Shavonne Marcus
Myrtle Beach
Summary
Experienced in medical billing, coding, and supply management, with a proven track record in claims processing and patient support. Skilled in enhancing operational efficiency and quality of care through meticulous documentation, compliance adherence, and collaboration with healthcare providers.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Claims Processor
BCBSSC
Myrtle Beach
12.2025 - 04.2026
- Processed 80+ medical claims daily, ensuring accuracy, completeness, and compliance with policies and guidelines.
- Investigated and resolved complex claim issues by analyzing medical records, billing details, and policy documentation.
- Applied CPT, ICD-10, and HCPCS coding systems to support accurate claim adjudication and reimbursement.
- Reduced denied claims by 20% through careful review, error correction, and improved claims accuracy.
- Collaborated with healthcare providers to clarify claim details and obtain missing documentation, enhancing claims processing efficiency.
- Conducted audits on processed claims to identify trends and support quality improvement initiatives, reducing recurring errors.
- Improved collections on aging accounts by 15% through timely follow-up and resolution of outstanding issues.
- Maintained confidentiality and compliance while handling sensitive healthcare and billing information.
Medical Supply Specialist Remote Work
Lincare
Clearwater
08.2023 - 04.2024
- Managed receipt, storage, and distribution of medical supplies, ensuring accurate inventory control to support operational efficiency.
- Conducted quality control checks to ensure medical supply integrity, safety, and compliance standards.
- Supported prior authorization workflows for medical supplies and medications.
- Coordinated supply shipments and handled materials using proper procedures and equipment.
- Assisted patients with refilling medications and medical supplies, facilitating timely access to essential items.
- Provided patient support and resolved supply-related questions, enhancing patient satisfaction through prompt service.
Certified Medical Assistant/Phlebotomist
Carolina Health Specialists
Myrtle Beach
12.2022 - 02.2023
- Prepared patients through triage and administering injections, and facilitated telehealth consultations to support timely access to quality patient care.
- Managed patient intake processes, including registration, insurance verification, and payment collection, ensuring accuracy and efficiency in high-volume clinical setting to enhance patient flow.
- Provided administrative support by handling calls, scheduling appointments, and maintaining medical records while upholding professional communication standards to improve patient interactions.
Clinical Supervisor Hybrid position
Access: Supports For Living
New York
02.2020 - 12.2022
- Conducted clinical assessments and reviewed client histories to develop individualized service plans and support care outcomes.
- Coordinated care with medical providers, social services, and community agencies to ensure timely and client-centered service delivery.
- Monitored client progress and updated treatment plans to align with evolving healthcare and support needs, enhancing client outcomes.
- Advocated for clients by identifying appropriate services, explaining treatment options, and supporting access to resources.
- Maintained detailed, accurate documentation of assessments, care plans, case notes, and progress reports to support client care and compliance.
- Ensured compliance with community guidelines, agency policies, and state regulatory standards.
- Participated in interdisciplinary meetings to drive quality improvement initiatives and optimize care planning.
- Compiled statistical and case-related reports to support program tracking and service evaluation.
Certified Nursing Assistant
BETH ISREAL HOSPITAL
New York
01.2009 - 12.2012
- Delivered high-quality patient care through resource management, enhancing patient comfort and wellbeing.
- Facilitated patient mobility and responded promptly to needs by providing efficient transportation and timely call light assistance.
- Maintained accurate patient records and communicated critical observations, supporting cohesive patient management.
Certified Medical Assistant (CMA)
Columbia Presbyterian Hospital
New York
01.2001 - 12.2008
- Prepared patients for examinations, documented vital signs, and assisted with medical procedures, facilitating a compassionate care experience.
- Administered medications as authorized by physicians and delivered patient education on medication management, disease control, and healthy lifestyle practices within established protocol parameters.
- Coordinated administrative tasks including retrieval of lab reports, processing prescription requests, triaging communication, and managing referrals, authorizations, and medical documentation in compliance with regulatory standards.
Education
Healthcare Administration - Associate's degree
Ultimate Medical Academy
Tampa, FL06-2023
Organizational Management - Master of Arts
Ashford University
Chandler, AZ06-2020
Applied Behavior Analysis - Bachelor of Arts
Mercy College
Dobbs Ferry, NY03-2016
Arts - Associate
Stratford University
Virginia Beach, VA06-2014
Skills
- Insurance authorization and denial management
- Claims support and submission
- Insurance verification and billing
- CPT and ICD-10 coding
- Clinical documentation and charting
- Billing processes and report preparation
- Medical records management
- EHR systems proficiency
- Practice management software expertise
- Technical proficiency in Microsoft Office
- Google Sheets data entry
- Time and workflow management
- Collections management skills
- Medical terminology knowledge
- Blood sampling techniques
- Financial records oversight
- Appointment and medical scheduling coordination
- Team leadership abilities
- HIPAA compliance awareness
Certification
- CPR Certification
- Driver's License
- Certified Phlebotomy Technician
- BLS Certification
- ServSafe
- First Aid Certification
Languages
Bilingual
Timeline
Claims Processor
BCBSSC
12.2025 - 04.2026
Medical Supply Specialist Remote Work
Lincare
08.2023 - 04.2024
Certified Medical Assistant/Phlebotomist
Carolina Health Specialists
12.2022 - 02.2023
Clinical Supervisor Hybrid position
Access: Supports For Living
02.2020 - 12.2022
Certified Nursing Assistant
BETH ISREAL HOSPITAL
01.2009 - 12.2012
Certified Medical Assistant (CMA)
Columbia Presbyterian Hospital
01.2001 - 12.2008
Healthcare Administration - Associate's degree
Ultimate Medical Academy
Organizational Management - Master of Arts
Ashford University
Applied Behavior Analysis - Bachelor of Arts
Mercy College
Arts - Associate
Stratford University