Sha'dora Hoard
Greer,SC
Summary
Dedicated and results-oriented PSR/Referral specialist with over Five years of experience in coordinating patient referrals, managing patient information and improving patient access to healthcare services. Eager to leverage strong communication skills, organizational abilities and data management expertise to ensure seamless patient referrals and improve healthcare delivery. Committed to enhancing patient experiences and contributing to the efficiency of healthcare operations.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Patient Service Representative
Bon Secour Piedmont Orthopedic
03.2020 - Current
- Verified patient insurance eligibility and entered patient information into system.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Entered patient demographic and insurance data into electronic medical record system.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Answered incoming calls, scheduled appointments and filed medical records.
- Balanced deposits and credit card payments each day.
Medical Claim Processor
Concentrix
07.2015 - 01.2020
- Reviewed provider coding information to report services and verify correctness.
- Managed large volume of medical claims on daily basis.
- Paid or denied medical claims based upon established claims processing criteria.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Determined appropriateness of payers to protect organization and minimize risk.
Patient Care Technician
Homewatch CareGiversInc
04.2013 - 05.2015
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Maintained clean and safe environment to promote patient safety and comfort.
- Assisted in transferring patients, beds and patient care equipment to other rooms adhering to necessary safety precautions.
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
- Prevented cross-contamination by cleaning and sterilizing equipment.
- Observed patients under care conditions to help identify symptoms, responses to treatments and progress with goals.
Education
Associate of Applied Science - Healthcare Administration
Brown Mackie College
Greenville, SC05-2016
Skills
- Appointment coordination
- Insurance eligibility verification
- Patient Intake and Referral Coordination
- Effective communication
- Electronic health record systems
- Data entry proficiency
- Strong verbal communication
- Customer engagement
- Pre-authorizations
Certification
- Certified Professional Coder (CPC)-Expected 9/2025
Timeline
Patient Service Representative
Bon Secour Piedmont Orthopedic
03.2020 - Current
Medical Claim Processor
Concentrix
07.2015 - 01.2020
Patient Care Technician
Homewatch CareGiversInc
04.2013 - 05.2015
Associate of Applied Science - Healthcare Administration
Brown Mackie College
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