Sholonda Ware
Augusta,Georgia
Summary
Highly knowledgeable Registration Specialist with expertise talent in patient records and data entry. Excellent customer service and dedication to patient care. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
22
22
years of professional experience
Work History
Registration Specialist
Wellstar MCG
08.2023 - Current
- Worked with clinical staff to resolve patients and inquiries and questions.
- Verified insurance benefits and obtained pre-authorizations before any medical services were rendered
- Upheld HIPAA regulations and standards for protecting patient information.
- Processed medical records requests, assuring release only to appropriate parties proper authorization.
- Assisted in processing patient payments via cash, checks and credit cards.
- Completed registration paperwork, verifying accurate patient information.
- Scheduled patient appointments, collected copays and verified insurance coverage to complete check-ins.
- Coordinated scheduling for patient follow-up appointments in accordance with physician requests.
Marketing Specialist
State Farm
10.2022 - 03.2023
- Market new business opportunities within the CSRA to expand the agency
- Send out communications to local businesses, individuals and groups about our services
- Schedule appointments for customer reviews
- Manage all social media platforms
- Answer incoming calls and questions about customer bills; take payments
- Conduct other office duties as needed.
- Boosted lead generation through the creation of engaging content for social media platforms.
Revenue Specialist
Argos Health
05.2021 - 10.2022
- Conduct online medical research of motor vehicle accident claim payments
- Research, review medical records, provider notes, EOB's
- Submit claims to insurance companies to ensure prompt reimbursement
- Conduct timely and thorough telephone follow up with payers to update claim systems
- Prepare the correct MVA bill packet or appeal letter with the supporting documentation to insurance companies
- Follow up with attorneys for case status and send legal correspondence
- Upload accident reports to patients' files
- Other duties as required.
Inbound Team Lead/ Patient Care Coordinator
US CareNet
08.2017 - 05.2021
- Receive patient consents, verify and process client data
- Answer incoming calls as operator and direct to appropriate personnel while applying superior customer service skills
- Understand the Medicare Benefit for Chronic Care Management and Transitional Care
- Verify patient insurances and diagnosis for program qualifications
- Manage and articulate to the client/patient the benefits of the program and the impact to their continued wellness plan
- Enter all information accurately and promptly into electronic medical records system according to organization's processes and procedures
- Coordinate patient care needs
- Onsite patient enrollment specialist at Augusta University
- Provide general office support as directed
- Follow all privacy policies and maintain the confidentiality of Protected Healthcare Information (PHI)
- Train new hires on the Inbound process and basic Chronic Care Management Service
- Provide coaching strategies for team/ individuals so that goals are met
- Monitor team calls for quality and training purposes.
Medical Cosmetic Billing Specialist
Medac
01.2016 - 08.2017
- Run daily reports
- Answer patient inquiry phone lines
- Process credit card payments, provide anesthesia quotes & sent receipts as needed
- Correspond with insurance carriers (via phone, email, websites) to work client correspondence/rejections, work insurance follow up reports, mail hard copy claims (Secondary's, Auto, W/C, etc.), work Hold Statement/Claims reports, collections process (approve and send), process patient/insurance refunds
- Assist with posting payments as needed
- Assist with client reporting
- Contact with client and facilities to assist with billing questions and reimbursement.
Office Associate
Georgia Regents University
06.2015 - 12.2015
- Provide administrative support to the Director and staff
- Collect, correct and process applicant tracking and employment data to be utilized in completing the University's Affirmative Action Plan (AAP) in accordance with federal guidelines
- Manage EEO email account
- Separate and process incoming correspondence related to applicant tracking and EEO
- Download monthly Human Resources (HR) queries from PeopleSoft and import into Access database to be utilized when completing the AAP
- Process Search Committee data, assign and track training regarding faculty search guidelines for faculty and staff involved in the recruitment process
- Import and process monthly HR applicant and hire reports and audit information to ensure applicants are dispositioned appropriately throughout the recruitment process
- Perform Federal and State Compliance Audits to ensure GRU is in compliance with Office of Federal Contract Compliance Programs (OFCCP) regulations.
Appliance Select Specialist
Sears Holding Corporation
07.2007 - 01.2015
- Assisted homebuyers in the appliance selection process
- Pursued job knowledge development through Company and Vendor-sponsored product training meetings, business planning, catalogs and literature
- Developed and submitted complete and accurate orders, which ensured adherence to lead time requirements
- Assisted the Account and District Managers in presentations.
Damage Claim Specialist
Electrolux
05.2002 - 06.2007
- Served as the single point of contact for specific customers as identified by the business to process telephone, fax and mail claims on damaged merchandise
- Conducted delivery pre-calls to confirm order accuracy and delivery information
- Achieved Account manager and customer delivery requirements
- Processed credits towards damaged customer merchandise
- Prepared various order management reports
- Processed information for customers
- Provided excellent communication
- Confirmed sales order information to customers as outlined in the process steps.
Education
High School Diploma -
Greenbrier High School
Evans, Georgia06.1998
Skills
- Data Entry
- Decision Making
- Professionalism
- Critical Thinking
- Appointment Scheduling
- Insurance Verification
- Time Management
- Patient Registration
Timeline
Registration Specialist
Wellstar MCG
08.2023 - Current
Marketing Specialist
State Farm
10.2022 - 03.2023
Revenue Specialist
Argos Health
05.2021 - 10.2022
Inbound Team Lead/ Patient Care Coordinator
US CareNet
08.2017 - 05.2021
Medical Cosmetic Billing Specialist
Medac
01.2016 - 08.2017
Office Associate
Georgia Regents University
06.2015 - 12.2015
Appliance Select Specialist
Sears Holding Corporation
07.2007 - 01.2015
Damage Claim Specialist
Electrolux
05.2002 - 06.2007
High School Diploma -
Greenbrier High School
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