Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
References
Timeline
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SHONTE PERRY

Irving,TX

Summary

Dynamic leader and problem-solver with a proven track record at Advanced Infusion Solutions, enhancing operational efficiency and patient satisfaction. Expert in EHR systems and regulatory compliance, I excel in team management and critical thinking, significantly improving service delivery and exceeding departmental goals.

Overview

12
12
years of professional experience
1
1
Certification

Work History

FINANCIAL SERVICES MANAGER, INTAKE

Advanced Infusion Solutions
Ridgeland, MS
03.2018 - Current
  • Managed and supervised a high-performing team of over 30 remote employees, including international partners, in the insurance verification and authorization department functions for targeted drug delivery for the clinic and home setting.
  • Oversaw all aspects of the revenue cycle, including patient registration, insurance verification, authorization, and billing, ensuring accurate and timely processing within service level agreements (SLAs).
  • Developed and implemented comprehensive training programs for new and existing employees, including ongoing skills assessments and performance evaluations.
  • Monitored staff productivity and performance, providing regular feedback and coaching to enhance individual and team performance.
  • Ensured compliance with all relevant regulations, including Medicare, Medi-Cal, and commercial insurance guidelines, as well as federal and state healthcare laws.
  • Resolved complex issues related to patient eligibility, authorization requests, and claims processing, ensuring patient satisfaction, and optimal reimbursement outcomes.
  • Effectively managed daily operations, including staffing schedules, resource allocation, and adherence to departmental policies and procedures.
  • Collaborated with other departments to streamline processes and improve overall operational efficiency.
  • Successfully met or exceeded departmental goals and objectives, as set forth by the Director of Patient Financial Services.
  • Recognized and rewarded employee contributions, fostering a positive, motivated team environment.
  • Maintains a thorough understanding of HCPCS, ICD-10 codes, NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
  • Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.

CALL CENTER CUSTOMER SERVICE REPRESENTATIVE

Conduent
Madison, MS
06.2017 - 01.2018
  • Provided exceptional customer service by efficiently responding to incoming calls and emails from patients, members, providers, and other stakeholders.
  • Resolved a wide range of healthcare inquiries, including appointment scheduling, benefit verification, claims processing, referrals, authorizations, and billing inquiries.
  • Researched and provided accurate, timely information regarding patient coverage, benefits, and healthcare options.
  • Effectively resolved customer issues through strong problem-solving and communication skills, escalating complex issues as needed.
  • Maintained accurate and up-to-date patient records in electronic health record (EHR) systems, ensuring data integrity and compliance with HIPAA regulations.
  • Scheduled and rescheduled appointments with providers, ensuring timely and efficient patient flow.
  • Verified patient eligibility and benefits with insurance companies to facilitate timely claim processing.
  • Provided patient education on a variety of healthcare topics, including preventive care, and medication adherence.
  • Consistently demonstrated excellent customer service skills, ensuring a positive, and welcoming experience for all customers.
  • Successfully performed various administrative tasks as assigned, including special projects, and data entry.

PATIENT ACCESS CLERK

St Dominic Hospital
Jackson, MS
04.2014 - 01.2017
  • Provided exceptional patient-centered care by efficiently checking patients in and out for medical appointments, answering phone inquiries, and scheduling appointments.
  • Accurately documented patient information, including demographics, insurance coverage, and payment methods, ensures data integrity and compliance with HIPAA regulations.
  • Effectively communicated with patients, physicians, and insurance companies regarding appointments, treatment plans, and billing inquiries.
  • Proficiently managed patient accounts, including processing payments, resolving billing issues, and obtaining insurance authorizations.
  • Maintained accurate patient records and handled various administrative tasks, including data entry, filing, and other clerical duties.

MEDICAL BILLING & CODING SPECIALIST

Madison Ridgeland Medical Clinic
Ridgeland, MS
09.2012 - 01.2014
  • Successfully managed the complete revenue cycle for an internal medicine clinic, including medical billing and coding, insurance verification, and claim submission.
  • Accurately coded patient encounters using ICD-9-CM and CPT codes, ensuring accurate reimbursement from insurance companies.
  • Verified patient insurance coverage and benefits, obtained prior authorizations for procedures, and resolved claim denials.
  • Maintained accurate patient records, and ensured compliance with all HIPAA regulations and industry standards.
  • Proficiently utilized electronic health records (EHR) systems and billing software to streamline workflows and improve efficiency.
  • Demonstrated strong analytical and problem-solving skills to identify and resolve complex billing and coding issues.
  • Collaborated effectively with physicians, nurses, and other healthcare professionals to ensure timely and accurate patient care.

Education

Associate in Applied Science (A.A.S.) - Medical Billing & Coding

DELTA TECHNICAL COLLEGE
Ridgeland, MS
12.2012

Skills

  • Leadership: team management, staff development, performance monitoring, and operational management
  • Communication: Excellent verbal and written communication, active listening, and customer service-oriented
  • Technical skills: EHR proficiency, insurance knowledge, data entry, and MS Office Suite
  • Operational Excellence: Process improvement and workflow optimization
  • Patient focus: Patient satisfaction, addressing patient needs, and ensuring a positive experience
  • Compliance: HIPAA compliance, regulatory knowledge
  • Problem-solving: Identifying and resolving complex issues, critical thinking

Accomplishments

  • Most Likely to change name to Wonder Super Woman - Awarded June 2023 by AIS Healthcare at the CLT Leadership Conference
  • Most Positive Attitude Award - Issued May 2015 during Patient Access Week - Issued by St Dominic Hospital

Certification

  • Certificate of Accomplishment for Humana MSO Verification of Benefits, Auth, Billing & Pharmacy benefits - Issued June 2017 - Issued by Conduent
  • LinkedIn Learning - Motivating & Engaging Employees Training Course Completed - December 2020

References

References available upon request.

Timeline

FINANCIAL SERVICES MANAGER, INTAKE

Advanced Infusion Solutions
03.2018 - Current

CALL CENTER CUSTOMER SERVICE REPRESENTATIVE

Conduent
06.2017 - 01.2018

PATIENT ACCESS CLERK

St Dominic Hospital
04.2014 - 01.2017

MEDICAL BILLING & CODING SPECIALIST

Madison Ridgeland Medical Clinic
09.2012 - 01.2014

Associate in Applied Science (A.A.S.) - Medical Billing & Coding

DELTA TECHNICAL COLLEGE
SHONTE PERRY