Shannon Wade
Cherry Hospital
Rustburg,VA
26
Years of experience
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Work History
Patient Relations Representative
5 Years- Contacted patients, relatives, and guardians to obtain financial information in order to make a financial decision or determine benefits.
- Obtained signatures on all consent and HIPAA forms.
- Completed coverage discovery and verified insurances by phone or insurance verification systems.
- Added eligible insurance to patients' accounts and initiated the billing process.
- Completed financial assistance applications on patients and referred to social work for possible Medicaid.
- Reviewed and maintained the personal funds account for assigned patients. Notified the social worker or guardian if a spin-down is required to ensure Medicaid benefits continue.
- Resolved patient inquiries and concerns efficiently, ensuring timely access to necessary services.
- Responsible for the follow-up and tracking of assigned accounts monthly.
- Regular contact with Social Security Administration and the Department of Social Services.
- Effectively used the EPIC hospital system, Microsoft Office products, fax/scanner and other office equipment in completing day to day tasks.
Income Maintenance Caseworker I
9 Months- Evaluated client eligibility for public assistance programs, ensuring compliance with regulations.
- Managed case files and documented client interactions to ensure accuracy and compliance.
- Conducted interviews with clients to assess their needs and determine appropriate services or referrals.
- Assisted clients with completing complex forms and applications.
- Facilitated communication between clients and service providers to address inquiries and concerns.
- Conducted client interviews to assess needs and determine appropriate services or referrals.
- Maintained up-to-date knowledge of federal, state, and local regulations governing income maintenance programs to ensure compliance.
- Operated computer and imaging equipment to retrieve and enter data into electronic case records.
- Ensured client confidentiality through strict adherence to privacy policies when handling sensitive personal information.
Med-Assist Specialist
19 Years 11 Months- Obtained eligibility for patients entitled to Medicaid for the purpose of obtaining reimbursement for services provided by Wayne UNC Health Care.
- Performed coverage discovery efforts to verify coverage.
- Advised patients on financial assistance programs to reduce out-of-pocket costs.
- Reduced hospital bad debt through proactive communication with patients about their financial responsibilities.
- Reduced the number of uninsured patient visits by guiding them through insurance enrollment processes.
- Trained new staff on patient financial services best practices,
- Responsible for dual functions at the hospital office and the collection agency office.
- Responsible for eligibility screening and advocacy representation for uninsured patients in hopes of obtaining various federal, state, and county funds to reimburse the hospital
- Interviewed all inpatients in their room the day the referral is received to assess their insurance and economic/financial status.
- Responsible for thorough and timely documentation of all account/patient activity in the EPIC hospital computer system.
- Tracked all applications completed on patients until eligibility decision was made.
- Requested appeals on denials at local and state level as necessary and attended appeal hearings on behalf of patients.
Education
Medical Office Insurance - Medical Office Administation
Skills
Insurance verification
Eligibility determination
Electronic health records
Data entry
Medical terminology
Financial assistance
HIPAA compliance
Problem-solving
Multitasking and organization
Verbal and written communication
Customer service
Timeline
Patient Relations Representative
Cherry Hospital
07.2021 - 07.2026Read More
Income Maintenance Caseworker I
Johnston County Department of Social Services
10.2020 - 07.2021Read More
Med-Assist Specialist
Wayne UNC Health Care
11.2000 - 10.2020Read More
Wayne Community College
Medical Office Insurance from Medical Office Administation
Read More