Shania Parham
Parkton,NC
Summary
Capable patient representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options, and documentation requirements. Excels at identifying client needs and concerns to improve engagement strategies and overall service. A self-motivated and organized healthcare professional with 24 years of experience in the healthcare industry. Adept at patient advocacy and education with a strong commitment to efficiency. Skilled at coordinating busy facilities and maintaining professionalism in stressful situations. Dedicated administrative professional well-versed in communication and team build. Very passionate about about the healthcare field and looking forward to new opportunities.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Teacher Assistant/Facilitator
Moore County Schools
01.2009 - Current
- Facilitate student learning by instructing proper equipment use and material care, ensuring appropriate utilization of educational websites.
- Graded and evaluated student assignments, papers, and course work.
- Planned and implemented integrated lessons to meet national standards.
- Participated in department meetings to provide input to colleagues about student achievement and improvement.
- Handled issues involving system access and performed troubleshooting.
- Modified lessons and curriculum to accommodate diverse learners by using strategies such as peer-assisted learning and group work.
- Enhanced leadership abilities and expertise by delivering forward-thinking training to over 100s of students over years.
Clinical Nursing Assistant
Harmony of Hopemills
12.2022 - Current
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Oversaw and maintained patients' rooms, group living areas, and nurse stations.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
- Documented patient information and care activities in electronic health record.
- Provided care to patients throughout lifespan with consideration of aging processes, human development stages and culture.
- Supported needs of 40 + residents under long-term care.
Paraprofessional
Robeson Health Care
03.2003 - 06.2010
- Ensured meticulous documentation of medical records, staff observations, and incident accounts, adhering to regulatory standards.
- Provided counseling and support to clients with drug and alcohol abuse issues.
- Facilitated group and individual therapy in outpatient setting.
- Supported and assessed clients struggling with addiction or relationship issues and devised strategies based on client needs.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information.
- Provided crisis intervention to address clients' immediate needs and prevent harmful behaviors.
- Completed required documentation for continued therapy coverage by insurance companies to meet deadlines.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Verified eligibility and compliance with authorization requirements for service providers.
- Exercised leadership capabilities by successfully motivating and inspiring 22 clients on daily bases.
Rehabilitation Technician, Office Assistant
Paragon Health Services
01.2002 - 01.2003
- Streamlined medical records management by developing and maintaining both paper and electronic filing systems, enhancing document retrieval efficiency.
- Answered telephones and performed light clerical duties to maintain smooth operations while attending to various program needs.
- Communicated back to nurses and therapists regarding patient performance and condition.
- Followed discharge plans, identified concerns and reported issues to management for decision-making.
- Documented each patient case with updates in computer system.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Managed patient registration process, confirming data accuracy and completeness.
- Verified insurance eligibility and coverage for patients.
- Entered patient demographic and insurance data into electronic medical record system.
- Resolved billing inquiries and disputes in timely fashion.
- Investigated insurance claims denials and appeals.
Education
Certificate - Certified Professional Medical Biller
American Academy of Professional Coders -AAPC
Online11.2021
Certificate - Medical Billing
Ask The Biller Program
Online09.2021
Certification - Medical Coding
Medical Coding Academy
Dallas, TX12.2017
Associate of Applied Science - Office Administration
Montgomery Community College
Troy, NC05.2011
Diploma - Computer Information Technology
Montgomery Community College
Troy, NC05.2006
Skills
- CPTHCPCS, and
- ICD-10-CM
- Insurance Eligibility and Verification of Benefits
- Ability to Analyze
- Explanation of Benefits
- Denial, Rejections and Appeals
- Microsoft Office
- Customer Services
- Phone Etiquette
- Claim Submission
Certification
- Certified Professional Coder, Apprentice, American Academy of Professional Coders (AAPC), 2017, CPC-A
- Certified Billing and Coding Specialist, National Healthcareer Association, 2016
Timeline
Clinical Nursing Assistant
Harmony of Hopemills
12.2022 - Current
Teacher Assistant/Facilitator
Moore County Schools
01.2009 - Current
Paraprofessional
Robeson Health Care
03.2003 - 06.2010
Rehabilitation Technician, Office Assistant
Paragon Health Services
01.2002 - 01.2003
Certificate - Certified Professional Medical Biller
American Academy of Professional Coders -AAPC
Certificate - Medical Billing
Ask The Biller Program
Certification - Medical Coding
Medical Coding Academy
Associate of Applied Science - Office Administration
Montgomery Community College
Diploma - Computer Information Technology
Montgomery Community College
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