SHEANA CHARLES
Brooklyn,New York
Summary
Focused Patient Service Representative with several years of experience supporting patients in various healthcare settings. Extensive knowledge of medical record organization,systems and patient advocacy. Successful at helping patients through care and treatment process.
Overview
14
14
years of professional experience
Work History
Administrative Assistant/Case Manager
Visiting Nurse Service of New York Hospice
New York, New York
06.2019 - Current
- Answered inbound calls for hospice department and connected calls for other divisions
- Faxed medical documents to facilities for patient transfers and updates for insurances
- Made weekly care calls to patients families and caregivers in compliance with state regulations
- Worked along Hospice Nurses and Doctors to place orders for medical supplies and schedule transport for patients appointments
- Provide Bereaved families with compassionate care during patients passing and connected them with resources after their love one passed
Billing Customer Service Representative ( Temp )
NYCHH Bellvue
New York, NY
06.2022 - 12.2023
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Contacted vendors to follow up on late invoices.
- Performed data import, scanning or manual keying processes to verify invoice accuracy.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Verified and mailed motor vehicle and workers' compensation claims using EPIC
- Contacted insurance providers to verify insurance information and obtain billing authorization.
Patient Intake /Case
Advantage Homecare
New York
09.2015 - 04.2019
- Scheduled patient appointments for assessments with Doctors, State Nurses and Insurance companies
- Utilized customer service skills and detailed system knowledge to support operations
- Met with patients and their families and discussed patient services and continuing care plans
- Accessed patient information through a variety of office software applications
- Coordinated between patients and healthcare professionals to meet patient needs
- Worked as part of team to execute proper care of and safety of patient
- Ensured the accuracy of public information and materials.
Medical Office Assistant
Homeside Rehab
New York
01.2014 - 10.2015
- Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays
- Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials
- Scheduled patient appointments and cultivated partnerships with managed care organizations, hospitals and insurance carriers to ensure swift payment and issue resolution
- Collected forms, copied insurance cards to coordinate patient information for billing and insurance processing
- Maintained confidentiality of records relating to clients' treatment
Customer Service Representative
Appliances Connection
Brooklyn, NY
03.2010 - 08.2013
- Cultivated strong value-added relationships with customers by delivering product knowledge to drive business development
- Greeted customers to facilitate services, determine service needs and accurately input orders into electronic systems
- Communicated with supervisors to escalate customer concerns, store issues and inventory requirements
- Informed customers on billing procedures, processed payments and provided assistance to set up payment options
- Answered 100+ inbound calls per day
- Collected customer feedback and recommended procedural or product changes to enhance future service delivery
- Consulted with upset customers to determine best methods to resolve service and billing issues.
Education
GED -
University Of The State of NY
04.2022
Medical Billing: Medical Billing -
Vocational Foundation
Brooklyn,NY 01.2005
Skills
- Customer service
- Medicaid and Medicare eligibility
- Epaces ,Connex and Epic software
- Office support, answering multiple lines
- Excellent record keeping and follow up skills
- Microsoft Word, Office and Excel as well as the Internet
- Report generation and analysis
- HIPPA practices
- Patient Education
- Pre-Admission Requests
- Insurance Verification
- Appointment Scheduling
- EMR Updating
Timeline
Billing Customer Service Representative ( Temp )
NYCHH Bellvue
06.2022 - 12.2023
Administrative Assistant/Case Manager
Visiting Nurse Service of New York Hospice
06.2019 - Current
Patient Intake /Case
Advantage Homecare
09.2015 - 04.2019
Medical Office Assistant
Homeside Rehab
01.2014 - 10.2015
Customer Service Representative
Appliances Connection
03.2010 - 08.2013
GED -
University Of The State of NY
Medical Billing: Medical Billing -
Vocational Foundation
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