Shannon Grider

• Company Overview, Revenue Cycle, Medical billing and Insurance.
• Works closely with Department and Division leadership teams to identify opportunities to bring workflows into alignment with ambulatory and departmental standards.
• Serves as liaison, appointment coordinator and patient advocate between the referring office specialist and patient.
• Process incoming referrals not generated within the UR system as well.
• Manages referral queues for assigned area(s), ensuring appropriate triaging and scheduling within department and enterprise policies and standards.
• Manage and oversee the prior authorization process for procedures, specialty office visits, VA (Veterans Affairs) referrals, and outside radiology appointments.
• Verify patient insurance information as it relates to obtaining PA's.
• Provides training to other staff on all aspects of referral work, including electronic medical system support, patient record review, appointment and/or ancillary test scheduling, procedural scheduling, knowledge of provider sub-specialties.
• Referral clean up- Assist with referral work queue and referral clean up by reviewing referrals in queues )1 month and determining referral status.

• Serves as primary contact for provider(s). Manages provider(s) calendar, prioritizes appointments and meetings based on provider preferences.
• Researches hospital medical records for information requested by physicians, insurance companies and attorneys.
• Assembles, from multiple tabs within the electronic medical record, the necessary details, for review and inclusion when completing disability paperwork.
• Manages provider(s) documentation and information. Composes and types non routine correspondence providing factual information.
• Frequently composes, edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims. This includes compiling all necessary information and drafts for provider signature.
• Negotiates surgical/procedure schedule by communicating complex details directly to the Operating Room scheduling office and Ambulatory Surgical Center Staff.
• Assesses calls to understand patient needs, prioritizes medical concerns and obtains responses from providers and follows up with patient.
• Based on the nature of the surgery/procedure, varies patient education and follow up details accordingly in relation to pre-operative readiness and post-operative rehabilitation expectations and activities.
• Authorizes rescheduling when cancellations occur by applying protocols for surgical scheduling.

• Works with physicians and nurses in the selection of new inventory. Maintains professional relationships and communicates with vendors and internal purchasing department.
• Assist clients in their daily personal tasks, such as bathing or dressing.
• Help patients move around safely, whether it's using a walker, wheelchair, or simply walking around the house.
• Perform tasks such as cleaning, laundry, and meal preparation ensuring clients receive nutritious meals.
• Provide companionship and emotional support to clients.
• Provide companionship and emotional support to clients,
• Assists office staff with scheduling procedures and appointments.
• Report any changes in a client's physical condition, behavior, or appearance to a supervisor or case coordinator.

Other duties as assigned.

• Provides clerical, receptionist and customer while maintaining confidentiality.
• Assembles and maintains patient records, processes orders, and performs skilled receptionist duties.
• Train all new onboarding staff, along with overseeing current staff.
• Organize and assign duties and tasks to clinical team members.
• Facilitates operations through communications and greets patients and families.
• Schedule medical appointments, Document complaints. Manage office communications (phone, correspondence).
• Facilitate communication between patients/families and other team members.
• Greet and check in/out patients, Report backlogs, difficulties in meeting deadlines.