SHANTEL MOORE
Baltimore,MD
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Preauth/Precertification Specialist I
MedStar Unified Revenue Cycle Organization
BALTIMORE , MD
03.2023 - Current
- Secured and processed prior authorizations and referrals for scheduled medical procedures.
- Verified insurance coverage using online systems and maintained accurate authorization records.
- Ensured compliance with MedStar Health Financial Assistance Policies and Procedures.
- Completed advanced training courses to enhance professional knowledge.
- Exhibited excellent problem-solving abilities, addressing challenges swiftly.
- Utilized various software and tools to streamline processes and optimize performance.
- Facilitated teamwork to ensure seamless completion of tasks and issue resolution.
- Ensured compliance with all HIPAA regulations pertaining to protected health information.
- Leveraged multiple software platforms, including electronic medical records, to handle data entry tasks.
- Contributed to onboarding processes and training initiatives for new hires.
- Maintained detailed documentation of all activities related to the precertification process.
- Identified opportunities for improvement within the precertification process and recommended solutions accordingly.
- Assisted with answering provider inquiries regarding preauthorization requirements and processes.
- Provided follow-up on pending precertification requests to ensure timely processing.
- Resolved any discrepancies identified during the precertification process.
Patient Access Associate
MedStar Franklin Square Medical Center
BALTIMORE , MD
11.2017 - 03.2023
- Delivered comprehensive support to various departments such as Emergency, Women's Health, and Financial Counseling.
- Facilitated patient registration, verifying all required documentation is collected and filed properly.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Communicated financial obligations to patients and collected fees at time of service.
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
- Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
- Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.
- Provided assistance to internal departments when needed.
- Utilized hospital systems to update patient records, ensuring accuracy and completeness.
- Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
- Collaborated with clinical and administrative staff to meet patient needs.
- Participated in training sessions to stay updated on healthcare policies and registration software.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Assisted with scheduling outpatient appointments.
- Prepared daily reports on registration activities, highlighting areas for improvement.
- Assisted in the implementation of new technologies and processes to improve patient access services.
- Contributed to team meetings, sharing insights and strategies for improving patient access services.
Lead Patient Service and EP Coordinator
MMG CARDIOLOGY AT MEDSTAR FRANKLIN SQUARE
BALTIMORE, MD
11.2001 - 03.2023
- Acts as device representative, mapping/ablation representative, or point of surgeon communication and scheduling for complex procedures.
- Acts as the liaison between outside referring doctor practices, MedStar Electrophysiology, and communicates with group practices to facilitate efficiency.
- Facilitates and coordinates operations and daily activities of the EP doctors. Optimizes efficiency and effectiveness of physician utilization and reviews with physicians quarterly, scheduling efficiencies, barriers to referral or growth.
- Maintains EP physicians credentialing information. Completes reappointment applications and maintains physicians CME documentation.
- Performs insurance pre-authorization for procedures and pre-procedure testing.
- Recommended solutions related to staffing issues and proposed procedural changes to managers.
- Researched and prepared reports required by management or governmental agencies.
- Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
- Coordinates daily activities and operations of EP doctors.
- Resolved customer complaints in a timely manner while upholding company standards.
- Delegated work to staff, setting priorities and goals.
- Partnered with management to resolve issues affecting work schedules, team productivity, and office resources.
- Analyzed employee performance difficulties by identifying causes and developing effective solutions.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Reviewed employees' work to check adherence to quality standards and proper procedures.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Managed day-to-day operations of the department including scheduling tasks and assigning duties.
Education
Associate of Arts -
The Community College of Baltimore County
Catonsville, MD06-2021
Certificate - Medical Office Administration
Medix School
06-2001
High School Diploma -
Lake Clifton Eastern High School
Baltimore 06-2000
Bachelor of Science - Nursing
The Community College of Baltimore County
Catonsville, MDSkills
- Process improvement
- Employee training
- Coaching and mentoring
- Task delegation
- Critical thinking
- IDX, MedConnect, Invision, Microsoft Office Suite, Amalga, and Amnion
- Insurance verification
- Precertification requirements
- Effective communication skills
- Complaint resolution
- Attention to detail
- Healthcare regulations
- Medical terminology
- Customer Service
Certification
- CERTIFIED HEALTHCARE ACCESS ASSOCIATE, NAHAM (2024)
References
References available upon request.
Timeline
Preauth/Precertification Specialist I
MedStar Unified Revenue Cycle Organization
03.2023 - Current
Patient Access Associate
MedStar Franklin Square Medical Center
11.2017 - 03.2023
Lead Patient Service and EP Coordinator
MMG CARDIOLOGY AT MEDSTAR FRANKLIN SQUARE
11.2001 - 03.2023
Associate of Arts -
The Community College of Baltimore County
Certificate - Medical Office Administration
Medix School
High School Diploma -
Lake Clifton Eastern High School
Bachelor of Science - Nursing
The Community College of Baltimore County
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