Summary
Overview
Work History
Education
Skills
Education and Training
Contact
Timeline
Generic

Shawntay Wiggins

Albuquerque,NM

Summary

Personable and highly adaptable, bringing strong analytical abilities and collaborative spirit. Proficient in data analysis and project management, with solid grasp of industry-specific software. Committed to driving impactful results and contributing to team success.

Overview

17
17
years of professional experience

Work History

Health Services Assistant Case Management

Presbyterian Hospital
Albuquerque
02.2024 - Current
  • Care coordination, case management department closely work with case managers, registered nurses ,and social workers to provide a safe discharge for a patient to lower the admission rate
  • Assisted nursing staff with patient care and daily operational tasks.
  • Maintained accurate patient records using electronic health record systems.
  • Coordinated appointment scheduling and follow-up communications for patients.
  • Supported patient mobility and comfort during hospital stays.
  • Ordered all patient DME equipment
  • Set up patient transportation at discharge, whether it be wheelchair stretcher or ambulatory whether it be medical or non-medical or flight
  • Take inbound vocera calls to assist patient, staff and the community
  • Weekly huddles
  • On boarded new staff and trained new staff
  • Worked on pilot program for Fresenius kidney care and using the epic portal to submit new admissions
  • Worked with patients insured, and non-insured to provide services to make a safe discharge, which includes hospital. Follow up appointments.
  • Assisted patient’s with clothing at discharge provided by the clothing bank
  • Work and complete a referral work queue referring patients out of Presbyterian clinic to outside providers
  • Faxed clinical and medical records to different providers and entities that requested
  • Call outpatient clinics to schedule. Patient follow ups with orthopedics, primary care, endocrinology, and other specialty clinics.
  • Cleaned up patients after visit summary making sure all information is correct and up-to-date
  • Troubleshoot, any barriers in the discharge process

Patient Visit Specialist

Presbyterian Medical Group Gastroenterology
Albuquerque, NM
08.2022 - 02.2024

Printed summaries of visits for clients.

Coordinated post-visit scheduling of patient appointments.

Managed scheduling for all G.I. procedures.

Coordinated prior authorizations for procedures and tests ordered by providers.

Provided customer service both in-person and over the phone.

Managed inbound calls to schedule procedures

Confirmed patient upcoming procedures

Ensured accuracy of insurance information.

Scheduled and managed appointments between providers, patients, and clinical teams.

Customer Service Representative

Lovelace Women's Hospital
Albuquerque, NM
08.2019 - 08.2022
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Demonstrated excellent communication skills in resolving product and consumer complaints.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Educated customers on special pricing opportunities and company offerings.
  • Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
  • Fielded customer complaints and queries, fast-tracking them for problem resolution.
  • Assisted customers with making payments or establishing payment plans to bring accounts current.
  • Upheld quality control policies and procedures to increase customer satisfaction.
  • Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
  • Consulted with customers to resolve service and billing issues.
  • Developed strong customer relationships to encourage repeat business.
  • Made outbound calls to obtain account information.
  • Used proven techniques to de-escalate angry customers during telephone interactions.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Explained benefits, features and recommendations to maximize client retention.
  • Answered inbound calls, chats and emails to facilitate customer service.
  • Set up and activated customer accounts.
  • Improved customer service wait times to mitigate complaints.
  • Relayed customer feedback to cross-functional teams to improve products and services.
  • Mentored new employees on procedures and policies to maximize team performance.
  • Trained new hires on products and services, best practices and protocols to reduce process gaps.
  • Organized client contracts, records and reports to strengthen traceability.

Patient Service Representative

DaVita Medical Group
Albuquerque, NM
07.2017 - 08.2019
  • Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Coordinated with patients and healthcare professionals to meet patient needs.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Supported hospital and clinic operations using customer service skills and detailed system knowledge.
  • Documented and managed patient information in computer system.
  • Ran credit card batches and balanced deposits on daily basis.
  • Referred patients to appropriate professionals and services.
  • Scheduled patient appointments and procedures.
  • Scanned completed forms, identification and insurance cards, maintaining patient documents folder.
  • Provided helpful assistance by anticipating and responding to needs of patients and family members.
  • Maintained awareness of patient temperament in lobby to curtail frustrations or communication issues.
  • Obtained insurance verification and authorization to submit financial clearance of patient accounts.
  • Scheduled patient appointments over phone and in person, maximizing productivity.
  • Utilized technology and specialized software to maximize productivity.
  • Registered patients by verifying records to update computer system and patient charts.
  • Obtained proper authorization and identification to release confidential medical records.
  • Checked claims for errors, corrected issues and mailed out updated documents.
  • Oversaw patient registrations by collecting information, verifying benefits and submitting paperwork.
  • Answered over [Number] telephone calls per day to schedule appointments and answer patient questions.

