Shauna Reed Email & Phone Number

United States

Columbia, South Carolina Area

• Responsible for enrolling all patient care centers nationwide into multiple insurance companies for Electronic Claims Submission, Electronic Remittance & Electronic Funds. • Accomplished 48-hour turnaround requirements Database updates and entries.• Troubleshooting enrollment process through clearinghouses, coordinating with insurance companies and clearinghouses to ensure prompt enrollments.• Working with Area Administrative Managers to identify problems and coordinating with other departments to resolve any issues brought up. • Utilized HIPAA, and Microsoft Word, Excel, Power Point, Outlook for any patient documentation.

Knoxville, Tennessee Area

• Medical Processing Claims, Medical Benefits, Enrollment, Insurance Authorization.• Supervised a call center environment with a staff up to 100 associates. • Handled human resource management duties such as equal opportunity employment, conflict resolution, recruitment, training and development, performance appraisals, corrective action, hiring, firing, associate assignment and FMLA benefits. • Worked with associates to determine appropriate level of training to become successful. • Managed staffing levels for multiple phone lines and assist in cross training to ensure appropriate utilization of staff. Maintained acceptable service standards and quality control.• Utilized HIPAA, and Microsoft Word, Excel, Power Point, Outlook for any patient documentation

Columbia, South Carolina Area

• Medical Claims, Medical Benefits, Enrollment, Insurance Verification / Authorization.• Handled upwards of 120 calls per day from members and providers regarding insurance. • Worked written correspondence to answer all inquiries within an acceptable timeframe. • Initiated a task force with other departments to identify and recoup over $6 million in incorrectly paid medical claims.• Utilized HIPAA, and Microsoft Word, Excel, Power Point, Outlook for any patient documentation