SHANELL NEWBY
Middletown,CT
Summary
I am interpersonal supervisor and aspiring human resource manager with 8-year experience in health care industry leading teams, delivering results, and contributing to business overall success. Given the opportunity, I look forward to continuing to add value and positivity to your team/company while attaining necessary, required goals to successfully grow and be successful in my future role.
Overview
11
11
years of professional experience
Work History
Supervisor of Medical Clinical Operations
UnitedHealth Group -Optum at home
11.2022 - Current
- Directly manage a team consisting of 26 employees
- Coordinates, supervises and is accountable for daily/weekly/monthly team performance
- Collaborates, communicates, sets priorities, and organizes assigned work to meet deadlines, ensuring compliance with established processes, policies, and state regulations
- Ensures team members' performance goals are met, such as quality adherence and service levels
- Conducts annual performance reviews for team members
- Responsible for scheduling, canceling, rescheduling patient appointments and/or request, verify provider orders in compliance with insurance guidelines
- Interpret and advise employees on companies' policies
- Coordinates work activities with other supervisors
- Identifies and resolves operational problems using defined processes, expertise, and sound business judgment
- Provides detailed job instructions regarding policies and procedures, keeping all support staff informed on new practices and procedures
- Provides coaching and feedback to team members by performing call audits, weekly team meetings, and monthly one on one's
- Conducting Interviews and Processing Termination.
Patient Care Coordinator
UnitedHealth Group -Optum RX
03.2020 - 11.2022
- Educating patients on pharmacy benefits and welcoming them to Optum Specialty Pharmacy
- Responsible for obtaining prior authorizations for medication prior to fill
- Responsible for the arrangement of home delivery for patient prescriptions
- Informed patients of payment policies, collected insurance information and verified benefits
- Verifying demographics and allergies to any medication for patient safety
- Outbound Calls to various insurance companies and medical facilities for claims, appeals, and prescription status
- Demonstrating solid verbal and written communication/documentation skills
- Assist with Program consultation for patients.
Medical Assistant
UnitedHealth Group - ProHealth Physicians
10.2017 - 03.2020
- Liaised effectively with patients, doctors, and staff members, assessing medical charts and promoting high levels of communication and interaction
- Successfully greeted patients and responded in-person requests for Clinical concerns
- Carried out daily tasks by professionally communicating with physicians, technicians, and other medical facilities
- Vital signs
- Conducted patient intake interviews to collect medical information prior to patient encounter with physician
- Updated patient clinical information in Epic to prevent treatment and recordkeeping errors
- Worked Alongside with 5 Physicians and Two Physician Assistant's in a well-established Busy Internal medicine practice
- Coordinated tests such as diagnostic imaging, bloodwork, and referrals to outside specialist
- Schedule appointment on an as-needed basis
- Lead medical assistant for Training and onboarding of new hires
- Responsible for inventory management and supply demands
- Manage own caseload, providing coaching to employees, including basic attendance, performance, corrective action, and policy interpretation cases
- Interpret and advise employees on company policies
- Coordinates administrative functions relating to emergency and nonemergency request for transfer assist to nearest hospital.
Front Line Supervisor
Forever 21
06.2013 - 07.2017
- Addressed customer service concerns promptly to deliver consistent, positive guest experiences
- Assigned tasks to employees while supervising daily operations and task completion
- Oversaw compliance with labor laws, store policies, and operating procedures
- Communicated with the Lead Supervisor to set store priorities and long-range plans
- Provided leadership, insight, and mentoring to newly hired employees to supply knowledge of various company programs
- Managed inventory tracking and physical inventory counts to minimize loss
- Monitored employee performance and identified performance gaps for corrective action.
Education
Human Resource Management - bachelor's degree -
Post University
Waterbury, CTCertificate in Medical Assisting -
Lincoln Technical Institute
New Britain, CTHigh School Diploma -
Bronxwood Preparatory Academy
Bronx, NYSkills
- Communication
- Conflict resolution
- Organization/Multi-tasking
- Payroll
- Epic and Allscripts
- Employee Relations
- Leadership
- Employee supervision and training
- Scheduling
- Onboarding/Recruitment
- Office workflow support
- Coaching/Mentoring
- HIPPA
- Negotiating Skills
- Analytical decision-making
- Program/project management
References
Upon Request
Timeline
Supervisor of Medical Clinical Operations
UnitedHealth Group -Optum at home
11.2022 - Current
Patient Care Coordinator
UnitedHealth Group -Optum RX
03.2020 - 11.2022
Medical Assistant
UnitedHealth Group - ProHealth Physicians
10.2017 - 03.2020
Front Line Supervisor
Forever 21
06.2013 - 07.2017
Human Resource Management - bachelor's degree -
Post University
Certificate in Medical Assisting -
Lincoln Technical Institute
High School Diploma -
Bronxwood Preparatory Academy