Shannon Wharton
Charlotte
Summary
Dedicated professional with demonstrated strengths in customer service, and time management. Good at troubleshooting problems and building successful solutions. Excellent verbal and written communicator with strong background cultivating positive relationships and exceeding goals.
Overview
9
9
years of professional experience
Work History
Prior Authorization Specialist
Careviso
07.2024 - Current
- Tracked referral submission during facilitation of prior authorization issuance.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Verified eligibility and compliance with authorization requirements for service providers.
Fraud Claims Specialist
Wells Fargo
08.2023 - 07.2024
- Supported and captured all pertinent information from customers about their claims
- Conducted research and provided updates on the status of new and existing claims
- Performed routine customer support tasks by maintaining a balance between exceptional customer service and solid investigative research while answering incoming calls in a call center environment
- Received direction from the team lead and escalated questions and issues to more experienced roles
Certified Nursing Assistant
NHC
01.2023 - 03.2023
- Assisted patients with activities of daily living such as bathing, grooming, and dressing
- Provided basic patient care by taking vital signs, measuring height and weight, and recording intake and output
- Transported patients to treatment units, using wheelchair or stretcher
- Collected specimens for testing purposes upon request from physicians or nurses
Patient Access Representative
Charlotte Radiology
05.2021 - 09.2022
- Completed registration procedures for patients, expertly inputting information to meet provider, facility, and legal requirements
- Collaborated with clinical and administrative staff to meet patient needs
- Greeted and assisted patients with check-in procedures.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Sterile Processing Technician
AnMed Health Medical Center
05.2019 - 11.2019
- Supported departmental initiatives to meet productivity standards and flexible staffing needs
- Organized and assembled routine or specialty surgical instrument trays or other sterilized supplies, filling special requests as needed
- Distributed sterile and non-sterile supplies and medical equipment upon request or case cart requisition
- Operated and maintained steam autoclaves, keeping records of loads completed, items in loads and maintenance procedures performed
Patient Access Representative
Prisma Health Upstate
12.2015 - 12.2019
- Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information
- Organized and maintained records by updating and obtaining both personal and financial information from patients
- Communicated financial obligations to patients and collected fees at time of service
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best care
Education
Associate of Applied Science -
Virginia College
Greenville, SC06.2017
Skills
- Technologically savvy
- Problem-solving abilities
- High-energy attitude
- Conflict mediation
- Time Management
- Critical thinker
- Training & development
- Teambuilding
- Troubleshooting
Timeline
Prior Authorization Specialist
Careviso
07.2024 - Current
Fraud Claims Specialist
Wells Fargo
08.2023 - 07.2024
Certified Nursing Assistant
NHC
01.2023 - 03.2023
Patient Access Representative
Charlotte Radiology
05.2021 - 09.2022
Sterile Processing Technician
AnMed Health Medical Center
05.2019 - 11.2019
Patient Access Representative
Prisma Health Upstate
12.2015 - 12.2019
Associate of Applied Science -
Virginia College
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