Shannon Skinner
Summary
Dedicated administrative professional well-versed in communication and team building. Excels at identifying patient needs and concerns to improve engagement strategies and overall service.
Overview
11
11
years of professional experience
Work History
Patient Access Representative
Jefferson Health Northeast
03.2019 - Current
- Senior registrar and new hire trainer.
- Greets patients and visitors upon arrival to emergency department. Identifies and responds to their needs; communicating urgencies to clinical staff.
- Interact with patients and their families to obtain and process registration and billing information; ensuring patients are correctly and efficiently registered for hospital services.
- Verify insurance coverage and benefits; collect applicable copays.
- Collaborate with clinical and ancillary staff to meet patient and departmental needs.
- Prioritize and respond to multiple situations in efficient manner.
Prior Authorization Technician
AmeriHealth Caritas
10.2017 - 10.2019
- Reviewed medication requests based on plan specific criteria and established guidelines.
- Approved requests when criteria was met and collaborated with clinical staff regarding requests requiring additional review or denial.
- Corresponded with prescribers to obtain missing information necessary to process requests.
- Maintained balance of productivity, quality, and timeliness of job accountabilities.
Medicare Complaint & Appeal Analyst
Aetna
06.2015 - 03.2017
- Investigated Medicare complaints by corresponding with patients, healthcare professionals, licensed sales agents, Centers for Medicare & Medicaid Services, and Social Security Administration for research and verification purposes.
- Specialized in issues relevant to pharmacy, marketing misrepresentation, and best available evidence.
- Initiated coverage determination, formulary exception, and tiering exception requests.
- Executed corrective action when necessary and provided resolution to complainant and CMS within required time frame.
Certified Pharmacy Technician
Walmart Pharmacy
11.2013 - 07.2015
- Assisted pharmacist, transcribed prescriptions, performed dosage calculations, and dispensed medications with strong commitment to accuracy, efficiency and service quality.
- Processed insurance claims. Consulted with insurance representatives to resolve claims processing issues.
- Maintained proper drug storage and accurate inventory levels.
- Maintained narcotics, immunization, and temperature logs.
- Ensured expired product checks were completed monthly.
Skills
- PTCB Certified Pharmacy Technician
- Epic proficient
- Versed in medical and pharmaceutical terminology
- Thrives in fast-paced team environment
- Excellent comprehension and retention
Timeline
Patient Access Representative
Jefferson Health Northeast
03.2019 - Current
Prior Authorization Technician
AmeriHealth Caritas
10.2017 - 10.2019
Medicare Complaint & Appeal Analyst
Aetna
06.2015 - 03.2017
Certified Pharmacy Technician
Walmart Pharmacy
11.2013 - 07.2015
Similar Profiles
Lisa M StoneLisa M Stone
Thoracic Nurse Navigator at Jefferson Health NortheastThoracic Nurse Navigator at Jefferson Health Northeast
Courtney PowellCourtney Powell
Registered Nurse, Emergency Department at Jefferson Health NortheastRegistered Nurse, Emergency Department at Jefferson Health Northeast
Suzanne FacklerSuzanne Fackler
CNA / PCT at Jefferson Health NortheastCNA / PCT at Jefferson Health Northeast
Ashley VonCellisAshley VonCellis
Registered Nurse at Jefferson Health NortheastRegistered Nurse at Jefferson Health Northeast
Sharde BuchananSharde Buchanan
Patient Access Representative III/ Hospital Patient Access/Team Lead/Cashier at Memorial Hermann Health SystemPatient Access Representative III/ Hospital Patient Access/Team Lead/Cashier at Memorial Hermann Health System