Ashanta Scott
Concord
Summary
Dynamic Patient Care Coordinator with a proven track record at Carolina Urological Associates, enhancing patient satisfaction through effective scheduling and communication. Skilled in insurance verification and HIPAA compliance, I excel in streamlining processes and training staff, achieving a high success rate in authorizations while maintaining exceptional customer service.
Knowledgeable with background in patient care coordination and track record of optimizing patient flow and satisfaction. Successfully managed patient schedules and facilitated communication between healthcare providers and patients. Demonstrated ability to handle administrative duties and patient inquiries with empathy and efficiency.
Overview
9
9
years of professional experience
Work History
Peer Support Specialist
What Matters Most INC
Concord NC
01.2024 - Current
- Facilitated peer support sessions to promote recovery and personal growth among participants.
- Developed and implemented coping strategies tailored to individual needs of clients.
- Provided crisis intervention support, assisting individuals in high-stress situations.
- Collaborated with mental health professionals to enhance care coordination for clients.
- Mentored new peer support specialists, fostering a collaborative learning environment.
- Assisted clients in setting realistic goals and provided support during their journey towards achieving them.
- Enhanced client recovery by providing emotional support and practical guidance.
- Developed trusting relationships with clients by maintaining confidentiality, respect, and non-judgmental attitudes.
- Maintained accurate documentation of client interactions, supporting case management efforts.
- Assisted clients in navigating mental health services, simplifying process of obtaining care.
- Served as role model for recovery, inspiring clients with personal success stories and resilience.
- Documented client interactions and outcomes, maintaining accurate and confidential records.
- Assisted clients in exploring feelings and understanding behaviors.
- Utilized motivational interviewing techniques to encourage clients to engage in healthy behaviors.
Patient Care Coordinator
Carolina Urological Associates
Concord, NC
08.2021 - 11.2024
- Coordinated patient scheduling and follow-up to enhance care continuity.
- Managed insurance verification processes to ensure accurate patient billing.
- Developed and maintained electronic health records for improved data accuracy.
- Facilitated communication between patients and medical staff to address concerns promptly.
- Trained new staff on office procedures and patient interaction protocols effectively.
- Assisted in managing referrals to specialists, streamlining patient transitions of care.
- Monitored appointment cancellations and rescheduled as necessary to optimize clinic efficiency.
- Implemented workflow improvements that increased patient satisfaction scores.
Prior Authorization Specialist
Cabarrus Rowan Community Health Centers
Concord NC
09.2018 - 06.2021
- Processed prior authorization requests efficiently, ensuring compliance with regulatory guidelines.
- Coordinated with healthcare providers to gather necessary documentation for approvals.
- Reviewed and analyzed clinical information to determine eligibility for services.
- Communicated effectively with patients regarding authorization status and requirements.
- Collaborated with insurance companies to resolve discrepancies in authorization outcomes.
- Maintained accurate records in electronic health systems to support audit readiness.
- Implemented workflow improvements that enhanced processing times for requests.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Contributed to a high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.
Prior Authorization Specialist
Blue Cross and Blue Shield
Charlotte Nc
02.2017 - 07.2018
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
- Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
- Enhanced efficiency in processing prior authorization requests by streamlining documentation procedures.
- 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.
- Contributed to a high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.
Education
Associate of Applied Science - Billing And Coding
Rowan-Cabarrus Community College
Salisbury, North Carolina, NC08-2026
No Degree - Medical Assisting
Kaplan University
Charlotte, NC04-2012
High School Diploma -
Central Piedmont Community College
Charlotte, NC06-2011
Skills
- Critical thinking skills
- HIPAA compliance
- Appointment scheduling
- Organizational skills
- Customer service
- Attention to detail
- Insurance verification
- Patient care coordination
- Patient care
- Verbal and written communication
- Patient confidentiality
- Medical terminology
- Scheduling
- New hire training
- Healthcare operations
- Claims processing
- Patient assessment
- Medical data collection
- Patient outreach and Follow-up
- Database coordination
Timeline
Peer Support Specialist
What Matters Most INC
01.2024 - Current
Patient Care Coordinator
Carolina Urological Associates
08.2021 - 11.2024
Prior Authorization Specialist
Cabarrus Rowan Community Health Centers
09.2018 - 06.2021
Prior Authorization Specialist
Blue Cross and Blue Shield
02.2017 - 07.2018
Associate of Applied Science - Billing And Coding
Rowan-Cabarrus Community College
No Degree - Medical Assisting
Kaplan University
High School Diploma -
Central Piedmont Community College