Shakila Quimby
Jesup,GA
Overview
7
7
years of professional experience
Work History
Clinical Care Coordinator
Rocky Mountain Health Plans
10.2024 - Current
- Manage and maintain Prior authorization intake requests.
- Correspond with providers and members.
- Work and maintain a daily error report.
- Process Prior authorizations and direct them to their appropriate teams.
- Review electronic chart documentation.
- Log and build prior authorizations from external system.
Health Information Specialist
Datavant
01.2023 - 08.2024
- Reviewed electronic chart documentation ensuring correct patient, location, and no duplicate information.
- Processed release of information (ROI) requests.
- Analyzed documentation and tracked completion to meet regulatory requirements.
- Worked with Microsoft Word, Excel (create, edit, save documents and spreadsheets) and Outlook (email and calendar management)
Front Desk Receptionist
Low Country Eye Care
08.2022 - 01.2023
- Efficiently handled inbound and outbound customer communications, providing accurate information to patients and third-party providers.
- Reduced office supply costs by 30% by streamlining administrative procedures and optimizing inventory control.
- Scheduled and managed patient appointments, improving scheduling accuracy by 25%.
- Resolved complex customer issues by employing problem-solving techniques, enhancing overall patient satisfaction.
Medical Office Receptionist (Contract)
Express Employment
11.2020 - 07.2022
- Greeted patients, managed appointments, and maintained organized records, improving office efficiency by 18%.
- Handled high call volumes and directed calls to appropriate departments, maintaining a 95% customer satisfaction rate.
- Enhanced communication between patients and medical staff, contributing to a 15% improvement in patient care coordination.
- Improved front desk operations during peak hours by effectively multitasking and managing competing priorities.
Call Center Representative
Radial
01.2018 - 11.2020
- Managed up to 100+ calls daily, providing exceptional customer service and reducing average call handling time by 10%.
- Used multiple software systems to improve call navigation and response efficiency, decreasing customer wait times by 15%.
- Recorded detailed customer interaction notes, streamlining inter-departmental communication and improving case resolution times by 20%.
- Resolved customer issues promptly, achieving a 90% first-call resolution rate.
Education
Bachelor of Science - Sociology
Georgia Southern University
07.2017
Skills
- Customer service
- Team oriented
- Coordinating
- Attention to detail
- Problem solving
- Data entry
- Effective oral communication
- Multitasking
- Administrative support
- Time management
- Electronic Health Records
- Strong organizational skills
- Essette
- I-CUE
Timeline
Clinical Care Coordinator
Rocky Mountain Health Plans
10.2024 - Current
Health Information Specialist
Datavant
01.2023 - 08.2024
Front Desk Receptionist
Low Country Eye Care
08.2022 - 01.2023
Medical Office Receptionist (Contract)
Express Employment
11.2020 - 07.2022
Call Center Representative
Radial
01.2018 - 11.2020
Bachelor of Science - Sociology
Georgia Southern University
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