SHATORIA JEMISON
Pleasant Grove,AL
Summary
Seeking an opportunity in a claims managerial position that will allow me to grow and develop while utilizing skills such as time management, leadership, teamwork, critical thinking, and adaptability to successfully put over five years of Medical Professional experience to use.
Overview
1
1
year of post-secondary education
12
12
years of professional experience
Work History
MEDICAL SCHEDULER
NAPHCARE
Birmingham, Alabama
02.2022 - Current
- Scheduled medical appointments using NaphCare correctional health protocols.
- Managed patient information while maintaining accurate and confidential medical records.
- Communicated with healthcare staff, patients, and relevant parties regarding appointments, scheduling changes, and medical information to ensure clarity and coordination.
- Adhering to all relevant security protocols, confidentiality standards and HIPAA regulations.
- Utilized computer systems for scheduling and data management, handling large volumes of information to maintain accurate records and facilitate reporting.
- Supported team objectives through various tasks, contributing to overall operational efficiency.
REFERRAL COORDIANTOR/ SURGERY SCHEDULER
CAHABA MEDICAL CARE FOUNDATION
Birmingham, Alabama
07.2018 - 02.2022
- Obtained pre-certs for inpatient and outpatient surgeries and radiology imaging for various insurance companies, ensuring compliance with insurance requirements
- Verified patient eligibility and benefits for surgeries and specialist consultations, accurately filed medical records electronically to support efficient patient care
- Coordinated patient referrals, scheduled appointments, maintained patient files, and facilitated communication between patients and doctors to ensure seamless care delivery
- Utilized Athena EMR system for managing patient records efficiently.
- Instruct NEW HIRE Referral Coordinators for Jefferson County on Referral process and procedures
- ABCCEEDP Breast and Cervical Cancer coordinator for Jefferson County/Biller for pap and mammography rendered in Jefferson County using CMS-1500 form
DATA ENTRY SPECIALIST
STX HEALTH CARE MANAGEMENT SERVICES, INC
02.2018 - 07.2018
- Executed data entry of received information into the database, organizing and securing confidential information for efficient retrieval.
- Systematically inputted insurance information into a computer database, ensuring accuracy and accessibility of data.
- Maintained data entry requirements by adhering to established data program techniques, supporting data integrity.
DATA CAPTURE SPECIALIST
DST HEALTH SOLUTIONS, INC
08.2014 - 09.2015
- Captured and updated insurance and patient demographic information both electronically and manually to maintain comprehensive records
- Processed data from UB 04 and CMS 1500 forms to ensure accurate claims submission
- Reviewed and validated CPT and HCPCS codes for accuracy and compliance
- Managed customer accounts for an insurance company, updated customer records, and maintained policy information.
Education
ASSOCIATE DEGREE - Health Information Technology
FORTIS INSTITUTE
Birmingham, AL 11.2012 - 04.2014
Skills
- Referral coordination
- Prior authorization
- Insurance verification
- EMR documentation
- Medical terminology knowledge
- HIPAA regulations
- Data entry proficiency
- Microsoft office suite proficiency
- Attention to detail
- Multitasking
- Time management
- Team collaboration
- Verbal and written communication
Timeline
MEDICAL SCHEDULER
NAPHCARE
02.2022 - Current
REFERRAL COORDIANTOR/ SURGERY SCHEDULER
CAHABA MEDICAL CARE FOUNDATION
07.2018 - 02.2022
DATA ENTRY SPECIALIST
STX HEALTH CARE MANAGEMENT SERVICES, INC
02.2018 - 07.2018
DATA CAPTURE SPECIALIST
DST HEALTH SOLUTIONS, INC
08.2014 - 09.2015
ASSOCIATE DEGREE - Health Information Technology
FORTIS INSTITUTE
11.2012 - 04.2014