SHERONDA NEAL-FULLER
Lawrenceville,United States
Summary
Seeking position as an ACCOUNT RESOLUTION COORDINATOR-ATLANTA, GEORGIA, 30329 . JOB ID: R-13522 ADDITIONAL: Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
19
19
years of professional experience
Work History
Patient Registration Associate
CHILDREN’S HEALTHCARE OF ATLANTA
10.2022 - Current
- Interacting with patients and parents.
- Verifying to make sure the insurance is valid with MMIS database.
- Securing form of payment if insurance is not valid.
- Working in patient work queue to correct any errors that were made.
- Documenting account detail in the HAR notes.
- Offering MyChart setup.
- Protect Health Information (PHI) for all patients.
- Loading patient information in the Epic system.
- Keeping up with state regulations and completing required course.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Cyber Agent
SLV SERVICES INC
09.2004 - Current
- Taking orders over the phone.
- Updating customer’s history on the SMIL screen.
- Taking credit cards and checking information via a secure line.
- Making sure the product the customer is ordering is correctly inputted into the system, guaranteeing Accuracy.
- Having the ability to sense what the customer is trying to convey by their tone of voice.
- High sales volume.
- Helping with health insurance information by transferring the customer to the appropriate insurance agent line.
Patient Access Representative
NORTHSIDE HOSPITAL
04.2017 - 10.2022
- Interacting with patients and physician offices.
- Updating patient information.
- Making sure HIPPA regulations are followed on all appointments.
- Protect Health Information (PHI) for all patients.
- Loading patient information in the Cerner system.
- Running patients’ insurance collecting Copays.
- Keeping up with state regulations and completing required course.
Claims Associate
STATEFARM
12.2019 - 05.2021
- Working in a high-volume, fast-paced environment.
- Analyzed and addressed escalated claims to resolve issues quickly.
- Updated the insured and non-insured’s information into the ECS system.
- Updating the vehicle and reviewing the policies and there deductibles and possible out of pocket expenses.
- Reaching out to other insurance carriers when warranted.
- Setting up rentals and tows along with repairs with the major companies that State Farm uses.
- Along with reading applicable jurisdictional requirements and completing any courses to stay within current policy guidelines.
Telecommunications Operator/Patient Scheduler
MEMORIAL REG. HOSP
07.2014 - 02.2017
- Answering calls on our Cisco Unified system.
- Taking and transferring calls to various departments including to administration.
- Looking up doctors and employees in our company’s database.
- Overhead paging doctors and using the alert paging system for crucial emergencies.
- Dispatching the appropriate team for response.
- Logging all emergency calls in the SPOKE paging system.
- Making sure I am aware of my Policies and Procedure in the department.
- Helping assist family members to their destination with a smile.
- {Patient Scheduler} Scheduling patient for upcoming surgeries and outpatient appointment in the EPIC system.
- Being aware of insurance policy and informing patients of prior authorizations and co-payments.
- Respecting our patient’s privacy is of the utmost importance.
- Staying in compliance according to HIPPA regulations.
Credit Analyst
AMERICAN EXPRESS, LAID OFF
02.2011 - 04.2013
- Prevent and minimize losses on past due accounts.
- Collect funds to further cardholders spending privileges.
- Updating the records for accuracy on the account.
- Setting up future payments on the account.
- Showing compassion to families of the deceased on Dart accounts.
- Advising cardholders of American Express policies and procedures on RLA accounts.
- Setting up IPO (Immediate Payment Options) on the account to increase their line of credit.
- Taking the necessary training to stay knowledgeable with policies and procedures.
- Remain within acceptable performance standards, quality goals, and Federal and State Legislation guidelines.
Education
Business
BROWARD COLLEGE, STATES
Hollywood, FL06.2010
Skills
- Proficient in Microsoft Office
- Detailed and goal oriented with strong problem-solving abilities Excellent communication and listening interpersonal skills Highly motivated and willing to attempt new and challenging assignments Well- developed organizational skills with the ability to work well with others and independently Use sound judgment and meet deadlines in a high paced environment Confident and self-motivated and like helping others 30 years’ experience in Data Entry/Customer Services and Call Center Environment 17 years of Collections Experience with Epic and Cerner programs 4 Years with EPIC and 3 Years with Cerner systems
Timeline
Patient Registration Associate
CHILDREN’S HEALTHCARE OF ATLANTA
10.2022 - Current
Claims Associate
STATEFARM
12.2019 - 05.2021
Patient Access Representative
NORTHSIDE HOSPITAL
04.2017 - 10.2022
Telecommunications Operator/Patient Scheduler
MEMORIAL REG. HOSP
07.2014 - 02.2017
Credit Analyst
AMERICAN EXPRESS, LAID OFF
02.2011 - 04.2013
Cyber Agent
SLV SERVICES INC
09.2004 - Current
Business
BROWARD COLLEGE, STATES
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