I have 10 years of Medical Office Administrative experience, as well as assisting patients with signing up for Medicaid.

1. SHAUNTY CUMMINGS
21980 RIVER PINES DR FARMINGTONHILLS, MI 48335-EMAIL cshaunty@gmail
CELL# 313-693-5167 WORK# 313-745-0068
PROFESSIONAL SUMMARY
Patient Advocate with 10 years of experience working in a high volume
hospital serving diverse populations. Responsible for screening self-pay
and Medicare patients at hospital bedside or via phone for eligibility in
governmental programs. Responsible for identifying all sources of
potential payers including auto insurance, Workers’ Compensation, and
commercial/private insurances to route account appropriately in the
Patient Accounting Dept. I possess good communication skills to work
closely with patients, physicians, social workers, and DHS caseworkers
to enable accounts to be processed efficiently.
SKILL HIGHLIGHTS
 Research and Data analysis / Customer Service Training
 Office Management Proficiency / Leadership
 MS WORD / EXCEL / POWERPOINT / CITRIX / E-THOMAS
 Knowledge of Medical Terminology / ICD-9 / CPT Coding
 Excellent verbal and critical thinking skills
 Adept multitasking / Office Support (phones, faxing, filing)
PROFESSIONAL EXPERIENCE
PATIENT ADVOCATE @ Detroit Receiving Hospital, 03/2015-current
Conifer Health Solutions- 4201 St. Antoine St Detroit, MI 48201
 Assessed patients to determine whether or not they meet the
necessary qualifications for the State of Michigan Medicaid
Program.
 Reviewed applications for the program and ensured that
applicants submitted all necessary verification documents of all

2. household members for identity, income, and asset purposes to
approve case.
 Verified that applications have been filled out correctly and
checked the forms for accuracy.
 Followed up with applicants numerous times via phone and mail
to ensure they were keeping track of quarterly case re-
determinations.
 Engaged with applicants, hospital staff, and DHS caseworkers as
an information resource policy changes are made.
 Pre-pared and maintained client files, as well as computerized
record keeping for follow up.
 Posted and adjusted documentation for hospital billing when
applicants are approved for benefits to submit for payment
updating.
 Handled claim denials and/or appeals with confidentiality and
following HIPAA regulations.
 Medicaid Eligibility Counseling Services
PATIENT ACCESS REPRESENTATIVE (PAR) @ Rehab Institute of MI,
10/2011 – 03/2015
42005 W. 12 Mile Rd Novi, MI 48337
 Schedule pediatric/adults PT/OT/ST appointments in a timely
manner for therapists, coordinates multi-disciplinary
appointments.
 Completes registration intakes on a daily basis and manage the
PT/OT/ST waiting list.
 Verify coverage and benefits to recognize the need to obtain
necessary referrals/authorizations.
 Determine patient’s co-pay/deductible responsibility and notify
the patient prior to the first visit.
 Ensure that all necessary information is obtained (including valid
prescription for services) prior to registering the patient.

3.  Assist patients with the completion of necessary forms and obtain
signatures that are needed.
 Resolve bill holds (Pre-Bill Edit Report) in a timely manner to
ensure completion/payment within 5 days.
 Reconciles and corrects any rejected transactions on user specific
Transmission, Control and Errors (TCE) reports.
 Enter charges same/next day, in compliance with third party
payer requirements.
MEDICAL ADMINISTRATIVE ASSISTANT @ Children’s Hospital of MI
Michigan Pediatrics ENT 3901 Beaubien Blvd Detroit 48201
EDUCATION AND TRAINING
 Associates in Health Services Administration 05/2014 -current
Keiser University – 1500 NW 49th
St Fort Lauderdale, FL 33309
(Anticipated Graduation Date May 2016)
 Everest Institute – Medical Administrative Assistant-Certificate
21107 Lahser Rd Southfield , MI 48033 2004 - 2005
REFERENCES
Michelle Hewlett Jenifer Coleman
Director, Physician Recruitment Supervisor, ENT Associates
Detroit Medical Center Children’s Hospital of MI
313-505-0360 313- 745- 9049