Shaneika Williams
Chicago,IL
Summary
Tech-savvy and smart specialist equipped with experience in medical environments and top-notch administrative skills. Works great with colleagues and maintains strong patient relations. Excels at following procedures and independently handling common questions and concerns.
Overview
10
10
years of professional experience
Work History
Referral Specialist
Northwestern Memorial Hospital
Chicago, IL
03.2021 - Current
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
- Participated in staff meetings and provided feedback on ways to improve procedures related to referral processing.
- Entered confidential patient information and updated electronic records in database.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Gathered and verified insurance requirements to meet payer requirements.
- Created user accounts, set up permissions, and monitored system security.
- Conducted regular maintenance checks on computers, servers, and other IT equipment.
- Investigated system errors to determine root cause of issue and implement solutions accordingly.
- Provided technical support for users experiencing hardware or software issues.
- Consulted via telephone to understand user problems, run through testing scripts and ask probing questions to locate root causes.
- Provided guidance to customers regarding available insurance plans and their benefits and limitations.
- Ensured that customer data was kept confidential at all times in accordance with applicable laws and regulations.
- Assisted in scheduling, rescheduling, and canceling appointments for patients.
- Performed follow up calls to confirm scheduled appointments.
- Provided clear instructions to patients regarding their upcoming visits.
- Maintained accurate records of patient appointments in computer system.
Financial Counselor
Northwestern Memorial Hospital
Chicago, IL
11.2018 - 03.2021
- Liaised between physician, patient and insurance carrier to verify that each party had necessary information.
- Negotiated payment arrangements with creditors when necessary on behalf of clients.
- Prepared detailed reports summarizing each client's progress towards meeting their goals.
- Assisted clients in understanding their rights under consumer protection laws.
- Conducted comprehensive financial assessments with clients to identify their current financial situation and develop appropriate action plans.
- Helped clientele gain access to available funding sources.
- Assisted patients without healthcare coverage to find resources, services and assistance needed.
- Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
- Recommended resources such as local non-profit organizations or government assistance programs where applicable.
- Reviewed and verified financial data to determine program eligibility.
- Interviewed patients and families, answering questions regarding financial process during such sessions.
- Managed multiple cases simultaneously while ensuring all deadlines were met according to established policies.
Patient Access Representative
Northwestern Mutual Life Insurance
Chicago, IL
11.2016 - 11.2018
- Applied HIPAA privacy and security regulations while handling patient information.
- Answered phones promptly in a professional manner.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Verified insurance coverage for services provided by the facility.
- Verified demographics and insurance information to register patients in computer system.
- Created new patient accounts in EMR system as needed.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Ensured accuracy of all data entered into computer system.
- Actively participated in team meetings and training sessions.
- Assisted in scheduling, rescheduling, and canceling appointments for patients.
- Provided clear instructions to patients regarding their upcoming visits.
Appointment Scheduler
Advocate Health Care
Rosemont, IL
01.2014 - 11.2016
- Assisted in scheduling, rescheduling, and canceling appointments for patients.
- Performed follow up calls to confirm scheduled appointments.
- Provided clear instructions to patients regarding their upcoming visits.
- Maintained accurate records of patient appointments in computer system.
- Answered incoming calls from potential new patients and existing patient inquiries.
- Reviewed patient medical history documents prior to appointment scheduling.
- Provided assistance with additional tasks as needed or requested by management.
- Worked collaboratively with other team members to meet departmental goals.
- Managed a high volume of emails related to appointment scheduling requests.
- Inputted patient data into the electronic health record system.
- Verified insurance information prior to appointment booking.
- Ensured compliance with HIPAA regulations when handling confidential information.
- Resolved customer complaints in a professional manner.
- Served as a liaison between patients and healthcare providers for communication purposes.
- Scheduled and confirmed appointments.
Education
High School Diploma -
Steinmetz College Prep
Chicago, IL06-2003
Skills
- Insurance Verification
- Database Management
- Appointment Scheduling
- Follow-Up Skills
- Medical Terminology Knowledge
- Google Suite Proficiency
- HIPAA Regulations
- Patient Scheduling
- Application Support
- Debugging
- Application Installations
- Technical Issue Analysis
- Troubleshooting and Diagnostics
- Call Management
- Information Security
- Inbound and Outbound Calling
- Complaint Resolution
- Data Entry
- Product Knowledge
- Data Collection
References
References available upon request.
Timeline
Referral Specialist
Northwestern Memorial Hospital
03.2021 - Current
Financial Counselor
Northwestern Memorial Hospital
11.2018 - 03.2021
Patient Access Representative
Northwestern Mutual Life Insurance
11.2016 - 11.2018
Appointment Scheduler
Advocate Health Care
01.2014 - 11.2016
High School Diploma -
Steinmetz College Prep
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