Customer Service Associate

United Healthcare Insurance
Albuquerque, NM
07.2015 - 07.2017
  • Supported customer service goals and enhanced relations through friendly, knowledgeable and positive communication.
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
  • Documented customer correspondence in CRM to track requests, problems and solutions.
  • Provide patients with Medicaid resources provided customer service for any questions set up travel reimbursement to and from doctors appointment Completed demographics survey
  • Processed documentation and troubleshot discrepancies to build client rapport.
  • Organized and prioritized tasks and activities and worked within strict timeframes and deadlines.

Donor Technician

United Blood Services
Albuquerque, NM
04.2014 - 08.2015
  • Phlebotomist
  • Connected donor to autopheresis
  • disconnected donor from machine, compensated donor for time. Customer service, medical records handling
  • Obtained variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles and straight needles.
  • Labeled blood vials with critical information like time of collection, date and patient name.
  • Counseled patients to ease fears, explain procedures and enhance cooperation during blood draws.
  • Verified quality of specimens by centrifuging specimens for logistics courier to pickup.
  • Enforced infection control and sharps disposal procedures to protect patients, co-workers and self.
  • Prepared patients for examination by properly draping patients, obtaining vital signs, verifying referrals and taking detailed health history.
  • Customer service

Phlebotomist

TriCore Reference Laboratory
Albuquerque, NM
09.2011 - 12.2013
  • Maintained fully-stocked phlebotomy cart, carrier and station.
  • Obtained blood samples for medical testing and transfusion through venipuncture or capillary puncture.
  • Worked at University of New Mexico tricore lab, all floors, emergency room
  • Verified collection orders and communicated discrepancies to nurses.
  • Upheld donor confidentiality throughout intake and collection process.
  • Promoted blood specimen integrity for laboratory testing using accurate selection of collection tubes and correct technique.
  • Located veins suitable for puncture to draw blood using sterilized needles, vials and other equipment.
  • Centrifuged blood specimens in test tubes and capillary tubes to separate cells and sediment from blood serum.
  • Worked in lab entered samples into system that have been received and processed samples by placing on correct machines in correct area of the lab
  • Prepared and packaged specimens for courier transport, including urine.
  • Observed patient for unsual reactions or events to take appropriate action under established guidelines.

Donor Support Technician

CSL Plasma
Albuquerque, NM
03.2009 - 08.2011
  • Public people donated plasma for compensation for their time,
  • Vitals performed and demographics verified
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
  • Conducted technical troubleshooting of hematology analyzer and other lab equipment.
  • Followed strict aseptic techniques to protect patients when collecting blood and tissue samples.
  • Reviewed patient data, prepared data reports and signed off on release of information requests.
  • Recorded control values from technical instruments to maintain reliability and validity of test results.

Education

Associate of Arts - Criminal Justice

American InterContinental University
Schaumburg, IL
03.2014

Pharmacy Tech -

Pima Medical Institute
Albuquerque, NM
02.2010

Skills

  • Quality control
  • Customer relations
  • Business development understanding
  • Problem-solving abilities
  • High-energy attitude
  • Medical regulations knowledge
  • Inbound and Outbound Calling
  • Clerical support
  • Office equipment proficiency
  • Adaptive team player
  • Schedule mastery
  • Courteous demeanor

Education and Training

Albuquerque, NM,Schaumburg, IL

Contact

Albuquerque, NM 87123

Timeline

Health Services Assistant Case Management

Presbyterian Hospital
02.2024 - Current

Patient Visit Specialist

Presbyterian Medical Group Gastroenterology
08.2022 - 02.2024

Customer Service Representative

Lovelace Women's Hospital
08.2019 - 08.2022

Patient Service Representative

DaVita Medical Group
07.2017 - 08.2019

Customer Service Associate

United Healthcare Insurance
07.2015 - 07.2017

Donor Technician

United Blood Services
04.2014 - 08.2015

Phlebotomist

TriCore Reference Laboratory
09.2011 - 12.2013

Donor Support Technician

CSL Plasma
03.2009 - 08.2011

Associate of Arts - Criminal Justice

American InterContinental University

Pharmacy Tech -

Pima Medical Institute
Shawntay Wiggins