Sheronica Hatton-Cooney
Shining Stars of America, LLC
Little Rock,USA
1
Certification
21
years of professional experience
Insightful case manager with a Master of Arts in Gerontology and a Medical Billing and Coding certificate. Expertise in HIPAA compliance and Medicaid/Medicare processes, conducting client assessments, and developing care plans. Facilitates access to medical and social services while ensuring accurate documentation and collaboration with multidisciplinary teams to enhance client outcomes.
Work History
Targeted Case Manager / Owner
17 Years 5 Months- Executed Medicaid billing and CPT/HCPCS coding, including claims submission, follow-up, and denial management, to guarantee timely reimbursement and adherence to payer guidelines.
- Coordinated care plans, communicating with healthcare providers, families, and support agencies to ensure continuity of care and accurate Medicaid and Medicare documentation.
- Managed client records, reports, and compliance documentation in adherence to HIPAA standards, contributing to clean claims and minimizing billing errors.
- Facilitated client access to medical services, insurance, and community support, verifying eligibility and assisting with coverage documentation for Medicaid and Medicare programs.
- Tracked client progress and updated records to maintain accurate reporting, coding precision, and high-quality service delivery.
- Provided professional and confidential client advocacy, exercising meticulous attention to detail in care coordination and billing procedures.
- Partnered with multidisciplinary teams to improve service outcomes, enhance documentation accuracy, and streamline billing processes.
- Executed Medicaid billing and CPT/HCPCS coding, managing claims submission, follow-up, and denial management to ensure timely reimbursement and compliance with payer guidelines.
Case Manager
9 Months- Orchestrated client intake assessments and developed individualized care plans.
- Communicated with healthcare professionals and agencies to facilitate timely care coordination.
- Guided clients through healthcare navigation, connecting them with community resources and insurance services.
- Coordinated with healthcare professionals and agencies to ensure timely access to care.
- Monitored ongoing client progress and resolved barriers to care and service delivery.
- Tracked client progress and addressed barriers to care, enhancing service delivery.
Adjunct Instructor
1 Year 9 Months- Delivered engaging instruction and evaluated student performance in alignment with course objectives.
- Organized records, grading documentation, and student communications to ensure efficient tracking of student progress.
- Delivered individualized support and constructive feedback, fostering student success and increasing engagement.
- Utilized organizational, communication, and administrative skills to manage a dynamic educational environment effectively.
Waiver Supportive Living Staff
7 Months- Facilitated daily living activities for clients, aligning support with individualized care goals.
- Documented client progress and communicated updates to team members and supervisors to ensure coordinated care.
- Supported operational workflow and ensured compliance with organizational procedures.
- Assisted in staff training and provided administrative support to enhance operational efficiency.
Education
Certificate - Medical Billing and Coding
Master of Arts - Gerontology
Skills
Billing coding
Care Coordination
Client & Patient Advocacy
Case management
Problem solving
Outcome evaluation
Electronic Records Management
Medical documentation
Problem Solving & Decision Making
Administrative Support
Microsoft Office Suite
Team Collaboration
Patient advocacy
Patient advocacy
Referrals
Policy Development
Resource Navigation
Certification
Medical Billing and Coding, Bryant University Online, 2026
Timeline
Targeted Case Manager / Owner
Shining Stars of America, LLC
02.2009 - CurrentRead More
Case Manager
Superior Senior Care
05.2008 - 02.2009Read More
Adjunct Instructor
Pulaski Technical College
08.2006 - 05.2008Read More
Waiver Supportive Living Staff
Pathfinder, Inc.
08.2005 - 03.2006Read More
University of Arkansas at Little Rock
Master of Arts from Gerontology
Read More
Bryant University Online
Certificate from Medical Billing and Coding
Read More