Sherronda Peterson Phillips
Douglasville
Summary
Dynamic and results-driven Certified Medical Assistant with extensive experience at Atlanta Healthcare System. Proficient in EPIC charting and medical billing, I excel in appointment scheduling and patient registration. Recognized for enhancing customer service and streamlining claims processing, I effectively manage patient interactions and ensure compliance with healthcare regulations.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Advance Medical Support Assistant
Atlanta Healthcare System Department of Veterans Affairs
Decatur
12.2023 - Current
- Answering telephones
- Checking secure messages and chat messages
- Greeting patients
- Relaying messages to appropriate staff inside or outside of the VISN CCC
- Scheduling appointments
- Interpreting and verifying provider orders in accordance with VHA national scheduling guidelines.
- Healthcare for Veterans
Certified Medical Assistant/Office Coordinator
Premise Health Wellness Center
GA
07.2023 - Current
- Assist Employees with worker's comp forms, send to claim representatives, and safety management team.
- Register patients, run insurance with EMR system, answer multi-line phones, typing letters, emails, and memos for referral.
- Scheduling appointments, triage and carefully collected specimens.
- Assist EMT/RN with emergency responses, documenting all ER calls, and assist provider with all tasks needed in clinic.
- Duties may include but are not limited to core revenue cycle functions such as billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, customer service, and chart review updates by Nissan employee Standards/Policies using Availity Payment System.
- Maintains strict confidentiality and adheres to all HIP and OSHA guidelines and regulations.
- Focuses daily on complying with policies, processes, and department guidelines for assigned worker's comp claims.
- Collect labs specimens.
- Perform Ekgs, hearing, and vision screening.
- Task all messages.
- Answer multi-line phones system.
- Perform vital sign, work in Epic System.
- Utilize Quest Diagnostics and LabCorp for lab collections.
- Focuses daily on complying with policies, processes, and department guidelines for assigned work comp cases to case manager and medical record tech for review.
- Perform patient check ins and outs.
- Prepares and submits clean claims to insurance companies either electronically or by paper in an accurate, timely and compliant manner.
- Preventive health clinic
Certified Medical Assistant/Office Coordinator
Premise Health
12.2021 - Current
- Assist Employees with worker's comp forms, send to claim representatives, and safety management team.
- Register patients, run insurance with EMR system, answer multi-line phones, typing letters, emails, and memos for referral.
- Scheduling appointments, triage and carefully collected specimens.
- Assist EMT/RN with emergency responses, documenting all ER calls, and assist provider with all tasks needed in clinic.
- Duties may include but are not limited to core revenue cycle functions such as billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, customer service, and chart review updates by Nissan employee Standards/Policies using Availity Payment System.
- Maintains strict confidentiality and adheres to all HIP and OSHA guidelines and regulations.
- Focuses daily on complying with policies, processes, and department guidelines for assigned worker's comp claims.
- Collect labs specimens.
- Perform Ekgs, hearing, and vision screening.
- Task all messages.
- Answer multi-line phones system.
- Perform vital sign, work in Epic System.
- Utilize Quest Diagnostics and LabCorp for lab collections.
- Focuses daily on complying with policies, processes, and department guidelines for assigned work comp cases to case manager and medical record tech for review.
- Perform patient check ins and outs.
- Prepares and submits clean claims to insurance companies either electronically or by paper in an accurate, timely and compliant manner.
- (Southwire)-Carrollton GA, (Nissan North America) Canton MS, Occupational Health Clinic
Care Coordinator Assistant/Utilization Review Coordinator Assistant
University of Mississippi Medical Center
Grenada/Jackson
02.2021 - 10.2022
- Received promotion within a 4-month time frame at UMC Grenada MS under CFO Scott Whittemore.
- Served as mediator between the billing department and insurance to ensure bills are paid.
- Register patients, run insurance with an epic live EM system, answering multiline phones, typing letters, emails, and memos for referrals.
- Performing pre-certs, scheduling appointments, and following up with EDI analyst, and billing and coding department to submit claims.
- Reviewed service codes reported to categorize service rendered and updated information.
- Apply Charges to patient charts.
- Triage and carefully collected blood samples from patients based on doctor's orders.
- Perform all CLIA waived testing, Covid Testing, MR A, and ECG/EKG.
- Serve as clerical and assist in managerial role.
- Responsible for verifying patient-eligibility, coordinating benefits, and facilitating insurance coverage.
- Managing Authorization and Patient's Denial Turnaround Time.
- Manage all the Approvals and Denials from insurance companies.
- Interact with patients in hospitals and clinical settings by working with Care coordinators, social workers, case managers, and management to require information, such as demographics and insurance/Clinical information, to ensure that requirements for reimbursement are met.
- Help with assistance with Discharge Planning needs.
- Take customer calls and provide accurate, satisfactory answers to their queries and concerns.
- De-escalate situations involving dissatisfied customers offering patient assistance and support.
- Call clients and customers to inform them about the services we provide.
- Guide and direct callers to the appropriate parties.
- Review customer or client accounts, providing update and information about resources.
- Collaborate with other call center professionals to improve customer service and quality.
- Help to train new employees and inform them about the job policies and procedures.
- Assist patients with applying for Insurance Benefits/worker Comp forms, and all necessary paperwork.
- Abide by CMS policies and standards to ensure Audit core Report on Medicare Patients.
