Shanika McCoy
Houston
Summary
To obtain a position in a professional environment that will afford an opportunity for advancing my current analytical and administrative skills. My aspiration is furthering my career with an organization, which will allow me to utilize talents and diverse experiences in healthcare operations including vendor/customer service, financial and appeals/grievances. My strengths include embracing change and learning new ideas, excellent verbal, and written communication skills, being an active
team player, and a self-motivator that functions well in both formal and informal leadership roles. I look forward to further enhancing the skills acquired from both past and present work-related experiences.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Senior Patient Access Representative
MD Anderson Cancer Center
01.2010 - Current
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Followed document protocols to safeguard confidentiality of patient records.
- Facilitated communication between patients and various departments and staff.
- Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Communicate and listen with patient, referrals, MDACC physicians and MDACC clinical staff regarding barriers to access or financial clearance.
- Consistently and accurately utilizes medical acceptance criteria to screen and schedule appointments for new patients in a way to
ensure optimal efficiency in clinic operations
• Collect, complete and accurate financial and consent data during intake and registration process, verifies data during new patient
registration to ensure compliance with required forms and consents
• Provides financial information to patients obtained during verification process by financial clearance staff, to include cost estimates,
payment plans, discounts, and supplemental financial assistance, providing clarification on medical overrides and account reviews
• Capture and documents communications with payors, patients, and the treatment team. Captures information using established
guidelines for each area while demonstrating appropriate task prioritization and urgency
• Route patient to appropriate destination when transferring
• Provide coaching and mentoring to new and existing staff; assist with onboarding and training
• Apart of the access GI service line beta testing team
• Attend weekly metrics meetings
• Observation meetings with G I access center - Communicate and listen with patient, referrals, MDACC physicians and MDACC clinical staff regarding barriers to access or fin ancial
clearance.
• Consistently and accurately utilizes medical acceptance criteria to screen and schedule appointments for new patients in a way to
ensure optimal efficiency in clinic operations
• Collect, complete and accurate financial and consent data during intake and registration process, verifies data during new patient
registration to ensure compliance with required forms and consents
• Provides financial information to patients obtained during verification process by financial clearance staff, to include cost estimates,
payment plans, discounts, and supplemental financial assistance, providing clarification on medical overrides and account reviews
• Capture and documents communications with payors, patients, and the treatment team. Captures information using established
guidelines for each area while demonstrating appropriate task prioritization and urgency
• Route patient to appropriate destination when transferring
• Provide coaching and mentoring to new and existing staff; assist with onboarding and training
• Apart of the access GI service line beta testing team
• Attend weekly metrics meetings
• Observation meetings with G I access center
Health Information Manager
Park Manor Of Cypress Station
05.2011 - 06.2014
- Reviewed recordkeeping procedures for patients and doctors.
- Maintained relationships with medical providers, suppliers and reporters.
- Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
- Participated in committees to discuss electronic health records and methods to improve overall workflows.
- Encodes (inputs) Physician Telephone order daily
• Inputs ICD-9 codes on primary, secondary and tertiary diagnoses to maximize billing
• Prepare records for clinical justification in all vendors appeals/grievances
• Maintain tracking logs for admissions, discharges, expired residents, and items sent to physicians
• Serve as Manager on Duty and addressed staffing, clinical and facility concerns during off shift hours
Office Manager
North Loop Medical Clinic
04.2007 - 04.2011
- Maintained computer and physical filing systems.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
- Developed process improvements and enhanced workflow
• Communicate with physicians regarding medical orders and billing
• Verify insurance and obtain authorizations for services provided
• Facilitate initial and refill prescriptions as directed by physicians via Clinical Service Requisition (CSR)
• Coordinate all office functions and supervised four administrative professionals
Education
No Degree - Funeral Attendant
Common Wealth Institute of Funeral Services
Houston, TexasNo Degree - Certified Nursing Assistant
Taylor Medical Institute
Houston, TexasHigh School Diploma -
Booker T. Washington
Houston, Texas05.1998
Skills
- Resolving Problems
- Multitasking and Organization
- Insurance Information Collection
- Patient Education
- Building Rapport and Credibility
- Caring and Empathetic
- Database Search and Data Entry Skills
- Team Collaboration & Leadership
- EPIC EMR
Certification
- [Area of expertise] License - [Timeframe]
- [Area of certification], [Company Name] - [Timeframe]
Timeline
Health Information Manager
Park Manor Of Cypress Station
05.2011 - 06.2014
Senior Patient Access Representative
MD Anderson Cancer Center
01.2010 - Current
Office Manager
North Loop Medical Clinic
04.2007 - 04.2011
No Degree - Funeral Attendant
Common Wealth Institute of Funeral Services
No Degree - Certified Nursing Assistant
Taylor Medical Institute
High School Diploma -
Booker T. Washington