Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shannen Erika C. Sanchez

North Las Vegas,US

Summary

Highly motivated U.S. Navy Veteran with extensive experience in military administration. Skilled in strategic planning, personnel management, and conflict resolution. Demonstrated leadership, adaptability, and crisis management abilities under pressure. Consistently enhanced team efficiency, operational procedures, and safety during service.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Medical Biller and Coder (Externship)

Well Care Group
Las Vegas, NV
10.2022 - 12.2022

* Verified Patient Eligibility
• Coordination of Benefits
• Payment Posting Verification
• Utilized EHR systems like how to search up claims, edit claims, demographics, insurance info., etc
• Edited Payment Postings (who is responsible for payment)
• Resubmitted claims
• Processed Patient Chart Notes/Medical Records and how to navigate systems
• Worked on Excel spreadsheets to keep track of each claim worked per day
• Navigated through multiple Provider Portals to verify Patient Eligibility and claims status:
• Regular Medicaid (MC)
• N Medicaid
• HPN
• UHC Portal
• Tri-Zetto
• Office Ally
• Codify
• Availity
• Silver Summit
• Called and left voicemail to patients to verify COB/Insurance info
• Worked on 2 different types of spreadsheets while also having to have EOBs to scan over to transfer to patient to verify COB/Insurance info
• Worked on 2 different types of spreadsheets while also having to have EOBs to scan over to transfer to a shared drive in G-mail.

Customer Service Representative REMOTE

RDI Corporation
Henderson, NV
11.2021 - 07.2022
  • Answered inbound calls (Script), Verified HIPAA each call and NPI, Verified HCPCS codes (primarily J-codes) to see if Authorization is required for that specific code to start new authorization, or if it is required in a different department (warm transfer/cold transfer experience), Checked status of Prior-Authorizations, Data Entry, and Notating Authorizations/Claims, Systems used: MBM-Now and ICUE (& Outlook, OneNote, Excel, Word), Average calls per day: 30-40+, Received Perfect Attendance award and received multiple 100% QA (Quality Assurance) on calls, Nominated for Employee of calls, Nominated for Employee of Month, Prior authorization submissions and status checks

Administrative Clerk

U.S. Navy Active Duty
Lemoore, CA
08.2020 - 10.2021
  • Answered phones, Excellent Customer Service experience, Handled travel voucher submissions, Award letters, Correspondence letters, Administrative and clerical work, Team-oriented, Loading and unloading boxes, and supplies, Worked in various duties and activities out of town (missions), Worked on the Military ship and provided excellent verification and editing skills.

Sales Associate/Theatre Usher

Galaxy Cannery Theaters
North Las Vegas, NV
01.2013 - 12.2015
  • Greeted customers and provided exceptional customer service.
  • Cleaned bathrooms, including toilets, sinks, countertops, mirrors, and floors.
  • Stocked supplies such as soap, toilet paper, and paper towels in restrooms.
  • Swept and mopped floors, vacuumed carpets, and dusted surfaces.
  • Maintained cleaning equipment and materials in a safe and sanitary working condition.
  • Inspected rooms for cleanliness prior to guest arrival.
  • Adhered strictly to safety protocols while performing job duties.
  • Collected trash from floors within hallways, bathrooms and work areas.
  • Kept business entrances clean, tidy and professional in appearance.
  • Operated cash register efficiently and accurately, processed payments by cash, check, credit card, gift card or automatic debit.
  • Counted money in cash drawer at the beginning of shift to ensure that amounts were correct and have sufficient change.
  • Stocked shelves with merchandise when needed.
  • Operated cash register or POS system to receive payment by cash, check and credit card.

Education

Bachelor's Degree in Sociology -

Grand Canyon University
Phoenix, AZ

Certified Medical Billing And Coding Specialist -

Northwest Career College
Las Vegas, NV

Skills

  • Data Entry
  • Inbound and Outbound Calling
  • Database Maintenance
  • Document Scanning
  • Editing and proofreading
  • Telephone Etiquette
  • Quality Assurance
  • Interpersonal Skills
  • Product Knowledge
  • Documentation And Reporting
  • Call documentation skills
  • Safe cleaning with chemicals
  • Polishing surfaces
  • Sweeping and Mopping
  • Housekeeping
  • Workplace Safety
  • Equipment Operation
  • Complaint resolution
  • Cash Handling
  • Positive Attitude
  • Problem-Solving
  • Attention to Detail

Certification

CBCS (12/2022 - 12/2024)

Timeline

Medical Biller and Coder (Externship)

Well Care Group
10.2022 - 12.2022

Customer Service Representative REMOTE

RDI Corporation
11.2021 - 07.2022

Administrative Clerk

U.S. Navy Active Duty
08.2020 - 10.2021

Sales Associate/Theatre Usher

Galaxy Cannery Theaters
01.2013 - 12.2015

Bachelor's Degree in Sociology -

Grand Canyon University

Certified Medical Billing And Coding Specialist -

Northwest Career College
Shannen Erika C. Sanchez