- Collect and assist in keeping track IMM/Code 44 Reports for Medicare Patients.
- Assist with running daily reports for management and department to track Length of Stay, Observation, BCBS High Trim, Anticipate discharges, and Important Message Medicare (IMM) Reports.
- Provide info for patients to help them apply for Medicaid/Disability/Worker's Claims.
- Assist Coordinated Care Discharge Planning and Utilization Review teams by sending the Length of Stay (LOS) and Observations Patients.
- Manage all the approvals and denials from insurance companies.
- Fax updated clinical to insurance companies and referral sources.
- Assist and collect Medicare Outpatient Observation Notice (MOON) for UR team.
- Assist and collect Important Message from Medicare (IMM) Discharge Planning team.
- Give updates and speak with insurance companies daily.
- Grenada/Jackson MS
Call Center Lead Physician Scheduler/Lead Call Center Representative
Medical Practice Solution NEA Baptist
Jackson
11.2019 - 01.2021
- Took over 300 calls daily and schedule appointments for over twenty Baptist Primary Care Clinic, Heart, and Lung Center.
- Task physicians and nurse messages for each clinic.
- Operates Covid lines for Blue Cross Blue Shield, Nissan Motor Company, and additional contracts on behalf of Baptist Health Center.
- Register patients, run insurance with EMR system, answering multi-line phones, typing letters, emails, and memos for referral.
- Scheduling appointments and applying charges for claims.
- Call Center Representative that worked six days a week.
- Take patient calls and provide accurate, satisfactory answers to their queries and concerns.
- De-escalate situations involving dissatisfied customers, offering patient assistance and support.
- Call clients and patients to inform them about the necessary resources.
- Guide callers and task them to the appropriate resources.
- Review customer or client accounts, providing updates and information about clinics.
- Collaborate with other call center professionals to improve quality and customer service.
- Help to train new employees and inform them about the procedures and policies.
- Jackson MS
Education
Master of Healthcare Administration -
Belhaven University
Jackson, MS04.2023
Bachelor of Arts - General Studies w/concentration in Organization Management-Government and Politics
Mississippi Valley State University
Itta Bena, MS05.2017
Bachelor of Science - Business Administration
Mississippi Valley State University
Itta Bena, MS05.2017
phlebotomy /Basic EKG Continuing Education Units -
Medica12 Career College & Certification Agency
Tupelo, MS05.2015
Associate of Art - General Studies w/concentration Pre-Nursing/Business Administration
Holmes Community College
Goodman, MS05.2011
Certified clinical Medical Assistant Certification -
Southeastern Career Training Center
Flowood, MS08.2008
Certified Nursing Assistant -
Holmes Community College
Goodman, MS06.2005
High School diploma -
J.Z. George High School
North Carrollton, MS05.2002
Skills
- EPIC charting
- Medical billing
- Appointment scheduling
- Patient registration
- Claims processing
- Customer service
Certification
- CCMA, National Health Career Association, D6R5G8W6, 2024-10-01
- PHLEBOTOMY/BASIC EKG, National Medical Certification Agency, 037502-PT15, 2024-05-01
- CNA, State of Mississippi Health Department, AO 1362, Inactive
- CNA, State of Tennessee Division of Health Care Facility, 00170384, Inactive
References
- Earnie Thomas, 601-678-5574, Register Nurse, UMMC, Jackson, MS
- Yolanda Pepper Burrell, 601-954-6350, RN Supervisor, Premise Health, Canton, MS
- Vanessa Patton Henderson, 769-243-0829, Authorization Coordinator, UMMC, Jackson, MS
- Crystal Jones, 601-983-9509, Educator/Teacher, Houston, TX
- Jeraldine Bryant, 662-515-0639, College Business Professor, Mississippi Valley State University, Itta Bena, MS
- Shelby Lipe, 662-809-7235, Retired Healthcare Provider, Winona, MS
- Latia Butts, 662-310-0618, Nurse Practitioner, Cancer Clinic, Grenada, MS
- Shirley Phillips, 662-392-5592, Retired Educator/Teacher, Greenwood, MS
- Tinesha Erve Earnest, 601-270-3201, Justice Court Judge, Call County, MS
Timeline
Advance Medical Support Assistant
Atlanta Healthcare System Department of Veterans Affairs
12.2023 - Current
Certified Medical Assistant/Office Coordinator
Premise Health Wellness Center
07.2023 - Current
Certified Medical Assistant/Office Coordinator
Premise Health
12.2021 - Current
Care Coordinator Assistant/Utilization Review Coordinator Assistant
University of Mississippi Medical Center
02.2021 - 10.2022
Call Center Lead Physician Scheduler/Lead Call Center Representative
Medical Practice Solution NEA Baptist
11.2019 - 01.2021
Master of Healthcare Administration -
Belhaven University
Bachelor of Arts - General Studies w/concentration in Organization Management-Government and Politics
Mississippi Valley State University
Bachelor of Science - Business Administration
Mississippi Valley State University
phlebotomy /Basic EKG Continuing Education Units -
Medica12 Career College & Certification Agency
Associate of Art - General Studies w/concentration Pre-Nursing/Business Administration
Holmes Community College
Certified clinical Medical Assistant Certification -
Southeastern Career Training Center
Certified Nursing Assistant -
Holmes Community College
High School diploma -
J.Z. George High School