Shana Goodman
Referral Coordinator
Jacksonville,FL
Summary
Adaptable professional with extensive expertise in healthcare, finance, and administration with robust understanding of patient referral systems and proven ability to streamline processes for improved patient care. Known for strong collaborative efforts within teams and consistently achieving desired outcomes. Reliable and adaptable with expertise in managing patient data and coordinating with healthcare providers.
Overview
12
12
years of professional experience
Work History
Referral Coordinator
Baptist MD Anderson Cancer Center
Jacksonville, FL
08.2024 - Current
- Collaborate with healthcare teams to enhance patient referral processes, improving efficiency.
- Verify insurance details, and secure pre-authorizations for accurate and timely patient care.
- Track referral progress to optimize appointment scheduling, and streamline operations.
- Fostered strong relationships with healthcare providers to enhance patient referral processes, leading to improved patient satisfaction, and streamlined service delivery.
- Maintained accurate documentation of insurance verification and pre-authorizations, ensuring compliance, and reducing administrative errors.
- Collaborated with medical staff to ensure appropriate referrals based on individual patient needs and insurance coverage.
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services
- Identify required actions, and execute steps to secure reimbursement for physician professional services, infusions, and chemotherapy.
- Analyze and resolve insurance claim denials to ensure accurate reimbursement. Facilitate the resolution of insurance denials by identifying errors and coordinating corrections.
- Respond to correspondence from payors, patients, and the clinic to provide required information to resolve claims.
- Respond and send emails to management, clinics, and pharmacists to resolve coding and billing issues. Send follow-up emails to ensure all necessary actions are taken.
- Make outbound calls, written or electronic communications, web portals, and/or websites to insurance companies for the status and resolution of authorization requests.
- Collaborate with payers to enforce billing compliance, assertively securing claim reviews, or changes as required.
Medical Records Coordinator
Baptist MD Anderson Cancer Center
Jacksonville, Florida
08.2023 - 08.2024
- Organized and maintained accurate patient records, safeguarding privacy in compliance with HIPAA.
- Verified and updated patient information to ensure data integrity.
- Facilitated record transfers to enhance continuity of care. Streamlined patient record management processes, ensuring compliance with HIPAA, and significantly enhancing data accuracy.
- Coordinated with healthcare teams to facilitate seamless record transfers, strengthening patient care, and enhancing communication among providers.
- Fostered a supportive environment for staff by training them on best practices in record management, promoting teamwork, and compliance.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Kept accurate log of requests for medical information and records.
- Identified new methods to optimize medical records management.
Human Resources Assistant
Wealth Watchers
Jacksonville, FL
07.2021 - 08.2023
- Maintained ledgers, reconciled accounts, and ensured payment accuracy.
- Coordinated payroll and vendor billing, supporting operational efficiency.
- Streamlined financial reporting processes, enhancing accuracy, and reducing turnaround time for month-end close.
- Analyzed expense trends to identify cost-saving opportunities, contributing to substantial improvements in budget management.
- Maintained precise financial records and conducted thorough audits, ensuring compliance with regulatory standards, and enhancing operational integrity.
- Fostered strong relationships with vendors and clients, improving communication, and driving timely payments and service delivery.
- Demonstrated a proactive attitude in team settings, offering assistance to colleagues, and contributing to a positive work environment.
- Efficiently managed personnel files, maintaining confidentiality while keeping records up-to-date and organized.
- Administered payroll processing and maintained employee records to ensure accurate, compliant, and timely compensation for a staff of 25, supporting overall HR and office operations.
- Supported talent acquisition efforts by screening resumes, scheduling interviews, and performing reference checks for prospective candidates.
- Played a key role in conflict resolution efforts, resulting in improved workplace harmony.
- Provided assistance during annual performance review processes, collecting data to help inform evaluations and goal setting initiatives.
- Enhanced onboarding experience for new hires by creating comprehensive orientation materials and training programs.
- Maintained contractor accounts by processing invoices, receivables, and deliverables using QuickBooks to support accurate monthly financial reporting.
- Organized company-wide events for team building purposes, boosting overall morale among employees.
- Managed confidential employee records, safeguarding personal and professional information.
- Assisted with creating employee handbooks and manuals.
- Created job descriptions on boards for vacant jobs.
Analyst III – Business Transformation Team
Florida Blue
Jacksonville, Florida
11.2019 - 2021
- Analyzed data to ensure compliance, enhancing workflow efficiency.
- Facilitated training to boost team performance and knowledge.
- Streamlined processes, resulting in measurable improvements.
- Supported initiatives that led to improved team outcomes.
- Contributed to effective data analysis for business transformation.
- Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Enhanced customer satisfaction rates through detailed analysis of customer feedback data and subsequent improvements in service offerings.
- Gathered qualitative data through focus groups to analyze user needs, and optimize system design.
- Performed user acceptance testing (UAT) to ensure design functionality before implementation.
Group Enrollment, Maintenance, & Billing – Senior Advisor
Florida Blue
Jacksonville, Florida
10.2013 - 11.2019
- Managed complex enrollment and billing processes, ensuring accuracy and customer satisfaction.
- Led the team in the supervisor's absence, and facilitated staff training to address skill gaps.
- Established strong partnerships with key stakeholders through consistent communication and collaboration efforts, promoting mutual success.
- Mentored junior advisors, fostering professional development and enhancing overall team performance.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.
- Coached team members in techniques necessary to complete job tasks.
- Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
- Led cross-functional teams for successful project execution while maintaining strong collaboration among team members.
- Conducted regular progress reviews with individual team members to identify areas for improvement and provide guidance on career development opportunities.
- Managed schedules, accepted time off requests and found coverage for short shifts.
- Collected, arranged, and input information into database system.
Education
High School Diploma -
Samuel W. Wolfson Sr. High School
Jacksonville, FL05-2002
Florida State University
01-2002
Project Management Certification -
Coursera
10.2025
Bachelor of Science - Human Resources Management
Western Governors University
Salt Lake City, UT 05.2001 -
Skills
Healthcare & Insurance: Insurance claim resolution, denial management, medical billing & coding, reimbursement processes, claims analysis, patient/ provider communication
Project & workflow tools: Microsoft Teams, Google workspace,
Data &Systems: EPIC, Microsoft Excel( pivot table, VLOOKUP, reporting) Diamond, Siebel, SQL (basic)
Finance & Accounting: Accounts payable and receivable, Quickbooks, invoice processing, Revenue cycle management, budget tracking
Healthcare & Insurance: Insurance claim resolution, denial management, medical billing & coding, reimbursement processes, claims analysis, patient/ provider communication
Timeline
Referral Coordinator
Baptist MD Anderson Cancer Center
08.2024 - Current
Medical Records Coordinator
Baptist MD Anderson Cancer Center
08.2023 - 08.2024
Human Resources Assistant
Wealth Watchers
07.2021 - 08.2023
Analyst III – Business Transformation Team
Florida Blue
11.2019 - 2021
Group Enrollment, Maintenance, & Billing – Senior Advisor
Florida Blue
10.2013 - 11.2019
Bachelor of Science - Human Resources Management
Western Governors University
05.2001 -
High School Diploma -
Samuel W. Wolfson Sr. High School
Florida State University
Project Management Certification -
Coursera
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