Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Shauna Bateman

Conley,GA

Summary

Highly motivated Professional Medical Office Specialist with over 10 years of strong expertise in managing medical office operations, insurance verification, medical terminology, and support services. Proficient in HIPAA policies, and procedures, collaborating with providers to enhance interpersonal clarity and improve ICD-10 coding accuracy. Known for fostering seamless team collaboration and consistently delivering impactful results, adaptable to changing needs. Skilled in client advocacy, care coordination, and effective communication, ensuring high standards of service and reliability.


Overview

11
11
years of professional experience

Work History

Care Facilitator

Jen Care
03.2025 - Current
  • Managed over 30 incoming calls, emails, faxes per day from Insurance Case managers, Pharmacist, Surgeons, Nurses and Doctors
  • Researched issues and took appropriate action to resolve issues within turnaround time requirements and quality standards.
  • Documented activities and progress in electronic medical record per defined policy and procedures.
  • Assisted in completing and maintaining care management contracts during and after patient's hospitalization.
  • Improved patient care by developing and implementing comprehensive care plans tailored to individual needs.
  • Educated patients and their families on managing chronic conditions, promoting self-care, and healthy lifestyle choices.
  • Fostered positive relationships with fellow team members, enhancing collaboration efforts within the workplace environment.
  • Verified patient insurance eligibility and entered patient information into system.
  • Resolved customer complaints using established follow-up procedures.
  • Maintained up-to-date documentation of patient progress, enabling informed decision-making among healthcare professionals.

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

PATIENT SERVICES COORDINATOR

Emory Healthcare
08.2018 - 06.2019
  • Greet guest, Managed over40 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
  • Coordinate patient flow by monitoring wait times
  • Prepare document for imaging and patient encounters forms for Vendors
  • Verify ICD-10 and CPT Codes
  • Managed sensitive patient data with strict adherence to HIPAA regulations, ensuring privacy and confidentiality at all times.
  • Responded effectively to challenging situations involving distressed or dissatisfied patients while maintaining a calm demeanor and positive attitude.
  • Maintained accurate patient records by diligently updating information in the electronic health record system.
  • Organized administrative workflows within the office space to improve overall efficiency among team members while minimizing disruptions during busy periods.
  • Verified patient availability during appointment scheduling process to reduce reschedules and cancellations.
  • Assisted in improving overall clinic efficiency by managing patient flow during peak hours and high-volume situations.
  • Engaged with patients to provide critical information.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.

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 over 20 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
12.2026

CPR Certified -

Red Cross

Diploma - Certified Phlebotomist

Southern Crescent Technical College
Griffin, GA

Skills

  • Quality assurance initiatives
  • Insurance operations management
  • Workflow streamlining
  • Assessing patient risk levels
  • Medical records organization
  • Analytical thinking
  • CPT and HCPCS proficiency
  • Crisis intervention
  • Effective organizational skills
  • Individualized care assessments
  • Epic/Cerner/GE Centrix Systems

    • Collaborative teamwork

  • Effective interpersonal communication
  • HIPAA compliance
  • Substance abuse awareness
  • Care planning
  • Senior health management
  • Family engagement
  • Advocacy for disability rights
  • Analytical problem-solving
  • Skilled at managing challenges in demanding environments
  • Analytical reasoning
  • Active listening
  • Effective communication
  • Verbal and written communication
  • Strategic decision-making
  • Meticulous attention to detail
  • Effective communication with patients and families
  • Patient intake management
  • Microsoft Office Suite
  • Registration and scheduling

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

Care Facilitator

Jen Care
03.2025 - Current

MEDICAL OFFICE SPECIALIST II

Mercy Care Saint Joseph
08.2019 - 03.2024

PATIENT SERVICES COORDINATOR

Emory Healthcare
08.2018 - 06.2019

FRONT OFFICE SPECIALIST

Advance Pain Management
01.2015 - 03.2017

Bachelor of Science - Social Work

Georgia State University

CPR Certified -

Red Cross

Diploma - Certified Phlebotomist

Southern Crescent Technical College

Similar Profiles

CREATE PROFILE
Shauna Bateman