Shaun R Marshall
West Park,USA
Summary
Self-motivated Communications Supervisor/ Trainer well-versed in supporting public relations/ provider service efforts. Versatile professional committed to playing strategic role in creating meaningful engagement alliances. Personable and dedicated, a solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. 5x Employee of the Month, motivated to maintain customer satisfaction and contribute to company success. Articulate and enthusiastic with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Overview
14
14
years of professional experience
Work History
Communications Supervisor/Statewide Trainer
Molina Healthcare
02.2015 - 12.2023
- Develop and conduct all Provider Services Trainings and Presentations as necessary (I.e.: External Stakeholder Trainings, Internal Staff Trainings, etc.)
- In-Serviced a minimum of 50 new providers at 100% accuracy monthly.
- 2015-2019 – Created and conducted statewide Provider Training Expos that effectively delivered new information and strategies to approximately 30% of the statewide provider network that saved over $5 million dollars in stop-loss revenue annually.
- Efficiently managed all internal/external communications for staff members and external parties.
- Coordinated with team members and Departmental Leaders to maintain and update Provider Services documents such as the Provider Manual, Provider Codification Document, and Prior Authorization Guide.
- Member of the Employee Activity Committee (EAC)
- Served as Co-Chairperson for Molina Emergency Safety Team (MEST)
- Other duties as assigned.
- Proficiency in Microsoft Office (Word, Excel, Powerpoint)
Provider Services Representative II (Field)
Molina Healthcare
05.2012 - 02.2015
- Assigned as a Field Representative to address provider concerns regarding Molina Healthcare by offering support, problem resolution, and service via in-person meetings, phone conversations, or email correspondence.
- Followed up with clients on outstanding documents or payments required for processing claims or services rendered.
- Assisted customers in navigating the online portal for self-service requests.
- Processed claims and coordinated with providers, payers, and other third parties as necessary.
- Conducted Claims Reviews. Calculated and adjusted Provider/Member accounts to maintain financial integrity.
Provider Services Representative I (In-House)
Molina Healthcare
01.2011 - 05.2012
- Internal liaison between Field Representative and Molina Healthcare
- Organized and processed paperwork and documentation to assist in the servicing of providers.
- Ensured all provider contracts were properly executed before initiating services or payment arrangements.
Member Services/Claims Resolution Representative
Molina Healthcare
12.2009 - 01.2011
- Investigate and provide resolution on Claim inquires for providers, facilities, and members
- Assist Medicaid members with benefits questions, PCP changes, and Pharmacy & Prescription Issue Received and Process provider claims calls
- Assist provider with Monthly membership rosters and inquiries.
Education
Business Administration -
Miami-Dade Community College
Miami, FL01.1997
Diploma - undefined
Miami Norland Senior High
Miami, FL06.1996
Skills
- Claims Resolution
- Customer engagement
- Office Management
- Internal Communications
- Educational material development
- Complaint resolution
- Customer Account Management
- Staff presentations
- New Employee Training
- Claim Research
- Revenue Management
- Effective problem resolution
- Document and Records Management
- Strong interpersonal skills
- Event Management
- Florida Medicaid and Medicare
- Media relations
- Project management
Timeline
Communications Supervisor/Statewide Trainer
Molina Healthcare
02.2015 - 12.2023
Provider Services Representative II (Field)
Molina Healthcare
05.2012 - 02.2015
Provider Services Representative I (In-House)
Molina Healthcare
01.2011 - 05.2012
Member Services/Claims Resolution Representative
Molina Healthcare
12.2009 - 01.2011
Diploma - undefined
Miami Norland Senior High
Business Administration -
Miami-Dade Community College
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