Shatarra Daniel
Arlington,Texas
Summary
Detail-oriented records management professional with a proven track record in safeguarding sensitive information and enhancing electronic systems to meet evolving needs. Skilled in interdepartmental collaboration and database administration, demonstrating strong problem-solving abilities and effective communication. Adept at improving processes and training junior staff, contributing to increased efficiency and compliance in healthcare settings.
Overview
11
11
years of professional experience
1
1
Certification
Work History
REGISTRAR REGISTRATION ER Overnight
Medical city Arlington
Arlington, TX
04.2022 - 08.2025
- Collected, evaluated and stored documents securely in permanent records.
- Processed patient medical records requests in compliance with HIPAA guidelines.
- Responded promptly to inquiries from internal and external stakeholders regarding registrar services.
- Protected medical information against unauthorized access, loss, or corruption by consistently following security protocols.
- Collaborated with other departments to facilitate efficient transfer of information between systems and platforms.
- Provided hands-on training and coaching for junior staff on office policies and regulations.
- Managed student records and ensured accuracy of data.
- Enhanced electronic records management systems to meet new needs and forecasted demands.
- Accessed patient charts to collect, abstract and extrapolate patient data.
- Supported healthcare applications by monitoring security, performance and reliability.
- Facilitated communication between faculty members, advisors, deans, administrators and students.
- Drafted statistical reports related to diseases treated, surgeries performed and hospital bed occupancy.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Created detailed records of class schedules, grades, transcripts.
- Reviewed medical records for completeness, accuracy, and compliance with regulations.
- Compiled statistical reports on enrollment numbers and demographics.
- Processed applications for admission and maintained accurate records.
- Utilized reporting system to monitor print patient charts, labels and future appointments report.
- Resolved student inquiries related to registration and enrollment issues.
- MEDITECH system
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Trained new staff on current, correct insurance verification procedures.
Insurance Overnight Specialist Representative
Humana
Arlington, TEXAS
10.2020 - 03.2022
- Company Overview: Pharmacy mail order, provided customers with their prescription medications
- Provided customers with their prescription medications
- Filling new or one time prescription
- Managing any refills as needed
- Communicating with providers for new express scripts
- Performing overrides on claims
- Pharmacy mail order, provided customers with their prescription medications
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
- Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
- Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
- Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
- Implemented improvements to existing verification processes, increasing accuracy rates while reducing time spent on manual tasks.
- Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
- Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
- Posted payments to accounts and maintained records.
- Streamlined workflow for medical providers by obtaining necessary referrals and authorizations for services.
- Generated reports to track insurance verifications and claim progress.
- Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
- Reduced errors in insurance claims by conducting thorough audits and implementing corrective measures.
- Enhanced patient trust by ensuring personal and sensitive information was handled with confidentiality during verification process.
- Conducted regular training sessions for new staff on best practices in insurance verification.
- Assisted in negotiating with insurance companies to secure better coverage options for patients.
- Contributed to patient education by explaining complex insurance terms and procedures in understandable manner.
- Enhanced patient satisfaction by providing clear explanations of insurance benefits and coverage.
- Ensured accuracy in patient insurance information by meticulously verifying details, leading to reduction in claim denials.
- Increased accuracy of insurance verification, ensuring compliance with both provider and insurer requirements.
- Played key role in minimizing financial losses by identifying and correcting discrepancies in insurance information.
- Facilitated successful introduction of new electronic verification system, improving data accuracy.
- Streamlined insurance verification process, reducing wait times for patients and medical staff.
- Enhanced communication between medical staff and insurance companies, leading to more efficient patient care coordination.
- Played critical role in financial counseling team, advising patients on insurance-related matters to optimize their healthcare expenditure.
- Supported patient access to care by efficiently resolving insurance-related issues and inquiries.
- Optimized use of insurance verification software, leading to faster processing times.
- Improved claim submission times by streamlining verification and authorization process.
- Obtained payments from patients and scanned identification and insurance cards.
COLLECTION REP 1
Regional Acceptance Corporation
Arlington, TEXAS
08.2015 - 09.2020
- Communicate with insurance carriers, intermediaries and insurance agent/brokers to verify vital information regarding cancelled accounts and document files accordingly with information collected
- Pursue collection activities on assigned portfolio of cancelled accounts as outlined in line of business policies and procedures
- Respond to telephone and written inquiries on assigned loan portfolio or when appropriate, respond to inquiries that have been redirected from other departments
- Communicate regularly with internal sales and marketing staff regarding cancelled accounts, losses and agency delinquencies
- Review and make decisions on handling of assigned accounts once initial carrier collections activities have been completed
- Exercise judgment within established authority limits to make decisions related to the charge-off of delinquent loan balances and prepare to explain the reasons for the loss
- Recognize the warning signs of agency fraud/non-compliance and ensure that management is notified of these instances for further investigation and/or action
- Review delinquent loans and make determinations on deferring or proceeding with cancellation requests to the insurance carrier
- Review payments received on cancelled loans and determine appropriate action
- Compute interest adjustments using various calculation methods, calculate payoffs and prepare refunds
INSURANCE REP 1
ATTERRO CGI
Bedford, TEXAS
03.2014 - 05.2015
- Insurance customer service representatives Respond to inquiries from customers making sure any problems they are experiencing are resolved
- Depending on the size of the agency, the job duties may include preparing quotes of policy costs, explaining coverage
- Setting up insurance claims and suggesting the best insurance choices to customers
- Insurance CSRs keep detailed records of customer transactions and concerns and follow up on customer interactions
- They respond to questions or complaints of customers and refer them to other staff members when needed
- They may input data into the computer and organize filing systems
- Collaborated with healthcare providers to ensure that insurance coverage met needs of patient treatments.
- Maintained up-to-date knowledge of insurance policies and changes, aiding in accurate verification.
- Improved team efficiency with development of comprehensive training manual on insurance verification procedures.
- Facilitated smoother billing operations by accurately entering patient insurance information into system.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Registered and verified patient records before triage with most up-to-date information.
- Processed medical insurance claims and payments.
- Managed office bookkeeping with insurance billing and patient payments.
- Answered phone calls and messages for Number-physician Type medical facility, scheduling appointments, and handling patient inquiries.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Assisted with medical coding and billing tasks.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Education
HIGH SCHOOL DIPLOMA - undefined
Sam Houston high school
Arlington, TEXAS06.2009
Skills
- Records management
- Course scheduling
- MEDITECH EXPERIENCE
- Interdepartmental collaboration
- Database administration
- Customer service
- Teamwork and collaboration
- Friendly, positive attitude
- Problem-solving
- Flexible and adaptable
- Dependable and responsible
- Multitasking
- Multitasking Abilities
- Excellent communication
- Critical thinking
- Computer skills
- Organizational skills
- Calm under pressure
- Active listening
- Decision-making
- Organization and time management
- Problem resolution
- Verbal communication
Certification
Meditech
Timeline
REGISTRAR REGISTRATION ER Overnight
Medical city Arlington
04.2022 - 08.2025
Insurance Overnight Specialist Representative
Humana
10.2020 - 03.2022
COLLECTION REP 1
Regional Acceptance Corporation
08.2015 - 09.2020
INSURANCE REP 1
ATTERRO CGI
03.2014 - 05.2015
HIGH SCHOOL DIPLOMA - undefined
Sam Houston high school