SHANA MARIE RUSSO
Matawan,NJ
Summary
Healthcare professional with comprehensive experience in medical administrative tasks and patient interaction. Known for effective office management, ensuring smooth operations and seamless patient flow. Skilled in medical terminology, electronic health records, benefits, pre authorizations and patient office /surgical scheduling. Fluent in Spanish and Portuguese languages.
Overview
25
25
years of professional experience
Work History
Medical Office Assistant-Pre Authorization/Patient Coordinator
ALLIED DIGESTIVE HEALTH - GASTROENTEROLOGY
2022.05 - 2023.11
- Verify patients' benefits, eligibility and submit pre-authorization documentation and referrals as required for medical procedures
- Schedule patients for office visits, medical records requests, collect co pays/coinsurance, patient billing, and claims resolution for collections.
Pediatric Office Insurance & Billing/Front Desk assistant
SENSORY PLAYGROUND THERAPY
2021.05 - 2021.12
- Processed insurance pre authorizations for pediatric OT/PT therapies; managed collections; set up payment plans
- Submitted patient evaluations and progress notes; processed medical billing claims in Web PT portal
- Scheduled appointments, created, and maintained files; processed claims, verified insurance benefits and eligibility using Availity, Navinet, Aim Specialty, NIA, Meritain, UHC, Optum and Horizon, collected and reconciled accounts.
Pediatric Office Insurance & Billing/Front Desk assistant
SENSORY PLAYGROUND THERAPY
2021.05 - 2021.12
- Processed insurance pre authorizations for pediatric OT/PT therapies; managed collections; set up payment plans
- Submitted patient evaluations and progress notes; processed medical billing claims in Web PT portal
- Scheduled appointments, created, and maintained files; processed claims, verified insurance benefits and eligibility using Availity, Navinet, Aim Specialty, NIA, Meritain, UHC, Optum and Horizon, collected and reconciled accounts.
Human Resources/ Benefits Manager
GENESIS HEALTHCARE CENTER
2010.06 - 2017.04
- Recruited new hires and conducted onboarding functions beginning to end, improved employee retention rates, supported organization development, implemented HR policies and employee recognition programs
- Administrated health benefits, disability, workers' compensation, leaves of absence, pension, and retirement plans
- Conducted employee investigations, including conflict resolution, and properly documenting all incidents
- With management, advised and counseled administrative staff of proposed organization changes.
Human Resources/ Benefits Manager
GENESIS HEALTHCARE CENTER
2010.06 - 2017.04
- Recruited new hires and conducted onboarding functions beginning to end, improved employee retention rates, supported organization development, implemented HR policies and employee recognition programs
- Administrated health benefits, disability, workers' compensation, leaves of absence, pension, and retirement plans
- Conducted employee investigations, including conflict resolution, and properly documenting all incidents
- With management, advised and counseled administrative staff of proposed organization changes.
Benefits & Leave of Absence Specialist
INVENTIV HEALTH INC.
2008.03 - 2009.10
- Administered benefits for corporate sales force nationwide/internationally; conducted benefits orientations
- Counseled on eligibility and ensured legal compliance for leaves of absence and workers' compensation
- Processed disability, workers' compensation, and FMLA for NJ, PA, CT, CA, RI, and HI
- Counseled employees on compliance and eligibility for NJFLA, NJ Paid Family Leave/NJ Bonding.
Benefits & Leave of Absence Specialist
INVENTIV HEALTH INC.
2008.03 - 2009.10
- Administered benefits for corporate sales force nationwide/internationally; conducted benefits orientations
- Counseled on eligibility and ensured legal compliance for leaves of absence and workers' compensation
- Processed disability, workers' compensation, and FMLA for NJ, PA, CT, CA, RI, and HI
- Counseled employees on compliance and eligibility for NJFLA, NJ Paid Family Leave/NJ Bonding.
Benefits Counselor
RARITAN BAY MEDICAL CENTER
2006.03 - 2008.03
- Company Overview: HOSPITAL & HEALTH CARE
- Assisted in administration and communication of employee benefit plans; conducted new hire benefits enrollments/orientations
- Conducted annual benefits open enrollments for all employees
- FMLA, COBRA, disability, health benefits, workers' compensation, and retirement/pension plans.
- HOSPITAL & HEALTH CARE
Benefits Counselor
RARITAN BAY MEDICAL CENTER
2006.03 - 2008.03
- Company Overview: HOSPITAL & HEALTH CARE
- Assisted in administration and communication of employee benefit plans; conducted new hire benefits enrollments/orientations
- Conducted annual benefits open enrollments for all employees
- FMLA, COBRA, disability, health benefits, workers' compensation, and retirement/pension plans.
