Collecting and entering data for daily deports used to track office budgets
- Verifying all insurance to ensure that there are no billing errors
- Manage insurance authorizations to ensure that there is no pause in patients' treatment plans
- Manage and assist providers with daily patient flow
- Assist in corporate training.
Education
Associates In Education -
Union County College
Cranford, NJSkills
- Spanish and Portuguese (Native- both oral and written)
- Detail oriented
- Flexible
- EMR
- Filing
- Budgeting
- Inventory
- HIPPA compliant
- Data Entry
- Problem solving
- Microsoft Office (Word, Excel, Outlook and Powerpoint)
- Communication
- Scheduling
- Teamwork
- Adaptability
- Leadership
- Skills management
Certification
- AED
- First Aid
- CPR
Experiencehighlights
- Work with different multi-specialty providers in scheduling, managing, organizing and collaborating daily work duties.
- Coordinated front desk and clinical responsibilities simultaneously for a provider with over 100 patients a day. (250 visits weekly)
- Collaborated with 5 health care providers daily to set up patient appointments and treatment plans.
- Collaborated in growing patient volume by 50% over the course of 5 months.
- Work with multiple EMR systems (Raintree, Casamba and Web PT)
Timeline
Property Damage Adjuster
NJM
01.2023 - Current
Office Manager
SportsMed Physical Therapy
06.2021 - 01.2023
Office Coordinator
Ivy Rehab Physical Therapy
02.2020 - 06.2021
Office Coordinator
Twin Boro Physical Therapy
07.2018 - 02.2020
Associates In Education -
Union County College