Shamica Ledet
Pittsburg
Summary
Talented Intake Specialist offering 10 plus years of experience in conducting intake interviews and summarizing data with speed and efficiency. Connects with clients easily to provide thoughtful and compassionate assistance. Manages client files and prioritizing tasks to achieve optimal productivity.
Overview
8
8
years of professional experience
Work History
Lead Intake Specialist
Suncrest Hospice
03.2020 - Current
- Complete phone consultations to educate new patients and families on the admission process
- Establish and maintain a positive working relationship with current and potential referral sources
- Process insurance verification of benefit coverage and authorization requirements on all patient's plans
- Ensure a seamless transition of patients to hospice care by providing direct oversight of patient education and preparation for hospice care plan, and coordination of care with multiple service providers
- Communicate and coordinate patient care directly with patients, families, referral sources, hospital discharge planners, and clinical staff.
Lead Charge Entry Specialist 2
McKesson & Change Healthcare
12.2016 - 03.2020
- Cross trained in Pediatric and Medicine billing departments
- Responsible for daily registration for Inpatient and Outpatient demographics received from clients, based on the off-license facility/location via charge tickets, hospital face sheets, and spreadsheets
- Verify each patient's medical insurance coverage & eligibility of benefits from insurance websites (i.e., CCS, Medi-Cal, Medicare, and Commercial Insurances)
- Ensure all patient's demographics entered via UCSF Epic EMR (Electronic Medical Record) system are accurate and complete, while navigating multiple interface electronic health records & billing systems
- Responsible for logging onto client's network systems to extract medical reports & create visit encounter
- Create encounters with the appropriate DOS (Date of Service), POS (Place of Service) & Provider to key ICD-9/10 & CPT code
- Run reports to reconcile monthly billing cycle, Correction of VFO (Visit Filing Order) charge correction RFI (Request for Information)
- Attend meetings and trainings internally & with clients
- Answer and direct employees on a daily basis.
Customer Service Representative
Precision Service
07.2016 - 12.2016
- Handled large inbound & outbound calls from home warranty owners
- Provide a detailed estimate for the repair within 24 business hours.
Skills
- HIPAA Knowledge
- Time Management
- Eligibility review
- Intake Assessment
- Claims Processing
- Communication Skills
- EPIC
- Nuance
- MatrixCare
- Microsoft Office
- Ability to work under pressure
- Application assessments
Timeline
Lead Intake Specialist
Suncrest Hospice
03.2020 - Current
Lead Charge Entry Specialist 2
McKesson & Change Healthcare
12.2016 - 03.2020
Customer Service Representative
Precision Service
07.2016 - 12.2016
Similar Profiles
Jocelyn BritoJocelyn Brito
Hospice Social Worker at Suncrest HospiceHospice Social Worker at Suncrest Hospice
Vera Y. ChizhikovaVera Y. Chizhikova
Direct Patient Care at Suncrest HospiceDirect Patient Care at Suncrest Hospice
Cierra StevensCierra Stevens
CNA at Suncrest HospiceCNA at Suncrest Hospice
Jacie PalizzoloJacie Palizzolo
Registered Nurse Case Manager, Hospice at Suncrest HospiceRegistered Nurse Case Manager, Hospice at Suncrest Hospice
Yoleymi Jacelyn MezaYoleymi Jacelyn Meza
Shift Leader & Cashier at Burger KingShift Leader & Cashier at Burger King