Summary
Overview
Work History
Education
Skills
Timeline
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Shaunese Wright

Greensburg,LA

Summary

Dynamic Care Coordinator/Certified Medical Assistant with expertise in patient relations and HIPAA compliance, honed at Southeast Community Health Systems. Proven ability to enhance patient experiences through effective communication and creative problem-solving. Skilled in managing complex care processes and ensuring timely access to services, consistently achieving high patient satisfaction.

Overview

7
7
years of professional experience

Work History

Care Coordinator

Southeast Community Health Systems
12.2023 - Current
  • Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience
  • Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services
  • Assist in obtaining insurance, prior authorization, and appeal requirements and outcomes
  • Help patients understand their insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed
  • Resolve patient's questions and any representative for the patient’s concerns regarding status of their request for assistance
  • Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribed products
  • Process enrollments via fax, phone, and electronically as needed
  • Scrutinize forms and supporting documentation thoroughly for any missing information or new information to be added to the database
  • Receive inbound calls from patients, healthcare provider offices, SPs, and customers, striving for one-call resolution

Certified Medical Assistant

Zachary Internal Medicine
06.2020 - 12.2023
  • Assisted in patient intake processes, ensuring accurate collection of medical history and personal information.
  • Supported healthcare providers by preparing examination rooms and sterilizing instruments to maintain hygiene standards.
  • Managed appointment scheduling and coordinated patient follow-ups to enhance office efficiency.
  • Documented vital signs and patient data in electronic health records, ensuring accuracy for clinical staff review.
  • Collaborated with team members to streamline administrative tasks, contributing to a supportive healthcare environment.
  • Called and faxed pharmacies to submit prescriptions and refills.

Care Coordinator

Optum
01.2019 - 11.2021
  • Facilitated communication between patients and healthcare providers to enhance care continuity.
  • Managed patient records using electronic health record (EHR) systems, maintaining accuracy and compliance.
  • Developed and implemented patient education materials to improve understanding of treatment plans.
  • Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
  • Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience (remote)

Education

Ccma - Medical Assistant

Fortis Collge
Baton Rouge, LA
08.2019

Skills

  • Organizational skills
  • HIPAA compliance
  • Customer service
  • Patient relations
  • Attention to detail
  • Patient care
  • Medical terminology
  • Verbal and written communication
  • Follow-up care
  • Creative problem solving

Timeline

Care Coordinator

Southeast Community Health Systems
12.2023 - Current

Certified Medical Assistant

Zachary Internal Medicine
06.2020 - 12.2023

Care Coordinator

Optum
01.2019 - 11.2021

Ccma - Medical Assistant

Fortis Collge

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Shaunese Wright