Summary
Overview
Work History
Education
Skills
References
Certification
Timeline
Generic

Shalanda Smith

Rochester,NY

Summary

To pursue a career that will allow versatility in growth, development, and will give me the opportunity to utilize my excellent customer service skills. Organized simultaneous office functions and direct administrative personnel to meet needs of Senior administration . Performance-oriented and driven with in-depth understanding of budgets, payroll and office organization needs. Skillfully coordinate resources and administrative support to keep operations smooth and boost team productivity.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Senior Information Coordinator

DiMarco Constructors
08.2017 - Current

    • Streamlined information flow by implementing efficient coordination processes and procedures.
    • Implemented project management techniques to overcome obstacles and increase team productivity.
    • Improved collaboration among team members by maintaining accurate contact lists and organizational charts.
    • Improved office operations by automating client correspondence, record tracking and data communications.
    • Maintained strict confidentiality in handling sensitive information, safeguarding company reputation and employee privacy.
    • Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
    • Developed and maintained strong working relationships with external partners, including vendors and other industry professionals, to facilitate effective information exchange and collaboration.
    • Facilitated efficient subcontractor coordination by managing correspondence, scheduling meetings, and distributing pertinent information as needed.
    • Enhanced project efficiency by providing administrative support to construction management teams.
    • Prepared and maintained departmental and construction contracts and invoices and submitted for payment.

Communications Representative

University of Rochester
06.2016 - 08.2017
  • Answer high volume of calls for UR Medicine Endocrine Department and U of R Marketing lines
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Adapted seamlessly to any changes in provider schedules or office policies, maintaining high level of accuracy and efficiency in appointment management.
  • Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
  • Training new staff members on UR Medicine Endocrine Department line
  • Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
  • Adapted quickly to changes in call volume or staffing needs by seamlessly transitioning between different roles within the call center environment.
  • Sought ways to improve processes and services provided.
  • Contributed to increased team productivity by sharing knowledge, best practices, and resources with fellow representatives.
  • Promoted customer retention with exceptional service, consistently ensuring positive experiences during every interaction.
  • Streamlined appointment scheduling by implementing efficient online booking system.

Medical Secretary

Rochester Urgent Care
10.2015 - 06.2016
  • Registered new patients in electronic medical records prior to appointment scheduling.
  • Provided administrative support during audits or inspections, ensuring efficient retrieval of required documents showcasing compliance with regulatory standards.
  • Prepared and processed patient referrals and transfer requests.
  • Reduced wait times for patients by effectively coordinating lab tests, imaging studies, and consultations with other healthcare providers.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Ensured compliance with HIPAA regulations through proper handling of sensitive patient information within the office setting.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Obtained payments from patients and scanned identification and insurance cards.

Operations Clerk

Maximus Federal Services
02.2014 - 10.2014
  • Assist in the sorting of incoming Medicare Appeal Cases and process required for medical case file creation.
  • Process incoming Notice of Hearings.
  • Maintain confidentiality and security of all relevant information.
  • Assist supervisor with special projects and tasks on an as needed basis.
  • Handled sensitive information with discretion while maintaining strict confidentiality in compliance with company policies and legal requirements.
  • Delivered prompt and accurate assistance on various operational matters such as account updates, transaction inquiries, dispute resolution – elevating customer experience levels significantly during interactions.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Meticulously tracked pending Medicare Part A and B Claims for follow-up action, ensuring prompt reimbursement for providers.
  • Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
  • Maintained up-to-date knowledge of Medicare regulations and guidelines, ensuring compliance in all processed claims.
  • Maintained strict confidentiality of patient information in accordance with HIPAA guidelines throughout the claims processing lifecycle.

Customer Service Admin

Lifetime Benefit Solutions
09.2012 - 12.2013
    • Research and respond to customer inquiries via telephone, in person, and by written correspondence concerning Flexible Spending Account (FSA)/Health Reimbursement Account (HRA), account requirements, claim payments benefit card transactions.
    • Persuasively communicate policies and laws to irate customers with minimal understanding of account operations to encourage compliance with company policy.
    • Review and analyze claim forms and itemized bills for accuracy, eligibility, timeliness and adherence to the IRS 125 regulation to determine if proper evidence exists to support a claim.
    • Resolved complex claims issues for expedited processing and resolution.
    • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.

Education

Medical Terminology, Microsoft 2010, Keyboarding, Filing -

SUNY Brockport Rochester Educational Opportunity Ctr.
Rochester, NY

Some College (No Degree) - Accounting, Computer Information Systems

Monroe Community College
Rochester, NY

Principles of Business -

Genesee Community College
Batavia, NY

NYS Regents Diploma -

Joseph C. Wilson Magnet High School
Rochester, NY

Skills

  • Strong knowledge in Microsoft Office 2010, Docutap EMR, DPI, Viryanet and Metasolv Solution M6 Production Systems, Medicare Appeal System, SQID imaging system, HRIS, Citrix system, eRecord, IDX Flowcast, Sage 300 Construction, Timberline
  • Typing 50WPM
  • Organizational Skills
  • Inventory Management
  • Report Writing
  • Goal Setting
  • Policy Development
  • Problem-Solving
  • Analytical Skills
  • Policy Implementation
  • Staff Development and Training
  • Performance Management
  • Documentation and Recordkeeping
  • Time Management

References

Available Upon Request

Certification

· New York State Department of Insurance Rochester, NY

License in General Lines- Life, Accident , Health

Timeline

Senior Information Coordinator

DiMarco Constructors
08.2017 - Current

Communications Representative

University of Rochester
06.2016 - 08.2017

Medical Secretary

Rochester Urgent Care
10.2015 - 06.2016

Operations Clerk

Maximus Federal Services
02.2014 - 10.2014

Customer Service Admin

Lifetime Benefit Solutions
09.2012 - 12.2013

Medical Terminology, Microsoft 2010, Keyboarding, Filing -

SUNY Brockport Rochester Educational Opportunity Ctr.

Some College (No Degree) - Accounting, Computer Information Systems

Monroe Community College

Principles of Business -

Genesee Community College

NYS Regents Diploma -

Joseph C. Wilson Magnet High School

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Shalanda Smith