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Shugaino REDSR
Open to opportunities

Shugaino RED

@shugainored

Healthcare scheduling and administration professional with 5+ years optimizing appointments, insurance workflows, and HIPAA-compliant patient care.

United States
Message

What I'm looking for

I’m looking for a healthcare administration role where I can optimize patient scheduling and insurance workflows using EHR/CRM systems, deliver empathetic communication, and uphold HIPAA confidentiality while supporting patients with efficient, high-quality service.

I’m a dynamic healthcare administration professional with 5+ years of experience supporting high-volume patient scheduling, insurance verification, and CRM/EHR workflows. I’m known for warm, empathetic communication, strong organization, and keeping patient interactions confidential—especially in complex, remote-style settings.

Most recently, I’ve managed front desk operations and streamlined appointment scheduling while maintaining HIPAA compliance and accurate handling of patient and insurance information. As a Patient Scheduler at Carenet Health, I managed the scheduling system with 80+ outgoing calls daily to secure appointments, verify coverage, and obtain necessary authorizations for procedures.

I also bring prior authorization experience from Express Scripts, including coordinating with physicians’ offices by faxing required documents and escalating complex issues to ensure timely resolutions. Earlier roles in customer support and troubleshooting strengthened my ability to handle inquiries with professionalism, clarity, and attention to detail.

Experience

Work history, roles, and key accomplishments

ES

Prior Authorization Representative

Express Scripts

Apr 2023 - May 2024 (1 year 1 month)

Assisted patients by answering calls and supporting prior authorization needs with empathy and professionalism. Coordinated with physicians' offices by faxing required documents and escalated complex issues to ensure timely resolution.

SI

Customer Support Representative

Solutran Inc

Dec 2022 - Mar 2023 (3 months)

Provided customer support for member inquiries and order placement. Explained membership benefits clearly and supported customer satisfaction through effective communication.

Things Remembered logoTR

Customer Service Representative

Things Remembered

Apr 2018 - Aug 2019 (1 year 4 months)

Delivered personalized customer service to ensure satisfaction through effective communication. Managed order corrections and maintained accurate records to support customer needs.

Education

Degrees, certifications, and relevant coursework

TO

TCTC, Warren OH

High school diploma, General Studies

2013 - 2014

Completed General Studies coursework and earned a high school diploma at TCTC from January 2013 to June 2014.

Tech stack

Software and tools used professionally

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