Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Shannon Smith

Schenectady,NY

Summary

Multitasker with many years of administrative experience looking for a position that gives me a sense of purpose and fulfillment.

Overview

27
27
years of professional experience

Work History

Telecommunications

Ellis Medicine
Schenectady, NY
12.2021 - Current
  • Working answering a very high volume of calls from Dr offices and also from all departments within the hospital.
  • The operators are also responsible for calling all hospital codes for example code blues and more.
  • Programming of on call providers and schedule changes.
  • Also taking transfer center calls for transfers between hospitals and Doctors offices.

Senior Consumer Access Specialist (Hybrid)

AdventHealth
Orlando, FL
02.2017 - 07.2021
  • The bulk of my position is to drive revenue for my organization using all available resources within the scope of company protocols.
  • I was a senior trainer and mentor working remotely.
  • The daily job is insurance verification benefits estimates, checking for authorization and referral requirements.
  • Document review, making sure if we do not have them we get the accounts to the right people to secure them.
  • Helping to write and implement training protocols.
  • Denials management, following up on any missing information for example did the insurance company provide all required information ICD10 CPT codes to bill the procedures properly.

Scheduler

Phoenix Solutions
Remote
11.2015 - 05.2017
  • I was working as agent and would do registration scheduling and insurance verification at home scheduling eye appointments and checking insurances for validity.

Financial Counselor II

Ellis Hospital
Schenectady, NY
04.2010 - 11.2015
  • This position had me in many different roles.
  • The most current is quality assurance person for insurances and registrations.
  • Correct any patient registrations errors.
  • Submit insurances for billing and screen people for eligibility for Medicaid and help individuals who don't qualify to get the insurance help they need for themselves and their families.
  • Implemented the training protocol for copayment collection in the emergency department which resulted in revenue increasing in the emergency room from $0 collected to an average of $10,000.00 a month.
  • Insurance preauthorization billing coding.
  • I also worked in the transfer center taking calls for available bed for surgical patients mental health patients and the generally ill patients.

Personal Care Technician

Ellis Hospital
Schenectady, NY
04.2008 - 04.2010
  • I worked in a med/surge unit.
  • The duties I had were vital signs charting and all duties assigned by nurse.

Personal Care Attendant

Home Care
Schenectady, NY
01.1999 - 04.2008
  • Taking care of elderly and sick individuals.
  • ADLs, vitals and all other duties assigned.

Education

Diploma - General

Mount Pleasant High School
Schenectady, NY

Skills

  • Revenue cycle management
  • Medical billing
  • Medical coding (ICD-9, ICD-10, CPT, HCPCS)
  • Insurance verification (Medicaid, Medicare, commercial plans)
  • Medical terminology
  • Medical records management
  • EMR/EHR systems (Cerner, Meditech, Athena, Soarian Financials, IDX, Experian, Macess, Facets, EmedNY, Hdx, Rx claims, EagleSoft, Sunport)
  • Prior authorizations and benefits estimates
  • Medical scheduling & patient registration
  • Documentation review & quality assurance
  • Infection control training
  • Anatomy knowledge
  • Vital signs (basic patient care knowledge)
  • Home & community care
  • Administrative experience
  • Clerical experience
  • Records management
  • Front desk operations
  • Call center & multi-line phone systems
  • Cold calling & patient outreach
  • Data entry & data collection
  • Documentation preparation
  • Supervising & mentoring staff
  • Training on insurance processes and workflows
  • Accounts receivable & collections management
  • Accounts payable
  • General ledger reconciliation
  • Debits & credits
  • Pricing and cost analysis
  • Advanced premium tax credit knowledge
  • Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
  • Computer literacy & typing skills
  • EMR/EHR software proficiency
  • IVR system navigation
  • Customer service & patient support
  • Communication skills
  • Multitasking & time management
  • Phone etiquette
  • Problem-solving & adaptability
  • Insurance verification
  • Code calling
  • Patient scheduling
  • Documentation review
  • Customer service

References

References available upon request.

Timeline

Telecommunications

Ellis Medicine
12.2021 - Current

Senior Consumer Access Specialist (Hybrid)

AdventHealth
02.2017 - 07.2021

Scheduler

Phoenix Solutions
11.2015 - 05.2017

Financial Counselor II

Ellis Hospital
04.2010 - 11.2015

Personal Care Technician

Ellis Hospital
04.2008 - 04.2010

Personal Care Attendant

Home Care
01.1999 - 04.2008

Diploma - General

Mount Pleasant High School

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Shannon Smith