Samantha Evans
Union,WV
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
1
1
Certification
Work History
Provider Enrollment Coordinator
Charleston Area Medical Center Health System Inc.
Charleston, WV
01.2024 - 01122024
- Verified provider credentials with licensing boards and other regulatory bodies to ensure compliance with applicable standards.
- Researched and resolved discrepancies in enrollment applications.
- Maintained accurate records of all provider enrollments and re-enrollments.
- Processed new provider applications and requests for changes to existing providers.
- Communicated regularly with providers, payers, and internal teams regarding the status of their applications.
- Monitored completion of required documents from providers prior to submitting them for processing.
- Assisted in developing policies and procedures related to provider enrollment processes.
- Developed relationships with vendors who provide services related to the enrollment process.
- Submitted timely updates on pending enrollment applications to management team.
- Provided guidance and support to providers throughout the application process.
- Reviewed contracts between providers and payers for accuracy and completeness.
- Coordinated review of third-party authorization forms when necessary.
- Collaborated with internal departments such as billing, customer service, compliance.
- Generated reports on enrolled, rejected, inactive providers for management review.
- Handled new enrollments by entering customers' data and reviewing information.
Operations Analyst
Greenbrier Valley Medical Center
Ronceverte, WV
08012023 - 01012024
- Provided project management support for the development of new products, services, or processes.
- Conducted research on industry trends and best practices to inform decision-making.
- Maintained up-to-date records of all transactions related to operational activities.
- Provided technical assistance in troubleshooting issues related to operational systems.
- Educated personnel on company policies to foster improved customer retention and increased revenue.
- Gathered, organized and entered data into Athena.
- Maintained record of attendances and call-ins.
- Entered in PTO time for Employees upon request and approval.
- Made changes and updates to employee times in payroll system as needed.
- Provided assistance in ordering of supplies, both medical and front office.
Administrative Assistant
Greenbrier Valley Medical Center
Ronceverte, WV
01012022 - 09012023
- Provided administrative support to the executive team, including scheduling meetings and managing calendars.
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Managed incoming calls while providing information or transferring callers to appropriate personnel.
- Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies.
- Assisted with the planning of special events by arranging catering services, securing venues and ordering promotional materials.
- Coordinated mailings including sorting mail, preparing packages for shipping via courier service or postal service.
- Entered data into spreadsheets using Microsoft Excel or other similar programs.
- Updated contact lists regularly when changes occur in employee status or contact information.
- Answered phone calls and emails to provide information, resulting in effective business correspondence.
- Provided secretarial and office management support while building cooperative working relationships.
- Inventoried and ordered supplies for office.
- Responded effectively to sensitive inquiries or complaints.
- Tracked and submitted employee timesheets to prepare for payroll processing.
- Organized files, developed spreadsheets, faxed reports and scanned documents, maintaining front desk and reception area in neat and organized fashion.
Medical Billing Assistant
Greenbrier Valley Medical Center
Ronceverte, WV
03012022 - 09012022
- Processed and submitted claims to insurance companies electronically or by paper.
- Investigated denials from insurance carriers and resubmitted claims as needed.
- Answered inquiries from patients regarding their bills and payment plans.
- Maintained accurate records of claims processing in compliance with HIPAA regulations.
- Assisted patients in understanding the details of their billings and payments.
- Utilized various software programs such as Microsoft Office Suite, Electronic Medical Records, and Practice Management Systems.
- Reviewed Explanation of Benefits statements from insurers for accuracy against charges submitted to ensure proper reimbursement was received.
- Provided customer service support to patients over the phone related to billing questions or concerns.
- Submitted appeals to insurance companies when necessary.
- Worked closely with other departments such as clinical staff, administrative staff, and finance department personnel to resolve any issues related to billing.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Verified insurance coverage and eligibility for medical services rendered.
Front Desk Receptionist
Greenbrier Valley Medical Center
Ronceverte, WV
03012021 - 01102022
- Greeted customers warmly and made them feel welcome.
- Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
- Assisted with scheduling appointments for clients and visitors.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Managed incoming and outgoing mail, courier services, faxes and other correspondence.
- Performed data entry into computer systems to maintain accurate records of customer information.
- Provided administrative support such as filing documents, photocopying and scanning materials.
- Handled cash transactions accurately, balancing the register at the end of each shift.
- Processed payments from customers using a variety of payment methods including credit cards, checks and money orders.
- Verified identity documents for new customers before opening accounts in accordance with company policies.
- Updated customer information in databases regularly to ensure accuracy of records.
