Summary
Overview
Work History
Education
Skills
Timeline
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Shanelle Adams

Clifton Heights,PA

Summary

.Capable patient representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.

Overview

15
15
years of professional experience

Work History

Lead Preprocessing Specialist

Main Line Health System
Radnor, PA
06.2008 - Current
  • Scheduling in a call center for various outpatient departments and various locations `
  • Registering patients insurance
  • Verifying patient insurance coverage
  • Validating prior authorization/ referrals
  • Explaining insurance benefits
  • Coached with my peers
  • Train new employees
  • Monitor calls for quality assurance
  • Developed / Implementing new strategies to ensure user friendly and effective experience
  • Mentoring peers
  • Collaborated with my manager to interviewing new talent
  • Leads department in absence of manager/supervisor
  • EPIC superuser

Seamless Access Supervisor

Abington Hospital - Jefferson Health
Fort Washington, PA
11.2020 - 08.2021
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Direct day-to-day administrative and operational functions and providing guidance and leadership to over 50 employees across more than multiple departments.
  • Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
  • Introduced and implemented use of Epic software
  • Monitored call quality and provided individual constructive feedback to enhance performance and address areas in need of improvement.
  • Achieved high satisfaction rating through proactive one-call resolutions of customer issues.

Interim Supervisor of Central

Main Line Health System
Radnor, PA
06.2018 - 11.2018
  • Hiring and training staff
  • Updating and educating new policies and procedures
  • Monitoring and coordinating daily operations of central scheduling including scheduling ,pre-registration and insurance verification
  • Utilize resources and good judgment to appropriately and efficiently facilitate staff
  • Ensuring that proper call procedure are followed
  • Ensuring that confidentiality of customer information is maintained
  • Implementation of new working procedures in the operation process
  • Addressing the executives and team leaders about changes in a certain process
  • Checking that call quality is maintained
  • Attending to the issues of the staff and trying to find a solution
  • Handled customer complaints, resolved issues and adjusted policies to meet changing needs.
  • Maintained compliance with company policies, objectives and communication goals.
  • Worked with management team to implement proper division of responsibilities.

Education

High School Diploma -

Dobbins High School
Philadelphia, PA

Skills

  • Employee Training Program
  • Patient Service
  • Interdepartmental Functions Coordination
  • Insurance Company Knowledge
  • Administrative and Office Support

Timeline

Seamless Access Supervisor

Abington Hospital - Jefferson Health
11.2020 - 08.2021

Interim Supervisor of Central

Main Line Health System
06.2018 - 11.2018

Lead Preprocessing Specialist

Main Line Health System
06.2008 - Current

High School Diploma -

Dobbins High School

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Shanelle Adams