Shauna Bateman
Atlanta,GA
Summary
Highly motivated Medical Office Specialist versed in healthcare assessment, detail oriented and offers demonstrated skills in case management and service coordination. Worked closely with RN, Social Worker and Providers to manage complaints, inquiries and service questions to meet patients' needs, access deficiencies and update problems related to care. Well-versed in HIPPA policies, procedures and standards. Collaborated with healthcare providers to clarify documentation and improve ICD-10 coding accuracy. Triaged and took vitals for distressed patients.
Overview
10
10
years of professional experience
Work History
Patient Care Access
MMC Group
08.2024 - Current
- Fostered strong relationships with referral sources for increased network connections, benefiting both the clinic and its patients through expanded resources.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Assisted in the development of care plans tailored to individual patient needs, improving overall health outcomes.
- Processed and verified ICD-10/ CPT and HCPCS
Medical Office Specialist II
Mercy Care Saint Joseph
08.2019 - 03.2024
- Greeted visitors and initiated triage processes for clients to streamline patient flow
- Adhered to strict HIPAA guidelines to protect patient privacy
- Register over 30 patients per day, process insurance and entered patient information to complete Registration process
- Confirmed patient's demographics and created modifications as needed
- Verified and attached insurance to appropriate accounts to maintain proper billing
- Collected co-pays and implemented payment arrangements as needed
- Used Epic to schedule appointments/referrals for doctor visits and procedures
- Developed patient care plans and coordinated with other healthcare providers to ensure the best possible outcomes
- Participated in quality improvement initiatives aimed at improving patient outcomes
- Educated patients on self-management techniques such as medication adherence, lifestyle modifications
- Coordinated transportation arrangements for those unable to travel independently
- Assessed patient eligibility for programs based on established criteria
- Provided assistance in obtaining financial aid resources for medically necessary treatments
- Scheduled appointments and procedures for patients at various facilities or locations
- Managed accurate records of patient care activities and updated electronic health records
- Collaborated with multidisciplinary teams to coordinate services for patients
- Provided referrals for specialized care and processes ICD-10/CPT and HCPCS on denial of claims
- Attended meetings with other healthcare professionals to discuss quality improvement initiatives
- Processed medical record requests for insurance companies and medical providers
- Helped develop and implement promotional strategies to bring in new residents
- Worked with outside agencies to improve care for residents
- Established and maintained systems that safely met residents' needs
- Communicated with patients with compassion while keeping medical information private
- Explained policies, procedures and services to patients
- Coordinated work activities and scheduling of medical, nursing and physical plant staff
- Implemented innovative strategies for better resource allocation, reducing overall healthcare costs without compromising patient care quality.
- Acted as a liaison between patients, families, and healthcare professionals to address concerns and resolve issues promptly.
- Maintained up-to-date knowledge of industry best practices and regulatory requirements to ensure compliance in all aspects of medical care coordination activities.
- Ensured accurate documentation of patient information, maintaining confidentiality and compliance with HIPAA regulations.
Patient Services Coordinator
Emory Healthcare
08.2018 - 06.2023
- Greet guest, Managed over 20 calls per day
- Collects co-pays and confirm photo id insurance
- Established Verification, demographics and Insurance
- Modify patient accounts as needed
- Check out patients by scheduling follow-up appointments
- Scheduling MRI's, CT Scans, INJ's, EMG's and X-rays
- Schedule several walk-In's daily
- Prepared several documents for Doctor Clinics weekly
- Balance and reconcile daily batch
- Update schedules as needed daily
- Coordinate patient flow by monitoring wait times
- Prepare document for imaging and patient encounters forms for Vendors
Intake Coordinator
Family Health Centers Of Georgia Inc
03.2018 - 08.2018
- Greet guest and answer incoming calls
- Verified data integrity and accuracy of patient demographics
- Maintain strict confidentiality, make prompt decisions in crisis situations
- Creating and maintaining spreadsheets for patient back to school forms
- Coordinating back to school project
- Coordinate sliding scale fee for patient eligibility
- Reconcile and deposit batch daily
Front Office Specialist
Advance Pain Management
01.2015 - 03.2017
- Greeted and directed all incoming calls
- Verified insurance, patient demographics and collected co-pays
- Coordinated and scheduled surgical appointments and procedures
- Liaison between patients and medical staff
- Provided all Administrative support to all medical staff
- Coordinated medical records for transfer
- Managed all office supply ordering and expenses
- Provides responsive and proactive customer service via, telephone, fax, email and face to face
- Coordinated and scheduled medical appointments and determine patient eligibility for provided services
- Created and updated patient charts daily to ensure information is accurate within established guidelines
- Maintained confidentiality of patent privacy in compliance with HIPPA regulations
Education
Bachelor of Science - Social Work
Georgia State University
Atlanta, GA12.2026
CPR Certified -
Red Cross
Atlanta, GA06.2024
Phlebotomy -
Southern Crescent Technical College
01.2007
Skills
- Multidisciplinary Collaboration
- HIPAA Compliance
- Quality Improvement
- Case Management
- Insurance Processes
- Setting schedules
- Process Improvements
- Triage assessments
- Determining patient risk levels
- Care Planning
- Clinical Leadership
- Epic/Cerner/GE Centrix Systems
- Managed Records Maintenance
- Service Utilization Improvements
- Critical/Analytical skills
- Excellent Communication
- ICD-10, CPT and HCPCS
- Administrative Staff Supervision
- Crisis Prevention Intervention (CPI)
- Time Management
- Facility Inspections
- Money management
- Active Listening
- Relationship Building
- Electronic Medical Record Software
- Teamwork and Collaboration
- Organizational Skills
- Interpersonal Communication
Accomplishments
- Featured in company newsletter for building relationships with patients/customers through empathy, compassion and support.
- Obtained several awards of acknowledgement of collecting the most money of all the Georgia locations.
Timeline
Patient Care Access
MMC Group
08.2024 - Current
Medical Office Specialist II
Mercy Care Saint Joseph
08.2019 - 03.2024
Patient Services Coordinator
Emory Healthcare
08.2018 - 06.2023
Intake Coordinator
Family Health Centers Of Georgia Inc
03.2018 - 08.2018
Front Office Specialist
Advance Pain Management
01.2015 - 03.2017
CPR Certified -
Red Cross
Phlebotomy -
Southern Crescent Technical College
Bachelor of Science - Social Work
Georgia State University
Similar Profiles
Denise MossDenise Moss
Benefit Verification Specialist at MMC GroupBenefit Verification Specialist at MMC Group
Jzazmeana DunbarJzazmeana Dunbar
Patient Access Coordinator at MMC GroupPatient Access Coordinator at MMC Group
Chandra PolkChandra Polk
Patient Coordinator at MMC GroupPatient Coordinator at MMC Group