Shonna McCarty
Minnetonka,MN
Summary
Accomplished Benefits Manager with a proven record of optimizing employee benefit programs, ensuring compliance with regulatory standards, and enhancing employee satisfaction through innovative wellness initiatives. Skilled in strategic planning and effective communication, driving success in benefit program management.
Overview
19
19
years of professional experience
Work History
Disability Specialist
Sedgwick CMS
01.2022 - Current
- Maintained up-to-date knowledge of industry trends and regulatory changes, applying insights to enhance claim processing effectiveness.
- Identified opportunities for cost savings through careful review of vendor contracts and invoice discrepancies related to claims services engagements.
- Achieved successful resolutions on disputed claims through effective collaboration between internal departments such as legal counsel and clinical experts.
- Served as an expert resource for colleagues on medical coding systems such as ICD-10, CPT, and HCPCS Level II coding conventions.
- Accomplished multiple tasks within established timeframes.
Patient Care Coordinator
Accra care
12.2020 - 12.2021
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Cross-trained existing employees to maximize team agility and performance.
- Managed approximately 100-150 Claims a day with about 20-30 phone calls a day.
Surgery Scheduling Coordinator
Health Innovations
01.2020 - 11.2020
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Managed high call volumes while maintaining exceptional accuracy in appointment scheduling.
- Used EMR, Revenue Cycle, and EPIC to schedule patients.
- Managed a high volume of incoming calls and inquiries related to surgery scheduling with professionalism and attention to detail.
- Coordinated pre-surgical testing requirements to minimize delays or cancellations on the day of surgery.
- Coordinated with facilities to set up surgeries for four different doctors
- Answered phone calls and messages for a four-physician medical facility, scheduling appointments, and handling patient inquiries.
Prior Authorization Specialist
Medica
01.2017 - 06.2019
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reduced turnaround time for prior authorization requests by 50 % by utilizing electronic submission methods.
Administrative Assistant
Epiphany Assisted Living
01.2006 - 12.2016
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Responded to inquiries from callers seeking information.
- Demonstrated excellent multitasking abilities while simultaneously handling various administrative tasks such as answering phones, greeting patients, and data entry.
- Assisted in training new 1-2 staff members on office procedures, ensuring consistent quality of services provided.
Education
Bachelor of Science - Business Administration
University of Arizona
Phoenix, AZ05.2026
Associate of Science - Business Administration And Management
Anoka-Ramsey Community College
Coon Rapids, MN03-2018
Skills
- Patient referrals
- Recruitment and hiring
- Data entry
- Effective verbal communication
- Proficient in Microsoft Office
- Schedule management
- Medical coding
- Appointment coordination
- Insurance verification proficiency
- Prior authorization process
- Medical claims dispute resolution
- Active listening
- Critical thinking
Awards
Dean's List
Timeline
Disability Specialist
Sedgwick CMS
01.2022 - Current
Patient Care Coordinator
Accra care
12.2020 - 12.2021
Surgery Scheduling Coordinator
Health Innovations
01.2020 - 11.2020
Prior Authorization Specialist
Medica
01.2017 - 06.2019
Administrative Assistant
Epiphany Assisted Living
01.2006 - 12.2016
Bachelor of Science - Business Administration
University of Arizona
Associate of Science - Business Administration And Management
Anoka-Ramsey Community College
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