Shauntrelle Brannon
Jacksonville,FL
Summary
Accomplished professional with extensive experience at UF Health, recognized for excellence in customer service and claims support. Proficient in data entry and regulatory compliance, with a strong ability to enhance team collaboration. Successfully processed Medicare applications, ensuring accuracy and efficiency while resolving complex inquiries to boost client satisfaction.
Overview
23
23
years of professional experience
Work History
Emergency Dept. Assoc. Clerical
UF Health
Jacksonville, FL
08.2022 - Current
- The Clerical Associate (C.A.) is a member of the patient care team whose primary responsibilities are to perform clerical functions, serve as a role model for customer service, handle verbal, written, telephone and electronic communications at the central nursing station, maintain the paper copy of the patient medical record, order/control equipment, supplies and the environment of care, provide assistance as needed to professional staff in the use of the electronic medical record and perform other support duties within job scope.
- Placing medical orders in EPIC for Trauma patients.
Claims Adjuster Specialist (WFH)
United Healthcare
Jacksonville, FL
12.2016 - 11.2024
- Responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing, and adjusting claims.
- Authorizes the appropriate payment or refers claims to investigators for further review.
- Conducts data entry and re-work, analyzes, and identifies trends and providers report, as necessary.
- Macro champion- helps team members with any computer issue they may have when using macros to process claims.
Sr. Customer Service Advocate (WFH)
OptumRx (United Healthcare)
Jacksonville, FL
01.2013 - 12.2016
- Assist customers with refill orders on prescriptions.
- Assist with the Lead line, handle escalated calls and supervisor callbacks.
- Resolve customer service inquiries which could include Benefits and Eligibility information, Billing and Payment issues, Customer material request, Physician assignments, Authorization for treatment, Explanation of Benefits (EOB).
- Respond to complex customer calls.
- Provide information about shipment and delivery times.
Provider Enrollment Analyst
BroadPath Healthcare Solutions
Tucson, AZ
06.2012 - 09.2012
- Responsibilities include processing applications submitted from providers requesting to enroll in the Medicare Programs.
- Processing Medicare applications for Texas, Colorado, New Mexico, and Oklahoma at Trailblazer Healthcare Enterprise.
- Screening applications and attachments to determine if all areas are complete and contacting the provider's office when necessary to obtain additional information by letter or telephone.
- Validating the information related to the provider using the Internet and other PC databases.
- Tracking application in PDAT (Provider Document and Tracking).
- Keying new and updated information into PECOS (Provider Enrollment Chain, and Ownership) and MCS (Medicare Claims System).
Medicare Provider Enrollment Analyst
First Coast Service Options
Jacksonville, FL
02.2002 - 05.2010
- Responsibilities include processing applications submitted from providers requesting to enroll in the Medicare Programs.
- Screening applications and attachments to determine if all areas are complete and contacting the provider's office when necessary to obtain additional information by letter or telephone.
- Validating the information related to the provider using the Internet and other PC databases.
- Tracking application in PDAT (Provider Document and Tracking).
- Keying new and updated information into PECOS (Provider Enrollment Chain, and Ownership) and MCS (Medicare Claims System).
Education
Diploma - Medical Billing and Coding
Ultimate Medical Academy
Clearwater, FL01.2013
High School Diploma -
Englewood Sr High School
Jacksonville, Fl06-1993
Medical Assistant -
Jones College At Jacksonville
Jacksonville, FLSkills
- Data entry and computer skills
- Microsoft Office Suite
- Customer service and claims support
- Regulatory compliance
- Communication skills
- Team collaboration
- Multi-line phone operation
References
Reference available upon request
Timeline
Emergency Dept. Assoc. Clerical
UF Health
08.2022 - Current
Claims Adjuster Specialist (WFH)
United Healthcare
12.2016 - 11.2024
Sr. Customer Service Advocate (WFH)
OptumRx (United Healthcare)
01.2013 - 12.2016
Provider Enrollment Analyst
BroadPath Healthcare Solutions
06.2012 - 09.2012
Medicare Provider Enrollment Analyst
First Coast Service Options
02.2002 - 05.2010
Diploma - Medical Billing and Coding
Ultimate Medical Academy
High School Diploma -
Englewood Sr High School
Medical Assistant -
Jones College At Jacksonville
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