SHAWNYETTA Commander

• Conducted thorough medication reviews to identify and resolve discrepancies, preventing potential errors.
• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Entered and processed patients' prescriptions into internal system.
• Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
• Located and measured medications according to prescription information, making modifications as instructed by pharmacists and providers.

Made outbound calls to Providers and customers to make sure prescription request is correct and can be sent through to the pharmacy.

*Wrote up the medical plans that was performed for the patient.

• Developed and maintained billing and files for patient history of medical services for hospital or physician offices.
• Performed required medical coding for procedures done for patients.
• Sent off necessary documentation for medical staff for all billing codes pertaining to patients treatments or procedures that was done in or out of office.

• Followed up on denied and unpaid claims to resolve problems and obtain payments.
• Prevented delays and claim denials by correcting information prior to submission.
• Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
• Executed billing tasks and recorded information in company databases.
• Used data entry skills to accurately document and input statements.
• Helped minimize escalations by reaching out to clients in advance of expected problems.

• Monitored personnel performance to identify opportunities for improvement and develop solutions to productivity issues.
• Facilitated field operations through supervision and direction of field personnel.
• Coordinated and scheduled field personnel to cover operations throughout assigned regional area.
• Performed quality control inspections on phases of field operations.
• Developed and implemented processes and strategies to achieve operational goals.
• Tracked key performance indicators and enforced quality control measures.
• Rotated merchandise and displays to feature new products and promotions.
• Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
• Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
• Established team priorities, maintained schedules and monitored performance.
• Assisted in organizing and overseeing assignments, planning and coordinating in-house and outsourced resources.

• Generated and submitted invoices based upon established accounts receivable schedules and terms.
• Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
• Executed billing tasks and recorded information in company databases.
• Used data entry skills to accurately document and input statements.
• Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.
• Created improved filing system to maintain secure client data.
• Monitored equipment to check for proper operation.
• I resolved issues and inquiries from plan participants regarding health, welfare benefits, and deductions through telephone, email and in-person interactions.
  I researched and resolved routine and complex issues; communicating effectively with members of operations, finance and clinical departments. I obtained patient insurance information for insurance form preparation and claims processing. I submitted insurance claims and appeals.
  I organized , filed, and maintained patient records in an electronic medical record system. Experience in OPTUM, Availity, and Noridian/ Microsoft word.

• Organized racks and shelves to maintain store visual appeal, engage customers and promote specific merchandise.
• Provided positive first impressions to welcome existing, new and potential customers.
• Helped customers locate products and checked store system for merchandise at other sites.
• Answered customer questions regarding sizing, accessories and proper care for merchandise.
• Engaged with customers to effectively build rapport and lasting relationships.
• Solved customer challenges by offering relevant products and services.

• Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
• Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
• Checked patient vitals such as temperature, blood pressure and blood sugar levels.
• Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
• Cared for residents in assisted living facility and delivered high-quality support to meet needs.
• Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
• Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
• Supported ambulation and physical therapy needs by conducting planned exercise routines.
• Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
• Participated in fun group activities with patients to boost mood, improve overall memory and provide light entertainment.
• Oversaw and maintained patients' rooms, group living areas and nurse stations.
• Conferred with multidisciplinary healthcare team to help effectively manage patient conditions with regular testing and vitals assessments.
• Transported patients between rooms and appointments or testing locations.

• Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
• Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
• Checked patient vitals such as temperature, blood pressure and blood sugar levels.
• Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
• Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
• Cared for residents in assisted living facility and delivered high-quality support to meet needs.
• Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
• Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.