Shanee Anderson
Philadelphia,PA
Summary
Detail-oriented professional with excellent communication, interpersonal and creative thinking skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
14
14
years of professional experience
Work History
Provider Enrollment Analyst
Amerihealth Caritas
12.2022 - Current
- Checked documentation for accuracy and validity on updated systems.
- Verified client information by analyzing existing evidence on file.
- Communicates notification of changes to appropriate providers, members and other departments within contracted time frame.
- Collaborate with provider and internal customer by responding to/and resolving all request and inquiries related to Panel Transfers
- Manage over 60-80 records per day updating, adding, deleting
Patient Quality Specialist
RECOVERY CENTERS OF AMERICA
01.2022 - 07.2022
- Collaborated with departmental leaders to establish organizational goals, strategic plans and objectives.
- Referred unresolved customer grievances to designated departments for further investigation.
- Analyzed and collected customer information to prepare product or service reports.
- Built sustainable relationships and trust with customer accounts using open and interactive communication.
- Gave accurate and appropriate information to answer questions, troubleshoot issues and resolve complaints.
Intake Coordinator
THE RENFREW CENTER
04.2018 - 12.2021
- Actively engage consumers in a highly responsive manner while utilizing sales ability to assist patients, families and professionals to move forward with Renfrew services
- Compile information regarding patient's demographics, symptom and treatment history
- Verify insurance benefit information to enter into electronic database accurately and timely
- Maintain follow-up contact including outreach calls or emails to patients, families and professionals to asset patients in entering treatment at The Renfrew Centers
- Meets established departmental metrics such as % of calls to intakes, % of intakes to assessments, % of assessments to admission
- Trained employees in job-specific tasks
Health Assistant
ACCOLADE
11.2019 - 11.2021
- Answering calls in a high volume, fast paced environment, from members regarding benefits, claims, scheduling appointments, and ordering ID cards
- Investigated and directed patient inquiries and complaints to appropriate medical staff members and followed up to ensure satisfactory resolution
- Closing knowledge gaps and proactively educate regarding additional programs and benefits available
- Health Plan Case Management to address patient issues and barriers to care
- Responded quickly to meet customer needs and resolve problems.
House Coordinator
Salisbury Behavioral Health
04.2013 - 04.2018
- Provide support and guidance to consumers to engage in social and leisure activities and to develop/ strengthen problems solving skills and positive relationships while in Recovery
- Utilize safe crisis management techniques to manage situations involving agitated and/or hostile behaviors of consumers, without the use of physical restraints
- Maintain consumer confidentiality per company policy, HIPAA Privacy Rule regulations.
- Maintain required records of work hours, budgets, payrolls, household budgets, and accurately account for house petty cash expenditures
- Evaluated employee performance and recommended promotions, transfers and dismissals.
Payroll/Billing Adjuster
FIRST TRANSIT
02.2009 - 05.2013
- Maintain personnel and pay records for over 300 employees
- Utilize computer software to maintain,retrieve and program data for analyses and reports
- Calculate deductions including but not limited to; income tax withholding, Social Security payments,insurance, and union dues
- Develop and enforce payroll processing policies and procedures
- Complete, verify, and process forms and documentation for administration of benefits such as pensionplans, unemployment and medical insurance
- Process printed sales slips for invoicing in a manual processwith the help of a spreadsheet system
- Maintain accurate and complete payroll records, and ensure compliance with regulatory payrollrequirements
Education
High School Diploma -
SAMUEL S. FELS HIGH SCHOOL
Philadelphia, PA06.2007
Bachelor of Science - Applied Psychology Candidate
THOMAS JEFFERSON UNIVERSITY
Philadelphia, PA05.2024
Skills
- Salesforce, Avatar, Epic, Navinet, Onesource, Visual Cactus, EXP MACESS, MSSQL and Facets
- Proficiency in Outlook, Microsoft Word, Excel, PowerPoint, Access and Teams
- Typing 50WPM, 10Key, 110 KS PM
- Customer Retention Strategies
- Customer Complaint Resolution
- Admissions Intake
- Team Management
- Crisis Intervention
- Provider Enrollment
- Credentialing Data Coordination
Additional Information
- Willing to relocate: Anywhere
Timeline
Provider Enrollment Analyst
Amerihealth Caritas
12.2022 - Current
Patient Quality Specialist
RECOVERY CENTERS OF AMERICA
01.2022 - 07.2022
Health Assistant
ACCOLADE
11.2019 - 11.2021
Intake Coordinator
THE RENFREW CENTER
04.2018 - 12.2021
House Coordinator
Salisbury Behavioral Health
04.2013 - 04.2018
Payroll/Billing Adjuster
FIRST TRANSIT
02.2009 - 05.2013
High School Diploma -
SAMUEL S. FELS HIGH SCHOOL
Bachelor of Science - Applied Psychology Candidate
THOMAS JEFFERSON UNIVERSITY
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