SHANELLIE HERNANDEZ
Elizabeth,USA
Summary
Knowledgable Patient Care Coordinator adept at planning care, coordinating interdisciplinary teams and making strategic improvements. Decisive leader and creative problem solver with 8 years of healthcare experience.
Overview
8
8
years of professional experience
Work History
Patient Coordinator
CooperGenomics
01.2022 - 11.2025
- Conducted comprehensive patient assessments and compiled detailed medical histories through interviews.
- Educated patients on treatment options and associated costs.
- Assisted in developing optimal care plans and coordinating consultations for each patient.
- Maintained compliance with healthcare regulations and patient confidentiality standards.
Insurance and Benefit Specialist
Metropolitan Dermatology
Elizabeth, NJ
12.2020 - 01.2022
- Assisted with the process of claim adjudication, ensuring that referrals, authorizations and payments are appropriate.
- Assisted providers with appeals of denied claims.
- Ensured that all government and state regulations were consistently met.
- Review patient insurance benefits
- Redistribution and adjustments of payments when needed
- Coordinated benefits processing, including enrollments, terminations and claims.
- Prior authorizations and medical record review as needed
Front Desk Manager
Advanced Dermatology Associates
New York, NY
09.2019 - 12.2020
- Verify insurances and initiate prior authorizations for procedures as needed
- Managed customer complaints and rectified issues to complete satisfaction.
- Generated reports detailing daily actions, accounting expenses and income.
- Schedule staff according to office needs
Front Desk Supervisor
Buka Dermatology
New York, NY
10.2017 - 09.2019
- Cooperate with Medicare, Medicaid and private insurance providers to resolve billing issues
- Oversaw all front desk operations.
- Manage office supplies, organization and upkeep
- Verify insurance and collect payments
- Review Pathology reports and lab work
- Schedule staff according to office needs.
Education
Associate -
John Jay College of Criminal Jusice
New York, NY05.2017
Certifications And Skills
- Certified Professional Coder (CPC) - Pending 2026
- CPR Certification
- Medical Terminology
- ICD-10 Knowledge
- Fluent in English and Spanish
- Meticulous attention to Detail
- Caring and Empathetic
- Organized and Efficient
- Solution Driven
Timeline
Patient Coordinator
CooperGenomics
01.2022 - 11.2025
Insurance and Benefit Specialist
Metropolitan Dermatology
12.2020 - 01.2022
Front Desk Manager
Advanced Dermatology Associates
09.2019 - 12.2020
Front Desk Supervisor
Buka Dermatology
10.2017 - 09.2019
Associate -
John Jay College of Criminal Jusice