SHANTE M WEST
Lithonia,GA
Summary
Achieved timely and accurate credentialing through effective management of provider enrollment processes. Enhanced workflow efficiency by utilizing strong communication and organizational skills. Streamlined operations by applying comprehensive knowledge of compliance regulations and documentation management.
Achieved high levels of customer satisfaction through effective communication and support during enrollment. Optimized enrollment processes to enhance efficiency and participant engagement. Drove employee involvement through dedicated outreach and support initiatives.
Achieved successful project outcomes by leveraging strong analytical and communication skills. Cultivated a positive team atmosphere that promoted collaboration and adaptability. Advanced personal and team growth through a commitment to lifelong learning and skill enhancement.
Dedicated to leveraging strong time management and problem-solving abilities to foster team success and support organizational growth.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Provider Enrollment Specialist
Gainwell Technologies LLC
04.2024 - Current
- Managed provider enrollment processes to ensure compliance with regulatory standards.
- Coordinated communication between healthcare providers and insurance companies to facilitate enrollment.
- Conducted training sessions for new team members on enrollment procedures and software tools.
- Streamlined onboarding processes, improving efficiency in provider credentialing workflows.
- Reviewed contracts thoroughly to ensure adherence to organizational policies and guidelines before finalizing provider agreements.
- Managed high-volume caseloads effectively, prioritizing tasks to meet strict deadlines consistently.
- Prepared and processed provider enrollments with Medicare and Medicaid in multiple states.
- Used GAMMIS/INTERCHANGE to enter provider effective dates into enrollment database.
Phlebotomist
Brookside Clinical Laboratory, Inc.
06.2020 - 10.2021
- Resolved unusual test orders by contacting physicians, nursing stations, or reference laboratories.
- Kept track of the specimens I collected by initialing, dating, and noting the date and time of collection.
- Gathered tourniquets, needles, and blood collection devices to prepare work trays.
- Used vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles to collect blood samples.
- Determined donor eligibility by conducting screenings, interviewing potential donors, and obtaining medical histories.
Direct Support Staff
Growth Horizons
03.2018 - 02.2020
- Oversaw routine activities such as medication and personal hygiene to ensure safety.
- Assisted with patient diagnosis and treatment delivery, including timely medication administration and specimen collection.
- Updated patient files with current vitals, behavioral data, and other information relevant to Consumers treatment planning.
- Worked to improve the patient's outlook and daily living through compassionate care.
- Checked nursing staff notes for accuracy, completeness, services provided, and patient responses.
Security Officer Supervisor
US Security Association Inc Jenkintown, Pennsylvania
09.2015 - 02.2018
- Worked in high-pressure, high-risk environments while maintaining exceptional security program, strategy, and plan standards.
- Examined departmental documents to determine how they should be distributed and filed.
- Surveillance cameras were installed to investigate loss, fraud, theft, and abuse by employees and visitors.
- Moved between security stations and critical areas, checking on officers and adjusting workflow to meet changing needs.
- Answered an average of 200 calls, emails, and faxes per day, responding to customer inquiries, resolving problems, and informing customers about new products.
- Submitted weekly payroll documentation, managed schedules, and enforced policies.
Customer Representative
Sunrise healthcare services
09.2006 - 08.2013
- Listened to the questions and concerns of customers in order to provide answers or responses.
- Provided excellent customer service by quickly resolving issues and responding to inquiries.
- Preserved revenue streams where possible, using refunds as a last resort to maintain customer satisfaction with strong communication and negotiation skills.
- Provided primary customer support to internal and external customers in a fast-paced environment.
- Entered information about customer interactions into Microsoft word to track requests, document problems, and keep track of solutions provided.
- Put a focus on customer service by creating a courteous and welcoming environment for visitors.
Education
Certificate - Medical
Pennco Tech
Bristol, PAHealthcare - Certificate - undefined
G.E.T Phlebotomy Certified & Trained LLC
Philadelphia, PA01.2020
High School Diploma -
Bristol Jr-Sr High School
Bristol, PA06.2009
Skills
- MS Office
- Charting and clinical documentation
- Recording data
- First Aid/CPR
- Customer service
- Team building
- Medical office administration
- Patient confidentiality
- Detail-oriented
- Medical records review
- Health education
- Remote
- Work from home
Certification
- First Aid/CPR Certified
- BLS
- CPR certified through American Heart Association
- Phlebotomy certification
Timeline
Provider Enrollment Specialist
Gainwell Technologies LLC
04.2024 - Current
Phlebotomist
Brookside Clinical Laboratory, Inc.
06.2020 - 10.2021
Direct Support Staff
Growth Horizons
03.2018 - 02.2020
Security Officer Supervisor
US Security Association Inc Jenkintown, Pennsylvania
09.2015 - 02.2018
Customer Representative
Sunrise healthcare services
09.2006 - 08.2013
Healthcare - Certificate - undefined
G.E.T Phlebotomy Certified & Trained LLC
Certificate - Medical
Pennco Tech
High School Diploma -
Bristol Jr-Sr High School