Shawna Ison
Beckley,United States
Summary
Organized healthcare professional trained in scheduling, patient medical records updating and insurance processes. Reliably completes accurate work and goes above and beyond to meet daily demands.
Overview
19
19
years of professional experience
Work History
ROI Specialist
Verisma
02.2024 - Current
- Managed high volume of medical record requests, effectively prioritizing tasks while maintaining accuracy and timeliness.
- Performed audits on patient accounts to ensure proper coding and billing procedures were followed for maximum reimbursement rates.
- Coordinated with external auditors to ensure accuracy and compliance in all financial reporting related to return on investment measures.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Maintained patient records in compliance with security regulations.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Printed and photocopied documents to provide patients with copies of medical records.
- Reviewed charts and flagged incomplete or inaccurate information.
Healthcare Concierge
Concentrix
11.2022 - 02.2024
- Improved patient satisfaction by actively listening to concerns and addressing their needs promptly.
- Facilitated seamless transitions between care settings by coordinating necessary resources and support services.
- Streamlined communication between patients and providers, ensuring timely access to essential health services.
- Supported patients in navigating the healthcare system effectively, increasing their understanding of available resources and options.
- Discussed patient grievances with management to develop action plans,to resolve the issue.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Generated, posted and attached information to claim files.
Patient Access Representative
Our Lady Of Bellefonte Hospital
05.2005 - 11.2012
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
- Verified patient insurance eligibility and entered patient information into system.
- Answered incoming calls, scheduled appointments and filed medical records.
Education
Associate of Science - Health Information Technology
Mountwest Community And Technical College
Huntington, WV 05.2001 -
Skills
Medical terminology understanding
EMR / EHR
Medical office administration
Medical billing
Document Scanning
Billing oversight
Patient confidentiality
HIPAA Compliance
Medical Records Management
Scheduling appointments
Medical Release of Information ROI processes
Timeline
ROI Specialist
Verisma
02.2024 - Current
Healthcare Concierge
Concentrix
11.2022 - 02.2024
Patient Access Representative
Our Lady Of Bellefonte Hospital
05.2005 - 11.2012
Associate of Science - Health Information Technology
Mountwest Community And Technical College
05.2001 -