- HOSPITAL & HEALTH CARE
Human Resources Assistant
GREAT WEST LIFE & ANNUITIES INSURANCE CO.
2002.06 - 2005.12
- Administered benefits, retirements and leaves of absence programs, new hire orientations, employee relations and performance issues
- Managed job fairs, payroll issues and maintained legally compliant personnel files.
Human Resources Assistant
GREAT WEST LIFE & ANNUITIES INSURANCE CO.
2002.06 - 2005.12
- Administered benefits, retirements and leaves of absence programs, new hire orientations, employee relations and performance issues
- Managed job fairs, payroll issues and maintained legally compliant personnel files.
Human Resources Coordinator
SANOFI-AVENTIS PHARMACEUTICALS
2002.06 - 2005.12
- Maintained data integrity; generated audit reports and provided basic report support in SAP/Glorhia
- Processed promotions, transfers, leaves, hires, and terminations for domestic and international hires in US/Puerto Rico
- As primary contact for HR Services, participated in enhancement and redesign of onboarding process.
Human Resources Coordinator
SANOFI-AVENTIS PHARMACEUTICALS
2002.06 - 2005.12
- Maintained data integrity; generated audit reports and provided basic report support in SAP/Glorhia
- Processed promotions, transfers, leaves, hires, and terminations for domestic and international hires in US/Puerto Rico
- As primary contact for HR Services, participated in enhancement and redesign of onboarding process.
Customer Service Benefits Representative
GREAT WEST LIFE & ANNUITIES INSURANCE CO.
1999.04 - 2001.12
- Handled complex client base; provided customer service to policyholders, providers, and brokers
- Quoted eligibility and claims status, processed claims for payment or adjustment.
Customer Service Benefits Representative
GREAT WEST LIFE & ANNUITIES INSURANCE CO.
1999.04 - 2001.12
- Handled complex client base; provided customer service to policyholders, providers, and brokers
- Quoted eligibility and claims status, processed claims for payment or adjustment.
Education
Bachelor of Science - Business Administration
Centenary University
Parsippany, NJ2018-01
Associate Degree in Applied Science - Business Administration
Gibbs College
Montclair, NJCertificate - Executive Assistant Program
Katherine Gibbs School
Piscataway, NJ1996-01
Skills
- MS Office
- HRIS
- EMR
- ADP
- Athena
- Practice Fusion
- Availity/Navinet
- Web PT
- Knowledge of Medical Terminology
- HIPAA regulations
Timeline
Medical Office Assistant-Pre Authorization/Patient Coordinator
ALLIED DIGESTIVE HEALTH - GASTROENTEROLOGY
2022.05 - 2023.11
Pediatric Office Insurance & Billing/Front Desk assistant
SENSORY PLAYGROUND THERAPY
2021.05 - 2021.12
Pediatric Office Insurance & Billing/Front Desk assistant
SENSORY PLAYGROUND THERAPY
2021.05 - 2021.12
Human Resources/ Benefits Manager
GENESIS HEALTHCARE CENTER
2010.06 - 2017.04
Human Resources/ Benefits Manager
GENESIS HEALTHCARE CENTER
2010.06 - 2017.04
Benefits & Leave of Absence Specialist
INVENTIV HEALTH INC.
2008.03 - 2009.10
Benefits & Leave of Absence Specialist
INVENTIV HEALTH INC.
2008.03 - 2009.10
Benefits Counselor
RARITAN BAY MEDICAL CENTER
2006.03 - 2008.03
Benefits Counselor
RARITAN BAY MEDICAL CENTER
2006.03 - 2008.03
Human Resources Assistant
GREAT WEST LIFE & ANNUITIES INSURANCE CO.
2002.06 - 2005.12
Human Resources Assistant
GREAT WEST LIFE & ANNUITIES INSURANCE CO.
2002.06 - 2005.12
Human Resources Coordinator
SANOFI-AVENTIS PHARMACEUTICALS
2002.06 - 2005.12
Human Resources Coordinator
SANOFI-AVENTIS PHARMACEUTICALS
2002.06 - 2005.12
Customer Service Benefits Representative
GREAT WEST LIFE & ANNUITIES INSURANCE CO.
1999.04 - 2001.12
Customer Service Benefits Representative
GREAT WEST LIFE & ANNUITIES INSURANCE CO.
1999.04 - 2001.12
Bachelor of Science - Business Administration
Centenary University
Associate Degree in Applied Science - Business Administration
Gibbs College
Certificate - Executive Assistant Program
Katherine Gibbs School