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.
• 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