Shabar Chandler
El Sobrante,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude, with the willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Authorization Representative
University Of California, San Francisco
07.2022 - Current
- Maintained consistent follow-up on status of prior authorization requests, for the California Children's Services unit.
- Submitted for prior authorization with required documentation to appropriate funding source.
- Reviewed authorizations from payer to determine approved or denied items.
- Worked well in team settings, providing support and guidance.
- Excellent communication skills, both verbal and written.
- Passionate about learning and committed to continual improvement.
- Knowledge of payer requirements for authorization and billing
- Identifies, analyzes and resolves a variety of scheduling issues
- Determines whether patients are eligible to receive health care benefits under the program by determining the patients’ status/eligibility, and the appropriate authorization path.
- Formulate brief sentences from providers, social workers, and care coordinators, after requests correspondence have been submitted through the CCS provider portal, including clinical information when available.
Patient Service Representative
Alameda Health System Highland General Hospital
03.2020 - 06.2022
- Verified insurance eligibility and coverage for patients.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Entered patient demographic and insurance data into electronic medical record system, using EPIC.
- Built and maintained positive working relationships with patients and staff.
- Assisted patients in filling out check-in and payment paperwork.
Patient Liaison Team Lead
GetixHealth Care
07.2016 - 03.2020
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
- Monitored workflow to improve employee time management and increase productivity.
- Evaluated employee performance and coached and trained to improve weak areas.
- Maintained compliance with company policies, objectives, and communication goals.
- Enforced rules and regulations outlined in company manual to set forth expectations comprehensibly and consistently.
Education
Master of Science - Health Care Informatics
Colorado Technical University
Colorado Springs, CO05.2022
Bachelors of Science Health Care Management -
Colorado Technical University
Colorado Springs, CO12.2019
High School Diploma -
Encinal High School
Alameda, California06.2007
Skills
- Communication skills
- Computer literacy
- Working Independently
- Training & Development
- Problem Solving
- HIPAA Compliance
- Organizational Management
- APEX
- Revenue Management
- Account Management
- Document Preparation
- Correspondence Management
Timeline
Authorization Representative
University Of California, San Francisco
07.2022 - Current
Patient Service Representative
Alameda Health System Highland General Hospital
03.2020 - 06.2022
Patient Liaison Team Lead
GetixHealth Care
07.2016 - 03.2020
Master of Science - Health Care Informatics
Colorado Technical University
Bachelors of Science Health Care Management -
Colorado Technical University
High School Diploma -
Encinal High School
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