Shawndae Harvey
Ocala ,FL
Summary
Proven leader in quality improvement and customer service. I spearheaded initiatives that significantly enhanced customer satisfaction and compliance regulations. My strategies led to notable advancements in operational efficiency and customer satisfaction.
Overview
13
13
years of professional experience
Work History
Teacher
Marion County Public Schools
07.2023 - Current
- Design comprehensive and individualized plans to optimize student education.
- Provided exceptional customer service by actively listening to client needs and addressing concerns, mirroring my experience in building positive relationships with students and parents.
- Successfully managed complex projects simultaneously, adhering to deadlines while ensuring quality.
- Developed strong communication skills by providing clear and concise explanations to students with diverse needs, fostering positive relationships.
- Tailoring curriculum to diverse learning styles, resulting in improved performance metrics.
Eligibility Specialist
Georgia Department of Children & Family Services
10.2019 - 01.2023
- Proven ability to assess client eligibility for various programs, utilizing strong analytical skills to ensure compliance with regulations.
- Manged a high call volume of incoming calls, scheduled appointments and directed clients to appropriate resources, consistently providing professional service.
- Extensive experience with reviewing documentation, verifying information, and making informed decisions regarding client eligibility based on established guidelines.
- Provided exceptional customer service to clients applying for government assistance programs.
- Demonstrated expertise in navigating complex program polices and procedures accurate determine client's benefit eligibility.
- Communicated effectively with clients from diverse backgrounds, demonstrating empathy and cultural sensitivity.
Referrals and Benefits Specialist
Access Healthcare LLC
04.2016 - 11.2018
- Experienced in reviewing and processing benefits claims, ensuring compliance with plan guidelines.
- Proficient in interpreting benefit policies and providing accurate information regarding coverage and eligibility.
- Manged a high call volume of incoming calls, scheduled appointments and directed patients to appropriate resources, consistently providing professional service.
- Communicated effectively with patients and healthcare providers to gather necessary information and resolve claim inquiries.
- Applied ICD-10, CPT, and HCPCS coding guidelines to ensure accurate billing and reimbursement.
- Maintained strict adherences to HIPAA regulations, ensuring the confidentiality and security of patient information.
Healthcare Quality Management Coordinator
Florida Medical Associates
07.2011 - 04.2016
- Maintained strict adherence to HIPAA regulations, ensuring the confidentiality and security of patient information.
- Monitored key quality indicators, such as readmission rates and patient satisfaction, and identified areas for improvement.
- Conducted audits of clinical documentation and identified opportunities to improve accuracy and completeness.
- Collaborated with physicians to implement best practices for patient care.
- Manged a high call volume of incoming calls, scheduled appointments and directed patients to appropriate resources, consistently providing professional service.
- Applied ICD-9, CPT, and HCPCS coding guidelines to ensure accurate billing and reimbursement.
Education
Bachelor of Science - Healthcare Administration
Grand Canyon University
Phoenix, AZ04.2017
Skills
- Healthcare management
- Quality Improvement
- Medical Billing, Coding, and Charting
- Customer Service
- Remote/Work From Home
- Information Systems Development
- Process Implementation
- Patient Care Coordination
- Office Administration
- Conflict resolution techniques
- Health Information Systems
- Operational Records Maintenance
- HIPAA Compliance
- Healthcare regulations
Timeline
Teacher
Marion County Public Schools
07.2023 - Current
Eligibility Specialist
Georgia Department of Children & Family Services
10.2019 - 01.2023
Referrals and Benefits Specialist
Access Healthcare LLC
04.2016 - 11.2018
Healthcare Quality Management Coordinator
Florida Medical Associates
07.2011 - 04.2016
Bachelor of Science - Healthcare Administration
Grand Canyon University
Similar Profiles
KIMBERLY VIALKIMBERLY VIAL
Teacher at Marion County Public SchoolsTeacher at Marion County Public Schools
Jennifer SheffieldJennifer Sheffield
6th Grade ELA and Creative Writing Teacher at Marion County Public Schools-Ocali Charter School6th Grade ELA and Creative Writing Teacher at Marion County Public Schools-Ocali Charter School
BERNIKA JAMES-STOKESBERNIKA JAMES-STOKES
Teacher at Marion County Public SchoolsTeacher at Marion County Public Schools