Shanita Ostberg
Waterloo,NE
Summary
Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success. Proven track record of successfully managing multiple projects and developing innovative solutions.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Pre-Authorization Specialist
Nebraska Spine and Pain Center
08.2022 - 04.2024
- Review medical chart documentation to ensure patient meets medical policy guidelines for procedures
- Prioritize incoming authorization requests according to urgency, pain, and mobility status
- Obtain authorization via payer website or by phone and follow up regularly on pending cases
- Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations
- Initiate appeals via fax or mail and correspond via phone with physician reviewers to overturn denied authorizations
- Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
- Efficiency in Medical Terminology
- Enhanced team productivity by streamlining processes and implementing time-saving strategies.
- Developed strong client relationships through consistent communication and attentive service.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
CNA
BERGAN MERCY HOSPITAL
10.2020 - 08.2022
- Served as a liaison between patients, families, and medical staff to ensure clear communication and understanding of treatment plans.
- Conducted basic physical assessments on new admissions to gather baseline data for nursing staff evaluation.
- Maintained confidentiality of patient information according to HIPAA guidelines while communicating effectively with team members about critical updates.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Assist Nurses in admitting new patients and discharging patients to go home.
- Participated in ongoing educational opportunities in order to stay up-to-date on best practices in nursing care.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
Flight Communication Specialist/ Medical Dispatcher
Midwest Medical Transport
11.2015 - 08.2020
- Determine and assign the level of priority of the call and enter the data into a computer-aided dispatch system for radio dispatch purposes
- Perform emergency medical dispatch and crisis intervention services
- Ask questions to interpret, analyze and anticipate the caller's situation as to resolve problems, provide information, dispatch emergency services, or refer callers to other agencies
- Identify appropriate number and type of equipment or apparatus to dispatch
- Ensured accurate documentation of all calls, adhering to strict confidentiality standards and HIPAA regulations.
- Effectively handled high-stress situations, resulting in timely medical assistance for patients in need.
- Continuously updated knowledge on medical terminology and procedures to provide accurate information during emergency calls.
- Utilized advanced computer-aided dispatch software to manage multiple incidents simultaneously, optimizing resource allocation.
Guest Service Manager
Target
11.2011 - 11.2015
- Produced monthly reports using advanced Excel spreadsheet functions
- Streamlined front desk operations for improved efficiency, utilizing strong organizational skills.
- Managed team of front desk staff, fostering a supportive work environment and enhancing overall performance.
- Evaluated employee performance regularly, offering constructive feedback and coaching as needed to improve individual skill sets and overall team effectiveness.
- Created an open communication environment within the team that encouraged idea-sharing and fostered collaboration among colleagues for continuous improvement efforts.
- Oversaw daily cash handling procedures at the front desk, ensuring accuracy in financial transactions while minimizing discrepancies or losses due to errors.
- Resolved guest complaints effectively, demonstrating empathy and problem-solving abilities.
- Implemented new procedures to reduce wait times during check-in and check-out processes, leading to higher guest satisfaction ratings.
Medical Assistant/ Medical Biller and Coding/ Phlebotomist (Volunteered for experience)
Evergreen Primary Care
05.2009 - 11.2010
- Precisely completed appropriate claims paperwork, documentation and system entry
- Correctly coded and billed medical claims for various hospital and nursing facilities
- Professionally and courteously verified appointment times with patients
- Adeptly managed a multi-line phone system and pleasantly greeted all patients
- Diligently filed and followed up on third party claims
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing
- Preparing patients before drawing blood
- Explaining blood draw procedures to patients and answering any questions about the process
- Following all health and safety protocols and procedures to maintain sanitary work areas
- Gathering medical testing materials, including needles, sample vials, blood storage bags and test tubes
- Verifying patient information and labeling blood samples properly
- Accurately updating patient information in the organization's database
- Helping nervous or frightened patients remain calm during blood draws
- Working with supervising Physicians and following their directions at all times.
Education
College in Nursing -
Clarkson College
Omaha, NE05.2022
General Education / Pre-Nursing -
Metropolitan Community College Elkhorn
Elkhorn, NE12.2020
High School Diploma -
Mill Creek High School
05.2008
Skills
- Excellent Verbal & Written Communication
- Exceptional Customer Service
- Proficient in Microsoft Applications & Computer Operation
- Medical Terminology, CPT & ICD-10 Codes
- Fast & Adaptable Problem Solving Skills
- Accurate and Detail Oriented
- Medical Billing & Coding
- Crisis Intervention & Emergency Response
- Proficient knowledge of HIPAA
- Exceptional Time Management Skills
- Team Collaboration
- Analytical Thinking & Task Prioritization
Certification
- AED Certification
- BLS CPR and First Aid Certification
- CNA Certification
- State Tested Nursing Assistant
Timeline
Pre-Authorization Specialist
Nebraska Spine and Pain Center
08.2022 - 04.2024
CNA
BERGAN MERCY HOSPITAL
10.2020 - 08.2022
Flight Communication Specialist/ Medical Dispatcher
Midwest Medical Transport
11.2015 - 08.2020
Guest Service Manager
Target
11.2011 - 11.2015
Medical Assistant/ Medical Biller and Coding/ Phlebotomist (Volunteered for experience)
Evergreen Primary Care
05.2009 - 11.2010
College in Nursing -
Clarkson College
General Education / Pre-Nursing -
Metropolitan Community College Elkhorn
High School Diploma -
Mill Creek High School
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