Shannon Quarterman
Mandeville,LA
Summary
Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over four years of managing documentation. Considered team player with exemplary multitasking skills.
Many years of front office experience in a variety of fields.
Overview
23
23
years of professional experience
Work History
Revenue Integrity Coordinator
Southern Pain Center/API
09.2024 - Current
- Expedited month-end close procedures through efficient coordination with billing and finance teams.
- Handled account payments and provided information regarding outstanding balances.
- Maintained accurate records of customer payments.
- Generated monthly billing and posting reports for management review.
Prior Authorization Specialist
Southern Pain Center
07.2017 - Current
- Contacts insurance carriers to obtain authorizations for patients.
- Provides prior authorization support for physician and patients in accordance with payer guidelines.
- Handles Workers Comp 1010 authorizations and works closely with adjustors to provide patients with great care.
- Identifies reasons behind denied claims and works closely with insurance carriers to promote resolutions.
- Works with surgery center to schedule patients and provide proper documentation for injections.
- Evaluates clinical criteria for approval or denial of services requiring pre-authorization
- Managed large volumes of data efficiently and with great care on daily basis.
- Identified overpayments and processed refunds for insurance carriers and patients.
- Contributed to improving departmental workflows by regularly sharing insights and feedback on processes with management.
Receptionist
District Attorney's Office
01.2014 - 07.2017
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Handled conference room scheduling, collaborating with meeting organizers on logistics and catering.
- Maintained confidentiality of information regarding clients and company.
Receptionist
Simon, Peragine, Smith & Redfearn, L.L.P
04.2002 - 12.2007
- Answered phones for 30 attorneys.
- Entered time sheets daily.
- Sorted incoming mail and directed to correct personnel each day.
- Scheduled and confirmed appointments and meetings for management team.
- Ordered office supplies.
- Corresponded with clients through email, telephone, or postal mail.
Education
Child Care Development Associates (CDA) - Child Development
North University of Norcross
Norcross, GAChalmette High School
Chalmette, LA08.1989
Skills
- Understanding of Medical Terms
- Insurance Information Oversight
- Office Supplies and Inventory
- Patient Referral
- Workers' Compensation Knowledge
- Knowledge in Microsoft Word, Powerpoint and EMD's
- Multi-Line Telephone System
- HIPAA compliance
- Insurance verification
- Patient account management
- Accuracy and speed
- Attention to detail
- Payment posting
Timeline
Revenue Integrity Coordinator
Southern Pain Center/API
09.2024 - Current
Prior Authorization Specialist
Southern Pain Center
07.2017 - Current
Receptionist
District Attorney's Office
01.2014 - 07.2017
Receptionist
Simon, Peragine, Smith & Redfearn, L.L.P
04.2002 - 12.2007
Child Care Development Associates (CDA) - Child Development
North University of Norcross
Chalmette High School
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