Shahmirra A. Surles
Montgomery,AL
Summary
Healthcare enrollment professional with strong knowledge of Medicaid requirements, provider documentation, and compliance-driven review processes. Brings a steady, organized approach to application processing, database updates, discrepancy resolution, and provider support while maintaining accurate records and efficient workflow across multiple tasks.
Overview
21
21
years of professional experience
Work History
Yard Scanner
MA Glovis America Inc. (Vehicle Processing Center-Alabama)
02.2024 - Current
- Use a hand-held scanner to scan vehicle bar codes and verify VIN numbers
- Walk unit to unit to scan vehicles in the lot at the VPC entrance side
- Executed tasks efficiently while adhering to company standards, safety guidelines, and color protocols
- Report any issues to the supervisors' attention immediately
- Communicated effectively with customers and team members to ensure satisfaction and clarity
- Communicate effectively with internal/external customers, peers, and supervisors to meet and exceed customer expectation
- Stay well-informed of any changes in tasks or policies and procedures
- Worked on-site to support operational tasks
PROVIDER ENROLLMENT SPECIALIST
GAINWELL TECHNOLOGY
Montgomery, Alabama
07.2018 - Current
- Supported end-to-end provider enrollment processes, including initial applications, revalidations, and updates, with timely, accurate submissions.
- Processed provider applications and re-applications, completing initial mailing and updating database records on schedule.
- Verified credentialing details and reviewed provider documentation, partnering with stakeholders to resolve discrepancies.
- Worked with internal departments and external organizations to collect required enrollment information and maintain regulatory compliance.
- Built positive relationships with healthcare providers, responding to questions and concerns about enrollment status and requirements.
- Applied knowledge of Medicaid enrollment processes, including revalidations, medical license expirations, deactivations, NPI taxonomy, data flow to Medicaid managed care, Medicaid billing manuals, state administrative codes, border state enrollment, and out-of-state enrollment.
- Used Salesforce dashboards to organize workload and improve operational efficiency.
- Performed audits and shared feedback to reduce errors and improve process performance.
SCANNER/MAILROOM HELPER
GAINWELL TECHNOLOGY
12.2009 - 06.2020
- Use scanning machines to convert physical documents, such as paper files, photographs, and other materials, into digital formats.
- Ensure the proper setup and calibration of scanning equipment.
- Conducted quality checks on scanned images, ensuring accuracy and clarity for reliable digital records.
- Entered information into scanning system, including document metadata and indexing details, to maintain organized digital files.
- Follow security protocols to safeguard sensitive information during the scanning process.
- Maintain accurate records of scanned documents, including tracking progress and completion status.
- Documented scanning activities to track progress and identify issues, contributing to streamlined operations.
- Work closely with other team members, including data entry specialists and document management professionals, to facilitate efficient workflow.
REENROLLMENT SPECIALIST
GAINWELL TECHNOLOGY
03.2015 - 07.2018
- Led the reenrollment process for healthcare providers, ensuring compliance with regulatory requirements and organizational policies.
- Collaborated with internal teams to gather and update provider information, effectively resolving issues during reenrollment process.
- Coordinated provider orientations and training sessions to enhance understanding of enrollment processes and requirements.
CASHIER/CUSTOMER SERVICE
WALMART
02.2007 - 07.2018
- Resolved customer complaints and issues promptly and professionally, enhancing customer satisfaction.
- Assisted customers in locating products, answering inquiries, and informing them about promotions and discounts to improve their shopping experience.
- Processed customer transactions accurately and efficiently using point-of-sale systems.
- Handled cash, checks, and electronic payments while consistently balancing cash drawer.
- Maintained a clean and organized checkout area, ensuring a pleasant shopping experience for customers.
ADMINISTRATIVE LEAD CLERK II
GAINWELL TECHNOLOGY
10.2005 - 07.2018
- Enter data into the agency's information systems with a high level of accuracy.
- Update and maintain databases, ensuring data integrity.
- Developed and maintained filing systems to ensure efficient information retrieval.
- Processed and documented incoming and outgoing mail to support timely and accurate organizational communication.
- Sorted and distributed incoming documents to streamline application and correspondence processing.
- Respond to inquiries via phone, email, or in-person in a professional and courteous manner.
- Submit requests for Non-Emergency Transportation (Net) Vouchers and interact with Net Coordinators and Medicaid Agency Case Managers.
- Obtained Medicaid cards and ensured demographic information was current in the database.
Education
BACHELOR OF SCIENCE - BUSINESS ADMINISTRATION /LOGISTICS
A&M UNIVERSITY
NORMAL, ALABAMA05-2003
Skills
- Enrollment processes
- Time management
- Customer communication
- Pressure resilience
- Professional demeanor
- Team collaboration
- Regulatory compliance
- Document review
Activities and Interests
Theater, Family Time, Shopping, and Walking
Timeline
Yard Scanner
MA Glovis America Inc. (Vehicle Processing Center-Alabama)
02.2024 - Current
PROVIDER ENROLLMENT SPECIALIST
GAINWELL TECHNOLOGY
07.2018 - Current
REENROLLMENT SPECIALIST
GAINWELL TECHNOLOGY
03.2015 - 07.2018
SCANNER/MAILROOM HELPER
GAINWELL TECHNOLOGY
12.2009 - 06.2020
CASHIER/CUSTOMER SERVICE
WALMART
02.2007 - 07.2018
ADMINISTRATIVE LEAD CLERK II
GAINWELL TECHNOLOGY
10.2005 - 07.2018
BACHELOR OF SCIENCE - BUSINESS ADMINISTRATION /LOGISTICS
A&M UNIVERSITY