Summary
Overview
Work History
Education
Skills
Accomplishments
Profile Link
Timeline
Generic

Shauna Bateman

Atlanta

Summary

Dynamic Care Facilitator at Jen Care with expertise in quality assurance and patient risk assessment. Proven track record in developing tailored care plans and enhancing patient outcomes through effective communication and collaboration. Proficient in Epic and committed to HIPAA compliance, ensuring seamless patient experiences and operational efficiency.

Overview

11
11
years of professional experience

Work History

Care Facilitator

Jen Care
Atlanta
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
Atlanta
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 Care Coordinator

Emory Healthcare
Atlanta
08.2018 - 06.2019
  • Greeted guests and managed over 40 calls daily to ensure seamless communication.
  • Established strong work network by building professional relationships with physicians and fellow employees.
  • Provided administrative support for patient care staff.
  • Collected co-pays and confirmed photo ID insurance for verification purposes.
  • Established verification processes for demographics and insurance information.
  • Modified patient accounts as needed to reflect accurate data.
  • Checked out patients by scheduling follow-up appointments efficiently.
  • Scheduled MRI, CT scans, injections, EMGs, and X-rays to optimize patient care.
  • Balanced and reconciled daily batches to maintain financial accuracy.
  • Coordinated patient flow by monitoring wait times and managing high-volume situations.

FRONT OFFICE SPECIALIST

Advance Pain Management
Atlanta
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
Atlanta, GA
12.2026

CPR Certified - Continuing Education

Red Cross
07.2025

Diploma - Certified Phlebotomist

Southern Crescent Technical College
Griffin, GA
05.2012

Skills

  • Quality assurance expertise
  • Insurance operations management
  • Workflow optimization
  • Patient risk assessment
  • Medical records management
  • Analytical skills
  • CPT and HCPCS knowledge
  • Crisis intervention strategies
  • Epic/Cerner/GE Centrix proficiency
  • Interpersonal communication
  • HIPAA compliance awareness
  • Substance abuse knowledge
  • Senior health care management
  • Disability rights advocacy
  • Active listening skills
  • Verbal and written communication
  • Strategic decision-making abilities
  • Attention to detail
  • Patient and family communication
  • Patient intake coordination

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.

Profile Link

https://bold.pro/my/shauna%2Dbateman%2D250916203828/799r

Timeline

Care Facilitator

Jen Care
03.2025 - Current

MEDICAL OFFICE SPECIALIST II

Mercy Care Saint Joseph
08.2019 - 03.2024

Patient Care 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 - Continuing Education

Red Cross

Diploma - Certified Phlebotomist

Southern Crescent Technical College
Shauna Bateman