- Reconciled daily financial transactions against cash receipts at the end of each day's business activity.
- Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
- Resolved any customer complaints or issues in a timely fashion following established protocols.
- Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
- Explained policies and procedures to visitors.
- Completed basic bookkeeping and document filing.
- Signed for packages, recorded deliveries and distributed to personnel.
- Monitored reception area to provide consistently safe, hazard-free environment for customers.
911 Telecommunicator
Monroe County 911 Center
Union, WV
04012012 - 03012021
- Answered incoming 911 calls and determined the nature of emergency.
- Dispatched appropriate personnel to respond to emergency situations.
- Maintained contact with callers until help arrived at scene.
- Provided pre-arrival instructions to callers regarding medical, fire, and other emergencies.
- Monitored radio frequency for active incidents or events requiring dispatch assistance.
- Assessed caller's needs and provided support as needed during crisis situations.
- Documented all relevant details from each call in computer-aided dispatch system.
- Received requests for non-emergency services such as tow trucks, ambulances, locksmiths. and dispatched resources accordingly.
- Prioritized multiple simultaneous calls based on severity of incident reported by caller.
- Coordinated response efforts between police, fire departments, EMS units, hospitals and other agencies involved in responding to an incident.
- Communicated with dispatchers from other jurisdictions to coordinate mutual aid responses across county lines or state borders when necessary.
- Updated CAD system regularly with status reports from field units on location and progress of their assignments.
- Participated in training sessions related to new technologies used in Emergency Dispatching.
- Performed administrative duties such as filing paperwork, scheduling shift coverage, maintaining records.
- Alerted supervisors immediately if any life threatening situation arose while communicating with a caller or monitoring field unit progress.
- Used radio, telephone and computer system to update first responders with new information.
- Handled emergency phone calls calmly and obtained pertinent information with composed approach.
- Assisted departments with special requests for assistance and BOLOs.
- Researched vehicle, wanted and missing persons information.
Emergency Medical Technician
Union Rescue Squad
Union, WV
07012009 - 04012012
- Assisted in providing medical care to patients with life-threatening conditions and injuries.
- Performed basic life support procedures such as cardiopulmonary resuscitation and automated external defibrillation.
- Transported patients to hospitals or other healthcare facilities using ambulances or other vehicles.
- Responded quickly to emergency calls, assessed the situation and provided appropriate treatment for illnesses or injuries.
- Maintained patient vital signs, including blood pressure, respiration rate, pulse rate, temperature, oxygen saturation level and pain levels.
- Administered medications as prescribed by a physician.
- Provided on-scene treatments such as administering oxygen therapy and splinting fractures.
- Communicated effectively with physicians and hospital personnel regarding patient's condition during transport process.
- Collaborated with other medical professionals to ensure quality of care for all patients.
- Assessed the scene of an accident or incident before providing medical assistance.
- Monitored patient status during transport ensuring safety at all times.
- Documented patient assessment findings in accordance with established protocols.
- Participated in continuing education courses to maintain certification requirements.
- Ensured that ambulance was stocked properly with necessary supplies prior to responding to calls.
- Provided emotional support and comfort to patients while transporting them to their destination.
- Observed infection control measures when treating multiple patients within a given timeframe.
- Remained level-headed and proactive during emergency situations.
- Communicated with dispatchers and hospital personnel to arrange logistics for patient transport.
- Operated and drove ambulances to transfer patients to hospitals or other healthcare facilities.
Education
High School Diploma -
James Monroe High School
Lindside, WV05-2009
Skills
- Claims Processing
- Workflow Optimization
- HIPAA Compliance
- Software troubleshooting
- Insurance Verification
- Provider Relations
- Benefits Administration
- Record maintenance
- Deadline Management
- Telephone and email skills
- Customer service expertise
- Data entry skills
- Strong Organization
- Excellent Phone Demeanor
- Time management proficiency
Certification
- Certified Professional Coder in training
References
References available upon request.
Timeline
Provider Enrollment Coordinator
Charleston Area Medical Center Health System Inc.
01.2024 - 01122024
Operations Analyst
Greenbrier Valley Medical Center
08012023 - 01012024
Administrative Assistant
Greenbrier Valley Medical Center
01012022 - 09012023
Medical Billing Assistant
Greenbrier Valley Medical Center
03012022 - 09012022
Front Desk Receptionist
Greenbrier Valley Medical Center
03012021 - 01102022
911 Telecommunicator
Monroe County 911 Center
04012012 - 03012021
Emergency Medical Technician
Union Rescue Squad
07012009 - 04012012
High School Diploma -
James Monroe High School