Shaune Anderson
Indianapolis,IN
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
35
35
years of professional experience
Work History
Patient Access Representative
Ascension Medical Group
09.2021 - Current
- Responsible for obtaining authorizations up to 10-15 patients daily for upcoming surgical procedures
- Able to meet deadlines for requested documents from insurance companies
- Finalize daily authorizations and upload in Athena health system
- Monitor Daily schedules
- Communicate professionally with coworkers and insurance companies.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Patient Access Representative
Community Health Network
12.2018 - 05.2021
- Scheduling patients for Home Sleep Studies
- Obtain prior authorization for Home Sleep Study
- Educated 20 -25 patients weekly on how to use Home Sleep Study equipment
- Update and close daily reports through Epic system
- Awarded several satisfactory and going above and beyond for patient care.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Taught patients and families to use at-home medical equipment.
Patient Registration Representative
Health Net
11.2016 - 01.2018
- Registered and scheduled 50 plus patients for daily appointments
- Collected and post copayment in Epic health system
- Responsible for daily transactions and deposits.
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Secured patient privacy by learning and following HIPAA regulations to keep organization compliant with relevant laws.
- Accurately inputted patient and insurance information into company's computer system using Epic.
Registration Specialist
St. Vincent Peds Neurology
09.2000 - 05.2015
- Scheduled 50 plus patients for appointments and procedures! Expedited patient referrals to specialty offices and imaging
- Obtain 15-20 authorizations for all diagnostic procedures.
- Worked with clinical staff, coding coordinators and billing department to resolve patient inquiries, billing and coding questions.
- Prepared medical records for chart audits according to front desk and charge entry audit policy.
- Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
Personnel Administration Specialist
US Army
09.1988 - 09.1996
- Prepared military records/charts for 40-50 incoming and outgoing soldiers
- Responsible for managing and modifying for departing to assigned units
- Solider of month for outstanding performance
- Promoted to higher rank within first year of service.
- Initiated and maintained personnel and employee-related files and records and established archives to support internal audits.
- Cross-trained to cover other personnel staff duties to facilitate office management.
Education
Certificate - Child and Family Welfare
Kaplan University
Indianapolis, IN01.2017
High School Diploma -
Broad Ripple Mgnt High School For Prfm Arts
Indianapolis, IN06.1987
Skills
- Charts
- Epic Systems
- Athena Health
- Microsoft Office
- Microsoft Excel
- Insurance Verification
- HIPAA Compliance
- Patient Education
- Scheduling Diagnostic Procedures
- Problem-Solving
- EMR
- Medical Terminology
- Patient Advocacy
- Strong Empathy
- Multitasking
- Organizational Skills
- Excellent Communication
- Computer Proficiency
- Attention to Detail
- Conflict Resolution
- Decision Making
- Problem Solving
- Registration and Scheduling
Timeline
Patient Access Representative
Ascension Medical Group
09.2021 - Current
Patient Access Representative
Community Health Network
12.2018 - 05.2021
Patient Registration Representative
Health Net
11.2016 - 01.2018
Registration Specialist
St. Vincent Peds Neurology
09.2000 - 05.2015
Personnel Administration Specialist
US Army
09.1988 - 09.1996
Certificate - Child and Family Welfare
Kaplan University
High School Diploma -
Broad Ripple Mgnt High School For Prfm Arts
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