Shantavia Barbour
Gainesville,US
Summary
Healthcare professional with 6 years of experience in patient advocacy, quality assurance, and clinical and administrative support. Experienced in prior authorization, insurance verification, patient coordination, EKG administration, phlebotomy, and crisis intervention. Skilled at navigating healthcare processes, maintaining accurate documentation, communicating with patients and healthcare teams, and identifying solutions that improve patient outcomes and operational efficiency. Known for compassionate patient-centered service, strong attention to detail, effective communication, and the ability to work independently in fast-paced environments. Seeking a remote healthcare opportunity where I can leverage my clinical knowledge, administrative expertise, and commitment to exceptional patient service.
Overview
1
1
Certification
1
1
year of post-secondary education
9
9
years of professional experience
Work History
Infusion Guide
Local Infusion
Sterling, VA
01.2026 - Current
- Coordinated prior authorization requests for medical services and procedures, ensuring timely submission and compliance with payer requirements.
- Reviewed patient charts and medical records to assess medical necessity and identify required supporting documentation.
- Communicated with healthcare providers to obtain clinical documentation and resolve missing or incomplete information.
- Contacted insurance carriers to obtain authorizations, notifications, and pre-certifications while verifying coverage and policy limitations.
- Processed appeals for denied authorizations and notified ordering providers of authorization decisions and next steps.
- Scheduled peer-to-peer reviews between physicians and insurance providers to facilitate medical necessity determinations.
- Applied knowledge of Medicare, Medicaid, and third-party payer requirements while utilizing online eligibility and verification systems.
- Collaborated with insurance representatives and clinical teams to resolve authorization issues and minimize delays in patient care.
- Maintained accurate and confidential records of authorization requests, determinations, appeals, and outcomes within electronic databases.
- Identified opportunities to streamline authorization workflows, improve processing efficiency, and support timely patient access to care.
- Educated staff on updates to prior authorization policies, payer requirements, and procedural changes.
- Participated in ongoing training to remain current with healthcare regulations, payer policies, and industry standards.
Medical Assistant
UVA Health
Gainesville, VA
10.2024 - 01.2026
- Support patient flow by coordinating appointments, preparing charts, and assisting with intake documentation
- Accurately enter patient information, vitals, and visit details into EMR systems
- Communicate with patients regarding procedures, wait times, and follow-up instructions
- Maintain organized exam rooms and ensure compliance with safety and privacy standards
- Collaborate with providers and administrative staff to ensure efficient clinic operations
- Coordinated prior authorization requests for medical services and procedures.
- Reviewed patient charts to confirm medical necessity for requested services.
Clinical Technician PRN
Inova Loudoun Hospital
Leesburg, VA
02.2023 - 08.2025
- Supported inpatient units by performing patient rounding, admissions, and discharge assistance
- Documented patient care activities and communicated changes to nursing staff promptly
- Assisted with patient transport, hygiene, and comfort while maintaining professionalism
- Maintained clean, organized patient environments in accordance with hospital protocols
- Delivered compassionate customer service to patients and families in high-stress settings
Behavioral Health Care Coordinator
Columbia Associates in Psychiatry
, Remote
12.2018 - 03.2024
- Coordinate psychiatric schedules, enhancing patient access and satisfaction.
- Cultivate empathetic patient relations, ensuring confidentiality and trust.
- Collaborate with clinical teams to prioritize urgent cases efficiently.
- Optimize scheduling to reduce wait times, improving patient flow.
- Facilitate clear communication between families and healthcare providers.
- Partnered with clinical staff to effectively prioritize urgent cases, leading to enhanced patient outcomes and operational efficiency.
- Address customer issues with empathy, ensuring satisfaction and loyalty.
- Accurately document and efficiently follow up on customer interactions.
- Enhance communication skills, fostering positive client relationships.
Registered Behavioral Therapist
Behavioral Framework
Fairfax, VA
09.2017 - 11.2018
- Deliver therapy to children with autism, enhancing social skills and communication abilities.
- Develop tailored treatment plans with clear, measurable goals for client progress.
- Collaborate with families and educators to ensure consistent support and development.
- Track and analyze data to refine strategies, fostering significant client growth.
- Document sessions accurately, maintaining compliance and detailed progress records.
- Provided compassionate therapy to children with autism, fostering emotional growth and enhancing their social interaction capabilities.
Education
CCMA Certification -
MedCerts
12.2025 - 09.2026
RBT 40-Hour Training -
Behavior University
Skills
- Patient Advocacy & Patient Support
- Prior Authorization
- Quality Assurance & Compliance
- Healthcare Documentation
- Patient Intake & Coordination
- Benefits Verification
- Medical Records Management
- Patient Scheduling & Registration
- Appointment Coordination & Intake
- Electronic Medical Records (EMR)
- Insurance & Demographic Verification
- Front Desk & Phone Support
- Patient Check-In / Check-Out
- Data Entry & Documentation
- HIPAA Compliance
- Customer Service & Conflict Resolution
- Care Coordination
- Time Management & Multitasking
- Communication & Patient Advocacy
Certification
- CPR & AED Certified
- Basic Life Support (BLS)
Timeline
Infusion Guide
Local Infusion
01.2026 - Current
CCMA Certification -
MedCerts
12.2025 - 09.2026
Medical Assistant
UVA Health
10.2024 - 01.2026
Clinical Technician PRN
Inova Loudoun Hospital
02.2023 - 08.2025
Behavioral Health Care Coordinator
Columbia Associates in Psychiatry
12.2018 - 03.2024
Registered Behavioral Therapist
Behavioral Framework
09.2017 - 11.2018
RBT 40-Hour Training -
Behavior University