Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shawna Miller

Columbus,OH

Summary

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

9
9
years of professional experience

Work History

Case Coordinator I

Centene
07.2020 - Current

Intake and process provider appeals, inquiries and claims payments. Ensure medical records are enclosed with provider request, as well as review submission for completeness and accuracy. Complete authorizations in appropriate systems and either forward to proper department for medical review or complete appropriately.

Case Coordinator I

Healthcare Solutions Inc
05.2018 - 07.2020

Intake and process provider appeals, inquiries and claims payments. Ensure medical records are enclosed with provider request, as well as review submission for completeness and accuracy. Complete authorizations in appropriate systems and either forward to proper department for medical review or complete appropriately.

Temp for Centene

Customer Service Rep / Technician

Lincare
01.2015 - 05.2018

Set up and delivery of home oxygen equipment, processing prescriptions and incoming orders for home meds, DME and O2. Sales of inhaled medications, CMN processing and complete sales of orders processed. Assist with respiratory therapy and orders for equipment for home delivery. Organize intake of walk in patients to the appropriate department, as well as set up CPAP clinics. Patient support VIA phone, face to face as well as email. On call for after hour patient support.

Education

GED -

State of New York Department of Education
Rochester, NY

Associate of Science -

Columbus State Community College
Columbus, Ohio

Skills

  • Quality Assurance
  • Case Oversight
  • Administrative Leadership
  • Interpersonal Abilities
  • Departmental support
  • Experience in training my peers
  • I have assisted in testing and completion for the new contract implemented for 2/2023
  • Always met or exceeded goals for department support
  • Ongoing support of team members to ensure departmental and company success

Timeline

Case Coordinator I

Centene
07.2020 - Current

Case Coordinator I

Healthcare Solutions Inc
05.2018 - 07.2020

Customer Service Rep / Technician

Lincare
01.2015 - 05.2018

GED -

State of New York Department of Education

Associate of Science -

Columbus State Community College
Shawna Miller