Shanna Sweetney
Washington,USA
Summary
Strategic health administration professional focused on healthcare management and operational efficiency. Drives team collaboration and adapts to evolving needs to deliver results. Expertise in regulatory compliance, budgeting, and patient care coordination, coupled with strong analytical and problem-solving skills. Committed to contributing to the success of healthcare organizations.
Overview
13
13
years of professional experience
Work History
Medical Claims Examiner
DC Department of Employment Services
2024.08 - Current
- Independently adjudicate high-volume paid family leave claims, determining eligibility based on District regulations, program policies, and supporting documentation
- Conduct detailed claim reviews, including identity verification and fraud prevention measures, ensuring accuracy and compliance with program requirements
- Interpret and apply complex policies and regulations to ensure consistent and compliant decision-making across claims
- Managed large caseload while consistently meeting strict deadlines and accuracy standards, ensuring timely claim processing
- Collaborated with internal teams to resolve complex cases, streamlining workflow within validations process
- Perform wage investigations to resolve discrepancies, analyze missing or disputed wage data, and make determinations impacting benefit eligibility
- Communicated claim decisions, policies, and eligibility outcomes clearly to claimants, enhancing understanding and minimizing disputes
Medical Practice Manager
Community of Hope
2022.05 - 2024.08
- Lead daily operations of a high-volume healthcare practice, ensuring compliance with federal, state, and organizational standards while optimizing patient access and care delivery
- Supervise, train, and evaluate a multidisciplinary team of 8+ staff, improving workflow efficiency, staff performance, and patient experience
- Monitor and manage revenue cycle processes, ensuring accurate billing, insurance verification, and financial sustainability
- Partner with clinical leadership to implement quality improvement initiatives, enhancing patient outcomes and operational performance
- Developed and implemented operational workflows and procedures that improved service delivery, reduced bottlenecks, and ensured compliance
- Monitored operational expenses and identified efficiency opportunities to support budget oversight and control costs
- Resolved patient concerns and operational issues promptly, ensuring high-quality service delivery
- Coordinate leadership meetings, develop agendas, and support strategic planning efforts
Advanced Medical Support Assistant
Department of Veterans Affairs
2020.07 - 2022.05
- Coordinated patient care services in federal healthcare environment, ensuring adherence to VA policies and procedures
- Liaised between clinical teams, patients, and community resources to enhance continuity of care and support population health initiatives
- Supported care coordination for vulnerable populations, including homeless veterans, connecting them to appropriate programs and services
- Reviewed documentation and eligibility requirements to verify compliance with program standards and regulatory guidelines
- Contributed to care planning and service delivery improvements through collaboration with interdisciplinary teams
Patient Coordinator
MedStar Medical Group
2019.07 - 2020.03
- Coordinated patient scheduling, insurance verification, and intake processes to enhance clinic operations
- Facilitated patient care coordination and contributed to implementing care plans for better outcomes
- Maintained accurate patient records within electronic health systems while ensuring compliance with privacy regulations
- Partnered with providers and staff to streamline workflow and elevate patient experience
Patient Access Representative
Children’s National Hospital
2018.11 - 2019.07
- Coordinated patient registration, scheduling, and insurance verification in fast-paced hospital setting to support seamless patient flow
- Ensured accuracy of patient data and compliance with healthcare regulations and billing requirements
- Provided high-quality customer service by resolving patient concerns promptly, enhancing patient satisfaction
Front Desk Coordinator
Dr. Cleveland Williams Office
2013.08 - 2017.09
- Coordinated front office operations, patient scheduling, and administrative workflows to enhance overall clinic functionality
- Organized records and streamlined clinic operations for improved service delivery
- Delivered patient support and addressed inquiries to foster a positive patient experience
Education
Bachelor of Arts - Health Services
Trinity Washington University
Washington, DCSkills
- Revenue cycle management
- Health Information Systems (EHR/ECW)
- HIPAA compliance
- Quality improvement
- Compliance adherence
- Performance metrics
- Budget Oversight
- Process enhancement
- Operations leadership
- Team leadership
- Staff supervision
- Interdisciplinary Collaboration
- Organizational skills
- Data entry efficiency
- American Sign Language (Advanced)
- Medical terminology
Why This Version Works
- This resume now:
- Speaks the language of the job description (compliance, operations, quality, performance)
- Positions you as a leader across systems, not just a clinic
- Aligns with HSA responsibilities like:
- Operations oversight
- Staff leadership
- Compliance
- Quality improvement
- Budget awareness
Timeline
Medical Claims Examiner
DC Department of Employment Services
2024.08 - Current
Medical Practice Manager
Community of Hope
2022.05 - 2024.08
Advanced Medical Support Assistant
Department of Veterans Affairs
2020.07 - 2022.05
Patient Coordinator
MedStar Medical Group
2019.07 - 2020.03
Patient Access Representative
Children’s National Hospital
2018.11 - 2019.07
Front Desk Coordinator
Dr. Cleveland Williams Office
2013.08 - 2017.09
Bachelor of Arts - Health Services
Trinity Washington University