Shante Howard
Philadelphia,PA
Summary
Dedicated team leader with strong leadership skills seeking a healthcare position that aligns with goals and morals. Committed to providing excellent customer service, empathetic, hard-driven, and focused on meeting all job requirements and responsibilities.
Overview
10
10
years of professional experience
Work History
Vision Customer Service
UnitedHealth Group
09.2023 - Current
- Meet productivity targets and accuracy standards set by management
- Mentor junior team members
- Collaborate with team on special projects such as process documentation development and quality audits
- Possess knowledge of physician practices, hospital coding, and medical terminology
- Maintain communication with management to address issues and ensure processing accuracy
- Participate in projects assigned by team leader, such as provider data and authorizations
- Remote
Provider Enrollment Specialist
GetixHealth
08.2022 - 07.2023
- Manages the timely and accurate submission of provider enrollment applications for all insurance types, including Medicaid, Managed Medicaid, and commercial programs.
- Tracks and updates enrollment statuses on a real-time basis in Salesforce HealthCloud.
- Coordinates the receipt and processing of all credentialing data needed for enrollment, contracting, and other related purposes.
- Works closely with clinicians to obtain missing documentation for providers pertaining to provider enrollment.
- Responds to internal and external inquiries on enrollment and contract matters.
- Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
Enrollment Specialist I
AmeriHealth Caritas
10.2015 - 04.2022
- Manages the timely and accurate submission of provider enrollment applications for all insurance types, including Medicaid, Managed Medicaid, and commercial programs.
- Tracks and updates enrollment statuses on a real-time basis in Salesforce HealthCloud.
- Coordinates the receipt and processing of all credentialing data needed for enrollment, contracting, and other related purposes.
- Works closely with clinicians to obtain missing documentation for providers pertaining to provider enrollment.
- Responds to internal and external inquiries on enrollment and contract matters.
- Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
Education
Medical assistance - undefined
Lincoln technical institute
Allentown, PA12.2010
General studies - undefined
Upper Perkiomen High School
Pennsburg, PA06.2009
Skills
- Communication skills
- Computer literacy
- Leadership
- Customer service
- Microsoft Word, Excel, Note
- Microsoft Office
- English
- Documentation review
- Time management
- Oral communication
- Google drive
- Accounts receivable
- Multitasking
- HIPPA
- Medical claims processing, claim details explanation
- Provider data entry
Awards
Customer Service Excellence Award
Timeline
Vision Customer Service
UnitedHealth Group
09.2023 - Current
Provider Enrollment Specialist
GetixHealth
08.2022 - 07.2023
Enrollment Specialist I
AmeriHealth Caritas
10.2015 - 04.2022
Medical assistance - undefined
Lincoln technical institute
General studies - undefined
Upper Perkiomen High School
Similar Profiles
Amanda BurbankAmanda Burbank
Senior Provider Relations Advocate, Account Manage at UnitedHealth Care, UnitedHealth GroupSenior Provider Relations Advocate, Account Manage at UnitedHealth Care, UnitedHealth Group
Fawn DillonFawn Dillon
Clinical Transformation Manager at UnitedHealth Group- UnitedHealth Care DivisionClinical Transformation Manager at UnitedHealth Group- UnitedHealth Care Division
Vikas KansalVikas Kansal
Senior Director Digital Product at UnitedHealth Care, UnitedHealth GroupSenior Director Digital Product at UnitedHealth Care, UnitedHealth Group
Erin BrookinsErin Brookins
Quality Assurance and Auditor at UnitedHealth GroupQuality Assurance and Auditor at UnitedHealth Group
Esta AkoyEsta Akoy
Financial Advisor/Analyst at Confidential Insurance ServicesFinancial Advisor/Analyst at Confidential Insurance Services