Summary
Overview
Work History
Education
Skills
Timeline
Generic

SHANNON R. BILLION

Crestwood

Summary

Dynamic Utilization Management Coordinator at Humana with expertise in regulatory compliance and telehealth coordination. Proven track record in enhancing patient communication and optimizing care services. Skilled in electronic medical records and adept at multitasking in fast-paced environments, ensuring efficient case management and adherence to health plan policies. Detail-oriented and compassionate healthcare support professional with strong experience in utilization management and administrative coordination, known for excellent communication, adaptability, and the ability to build rapport with patients and healthcare teams. Eager to transition into a hands-on Medical Assistant role, leveraging proven skills in healthcare operations, patient support, and clinical documentation.

Overview

26
26
years of professional experience

Work History

Utilization Management Coordinator 2

Humana
Louisville
11.2019 - Current

Healthcare Experience: Humana – Utilization Management Coordinator 2, Louisville, KY • Nov 2019 – Present. Coordinate clinical information and authorization for patient care services. Communicate with providers to obtain necessary documentation for utilization review. Prepare and send letters to members regarding case status and coverage. Triage calls and support resolution of disputes and escalations. Ensure compliance with health plan policies and federal guidelines.

Account Executive

The Meers Agency
Louisville
10.2016 - 05.2017
  • Account Executive/Outside Sales person with mobile app and web development agency.
  • Account Management - assisting clients with functionality and strategy of their digital platform (web & mobile).
  • Consultative selling involves understanding the needs of the client and tailoring solutions to best accomplish their objectives.
  • Train clients on the technology and the content management system.
  • Account Administration - following up internally and externally to insure the proper documentation and reporting is complete.
  • Consulted with healthcare clients on digital solutions to enhance service delivery.

Account Coordinator

Mobile Telemedical, LLC
Louisville
05.2016 - 10.2016
  • Trained clients on the company's software using webex or other online tools.
  • Helped in patient onboarding and adoption through marketing and coaching.
  • Assisted clients with implementation for their patients to gain user adoption of the software, and marketed the software to their patient database.
  • Custom designed the software for individual clients.
  • Trained medical providers on telehealth software platforms.
  • Assisted with onboarding patients and increasing adoption of digital care tools.
  • Collaborated with practices to optimize patient use of remote care options.
  • Provided technical support and helped customize solutions for clinical settings.

Account Executive

Salem Radio Group
Louisville
06.2001 - 04.2003
  • Marketed radio advertising for four local radio stations.
  • Created proposals for new and repeat customer business transactions.
  • Consulted with clients after sales and contract signing for follow up and provided ongoing support.
  • Created and managed a marketing strategy for customer client advertising.

Recruiter

Electronic Systems USA/Johnson Controls
Louisville
04.1999 - 05.2001
  • Recruited positions for Gulf South, Mid-Atlantic and Louisville area.
  • Sourced, screened, presented and interviewed candidates with diverse skill sets for multiple branch offices within the field organization.
  • Recruited for sales management, sales account representatives, engineering professionals, construction managers, technical service professionals, administrative professionals, Sourced talent for healthcare, technical, and administrative roles.

Education

Bachelor of Arts - Sociology

University of Louisville
Louisville, KY

Skills

  • Utilization review
  • Case management
  • Regulatory compliance
  • Clinical documentation
  • Telehealth coordination
  • Data analysis
  • Patient Communication & Coordination
  • Electronic Medical Records (EMR)
  • HIPAA Compliance
  • Appointment scheduling and referrals, insurance verification and preauthorization
  • Multitasking in fast-paced environments
  • Microsoft Office and healthcare software, team collaboration and professionalism
  • Insurance Verification & Preauthorization
  • Microsoft Office & Healthcare Software
  • Team Collaboration & Professionalism

Timeline

Utilization Management Coordinator 2

Humana
11.2019 - Current

Account Executive

The Meers Agency
10.2016 - 05.2017

Account Coordinator

Mobile Telemedical, LLC
05.2016 - 10.2016

Account Executive

Salem Radio Group
06.2001 - 04.2003

Recruiter

Electronic Systems USA/Johnson Controls
04.1999 - 05.2001

Bachelor of Arts - Sociology

University of Louisville
SHANNON R. BILLION