Shawndra Williams
Baltimore,MD
Summary
Reliable individual bringing 15 years of experience in healthcare environments. Maintains positive relationships with patients, case managers and providers. Remains polished and calm under extreme stress while managing multiple priorities. Organized and dependable candidate successful at managing multiple priorities with a positive attitude.
Overview
14
14
years of professional experience
Work History
Utilization Review Specialist/Supervisor
Gaudenzia Treatment Center
Baltimore, Maryland
03.2018 - Current
- Organized and facilitated weekly finance meetings with departmental heads and regional director discussing daily census, admissions and discharges and residents' Medicaid applications.
- Performed admission reviews based for necessity based upon substance abuse specification.
- Supervised and maintained all utilization review documentation through Avatar by verifying information in Optum.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Identify solutions for irregular requests and issues.
- Served as subject matter resource, providing information related to authorization, billing and insurance situations.
- Facilitated meetings with program directors to find effective solutions to issues.
- Recruited and trained utilization staff, providing supervision, ongoing staff development and continuing education.
- Discussed medical and substance abuse histories with patients in effort to provide most effective treatment
- Collaborated with program directors to maintain daily operations.
- Identified, researched and resolved billing variances.
Medical Administrative Assistant/National Certified Medical Assistant
Symphony Placements
Timonium, MD
02.2016 - 07.2017
- Sanitized, restocked and organized exam rooms and medical equipment.
- Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
- Called and faxed pharmacies to submit prescriptions and refills.
- Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Arranged surgeries with surgical center, confirming times with patients and preparing admission and consent forms.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Efficiently performed insurance verifications, pre-certifications and pre-authorization functions.
- Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience
Certified Medical Assistant
Medstar Union Memorial Hospital
Baltimore, MD
01.2014 - 02.2016
- Collected and documented patient medical information such as blood pressure and weight. Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Arranged surgeries with surgical center, confirming times with patients and preparing admission and consent forms.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Prepared patients for X-rays, suture removal and dressing changes. Performed cast removal.
Allied Health Instructor
Fortis Institute (Formerly Medix)
Woodlawn, MD
01.2012 - 08.2015
- Provided immediate and constructive feedback to students individually and as group.
- Evaluated students' competencies through written assignments and examinations.
- Delivered individualized instruction on observation, assessment, decision-making and patient health teaching.
- Instructed students on how to perform head-to-toe assessments on patients and how to intervene in medical emergencies.
- Distributed course syllabus and communicated course standards and learning objectives to students.
- Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
Certified Medical Assistant
Medstar Physicians Partners (Good Samaritan)
Baltimore, MD
09.2010 - 01.2012
- Sanitized, restocked and organized exam rooms and medical equipment.
- Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
- Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
- Enhanced patient outcomes by providing knowledgeable education on procedures, medications and other physician instructions.
- Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
- Stocked phlebotomy cart or carrier with appropriate supplies.
- Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles.
- Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures.
- Centrifuged blood samples as outlined in clinical protocols.
- Packaged and shipped specimens to central lab daily.
Certified Medical Assistant
Symphony Placements
Lutherville, MD
03.2010 - 09.2010
- Sanitized, restocked and organized exam rooms and medical equipment.
- Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
- Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Completed proper sanitation and cleaning of equipment and work areas between patients.
- Stocked phlebotomy cart or carrier with appropriate supplies.
- Drew blood from veins by vacuum tube, syringe or butterfly venipuncture methods.
- Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures.
Office Manager/Certified Medical Assistant
Baltimore Cosmetic Laser Center/William Dando, MD
Catonsville, MD
10.2008 - 01.2010
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
- Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.
- Assessed processes and procedures, complying with OSHA and HIPAA regulations.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
- Developed close working relationships with front office and back office staff.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Assisted with regulatory issues such as compliance.
- Created safe operating environments for invasive and non-invasive procedures.
- Gathered and set up equipment, tools and supplies and arrange instruments according to surgeons' preferences or instruction.
- Handled numerous sanitization tasks for surgical sites by cleaning and sterilizing, maintaining supply inventories and organizing items effectively.
Education
Some College (No Degree) - Business Management
Strayer University
Owings Mills, MDCertification - Medical Assisting
Medix School
Woodlawn, MD07.2008
Skills
- Electronic Charting
- Managing Referrals
- Authorization Management
- Insurance Eligibility
- Microsoft Excel
Timeline
Utilization Review Specialist/Supervisor
Gaudenzia Treatment Center
03.2018 - Current
Medical Administrative Assistant/National Certified Medical Assistant
Symphony Placements
02.2016 - 07.2017
Certified Medical Assistant
Medstar Union Memorial Hospital
01.2014 - 02.2016
Allied Health Instructor
Fortis Institute (Formerly Medix)
01.2012 - 08.2015
Certified Medical Assistant
Medstar Physicians Partners (Good Samaritan)
09.2010 - 01.2012
Certified Medical Assistant
Symphony Placements
03.2010 - 09.2010
Office Manager/Certified Medical Assistant
Baltimore Cosmetic Laser Center/William Dando, MD
10.2008 - 01.2010
Some College (No Degree) - Business Management
Strayer University
Certification - Medical Assisting
Medix School
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