Saidah Shivers
Middle River,MD
Summary
Experienced in managing and coordinating departmental projects, activities, and schedules, demonstrating strong project management capabilities. Provided comprehensive administrative support to a large departmental staff, ensuring procedural compliance and serving as the primary point of contact for procedural inquiries. Oversaw multiple large-scale projects, conducting assessments and evaluations that led to actionable recommendations. Proficient in procurement processes using SAP and Concur, with a focus on quality control and vendor management.
Overview
18
18
years of professional experience
Work History
Admin Project Leader
The Johns Hopkins Hospital
10.2023 - Current
- Managed and coordinated various departmental projects, activities, reports, and schedules.
- Provided administrative and project support to large departmental staff of one Department Director.
- Oversaw multiple large-scale projects across the organization.
- Maintained procedural and administrative aspects of projects; served as point-of-contact for procedural issues.
- Directed assessment and evaluation processes along with detailed analysis leading to actionable recommendations.
- Executed procurement and reimbursement through complex systems including SAP and Concur.
Medical Appointment Coordinator
DMI/IRMAC
04.2023 - 08.2023
- Received phone calls from patients to assess appointment needs.
- Scheduled appointments with Primary Care Manager or Specialty clinic based on patient inquiries.
- Entered all accepted appointments into CHCS and IRMAC databases for record-keeping.
- Sent relay health email messages to patients containing appointment details and instructions.
- Verified patient eligibility status using CHCS, EWRAS, and DEERS systems.
- Provided clinic appointment access and T-cons for doctors and administrators.
- Searched multiple Military Treatment Facilities for available appointments according to clinic guidelines.
- Compiled data into statistical reports, ensuring high accuracy in appointment booking.
Claims Benefit Specialist
CVS
10.2021 - 10.2022
- Processed insurance claims using QNXT system to update patient status and information.
- Evaluated claims for eligibility and approved non-automated adjudications.
- Managed payments for medical claims in compliance with guidelines.
- Applied medical guidelines to verify coverage, assess eligibility, and identify inconsistencies.
- Coordinated responses to inquiries regarding claim processing through phone and written correspondence.
- Gathered data to proof claim submissions, ensuring adherence to coding and identification processes.
- Facilitated training sessions as a subject matter expert to address procedural edits in claims.
- Implemented cost containment measures to enhance overall efficiency in claim adjudication.
Office Supervisor, Operations/Insurance Coordinator
University of Maryland Medical Center
06.2015 - 09.2020
- Ensured compliance by evaluating patient files and employee records.
- Assisted with the analysis of Medicare cost reporting and communicated payment policies.
- Verified patient insurance and eligibility for Medicare, Medicaid, and Commercial Insurance Claims.
- Researched best practices to streamline departmental processes and procedures.
- Maintained strong relationships with patients to ensure timely completion of Bariatric Program.
- Resolved inquiries regarding program policies while providing exceptional customer service.
- Guided staff in identifying changes to insurance and program policies.
- Coordinated activities for program events and managed team meetings.
Team Lead, Medical Office Assistant
University of Maryland/Faculty Physicians, Inc
07.2012 - 06.2015
- Delivered on-the-job training for new and existing employees to enhance skills.
- Analyzed impacts of legislation on Medicare cost payment activities.
- Facilitated patient rooming and office procedures for multi-specialty physicians.
- Documented electronic medical records (EMR) patient histories accurately.
- Created and managed employee work schedules to ensure operational efficiency.
- Collected patient information and verified insurance details for accuracy.
- Provided insights for employee performance evaluations to support growth.
- Assisted in staffing and recruitment efforts to build a strong team.
Administrative Assistant III
University of Maryland/Faculty Physicians, Inc
07.2009 - 07.2012
- Credentialed onboarding physicians to ensure compliance with regulations.
- Managed daily calendar for a vascular surgeon, coordinating meetings and surgeries.
- Arranged travel logistics and itineraries while maintaining travel expense accounts.
- Provided direct support for a vascular surgeon's clinical needs.
- Scheduled patient appointments and handled daily insurance correspondence.
- Prepared billing documents to facilitate timely reimbursements.
- Conducted campus tours for onboarding physicians to familiarize them with facilities.
Certified Medical Assistant II
University of Maryland/Faculty Physicians, Inc
09.2007 - 07.2009
- Verified completion of insurance forms to ensure compliance with regulations.
- Updated and documented patient history using electronic medical records.
- Performed injections as part of patient care procedures.
- Assisted physicians during exams and minor procedures, enhancing operational efficiency.
- Arranged hospital admissions for patients, facilitating smooth transitions in care.
- Collected laboratory specimens from doctors' offices for diagnostic testing.
- Sterilized medical equipment to maintain safety and hygiene standards.
Education
Health Services Management
University of Maryland Global Campus
12.2025
Skills
- Project management
- Data analysis
- Healthcare compliance
- Appointment scheduling
- Insurance verification
- Patient advocacy
- Vendor management
- Microsoft Office proficiency
- SAP and Concur expertise
- Quality control
- Purchase order management
- Procurement processes
- Data coordination
- Order placement
- Eligibility verification
- Appeals management
- HIPAA compliance
- Payment posting
Timeline
Admin Project Leader
The Johns Hopkins Hospital
10.2023 - Current
Medical Appointment Coordinator
DMI/IRMAC
04.2023 - 08.2023
Claims Benefit Specialist
CVS
10.2021 - 10.2022
Office Supervisor, Operations/Insurance Coordinator
University of Maryland Medical Center
06.2015 - 09.2020
Team Lead, Medical Office Assistant
University of Maryland/Faculty Physicians, Inc
07.2012 - 06.2015
Administrative Assistant III
University of Maryland/Faculty Physicians, Inc
07.2009 - 07.2012
Certified Medical Assistant II
University of Maryland/Faculty Physicians, Inc
09.2007 - 07.2009
Health Services Management
University of Maryland Global Campus
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