Shaun Pinkston 614-517-87822895 Bridgewalk Columbus, Ohio 43224 Shaunie.Pinkston@yahoo.com

Professional QualitiesStrong analytical skills CreativeExcellent customer service Strong research skillsSuperb communication/listening skills Self-motivatedSolid Leadership talents Flexible

Skills SummaryA talent to match skill sets for healthy turnover and high retention ratesAbility to exercise confidentiality in sensitive areas, with a comprehensive backgroundHIPPA High competency in approaching problems with a focus on solutionsCreated innovative processes and implemented successfully to adapt to industry changesCreated and interpreted analytical data reporting for relevant and focused goals/objectivesKnowledgeable in multiple Health Care Provider Systems, to include: Patient Access/Accounting, Data Imaging and tracking systems (EPIC, SMS, MEDITECH, RUMBA, HBO)Skilled in decreasing AR cycle days to accelerate reimbursement for hospital providersCreated dynamic PowerPoint/Visio documents for clear and concise training/work flowsSolid understanding of county, state, and federal benefit programsAcute aptitude to interpret policies in regards to eligibility, processes and complianceAbility to effectively direct/motivate internal staff to drive desired results remotely across multiple states Comprehensive understanding of contract pricing, interpretation and adherenceDelivered timely and relevant responses to Requests for Proposals (RFP’s), which resulted in contract awards

Professional ExperienceMedAssist/Firstsource, Gahanna, OhioJanuary 2012 – PresentDirector, Eligibility ServicesMet monthly budget expenses by monitoring needs of different projects and allocating funds appropriatelyExceeded goals of quarterly forecasts by 5% through the elimination of wasteful tasks/processes and driving productivityTrained and mentored others within the organization, emphasizing personal/professional growth, which resulted in five (5) internal promotionsCreated reporting, which was adopted companywide to reduce errors and produce accurate invoicesResearched/analyzed information/processes in the following areas: Information Management, Electronic Data Interchange, trending and success rates, which resulted in a decrease of 29% in cycle days for reimbursement within one (1) yearEffectively executed the new implementation of healthcare services within eight (8) hospitals within 60 days

Manager, Eligibility ServicesAugust 2010 – December 2011 Recruited, hired, evaluated 80+ employees/supervisors, while motivating staff for optimal performance across eight (8) statesCreated comprehensive training programs for associatesIdentified gaps between teams and implemented work flows to streamline processesConducted monthly client meetings to discuss key performance indicators

Onsite Supervisor, Eligibility ServicesJune 2008 – July 2010Successfully staffed according to employee skill setsConsistently reviewed workflow processes and creatively implemented modifications to maintain best practices to keep abreast of evolving customer needs and federal/state legislative changesFostered open dialogue with multiple internal and external departments to meet goals of all stakeholdersAudited work and provided beneficial feedback

Project Liaison, Eligibility ServicesDecember 2007 – May 2008 Established solid professional relationships with client management baseProvided sound and consistent support in daily work activities to the team, which resulted in team building and knowledgeable staffEducated and created process flows between Clinical staff, Social Services and Financial areas; which resulted in nominations for awards within a multi-facility hospital system

Senior Patient Account Lead, Eligibility ServicesNovember 2006 – November 2007 Utilized expertise of Medicaid and Department of Human Services to positively resolve applications which resulted in expedited reimbursementTrained in Medicaid rules/regulations

Franklin County Department of Job and Family Services, Columbus, OhioFebruary 2004 – November 2006Total Case ManagerProvided excellent customer service while determining eligibility for entitlement programsMaintained 99% accuracy scoresPreserved original decisions in case actions through the research of OAC policies during the State Hearing processes

MedAssist Inc., Gahanna, OhioJune 2001 – February 2004Onsite RepresentativeSkilled liaison between hospital patients and JFS agencyFacilitated the submission of accurate and thorough documentation for the application processResearched and escalated appropriate problems with payments and reimbursement

Griffin Communications, Columbus, OhioSeptember 2000 – June 2001Outreach SpecialistEstablished relationships with local businesses to assist employees and patrons with the Medicaid application process Professionally conducted presentations to educate/guide the communitySuccessfully planned and coordinated community events

EducationUniversity of Phoenix, 2007

Masters, Business AdministrationWilberforce University, 1999

Bachelors, Organizational ManagementColumbus State Community College, 1997

Associates, Applied Arts and Sciences

Volunteer ExperienceTeacher, Living Word ChurchCheerleading Administrator, Capital City Buckeyes Youth Football League

ReferencesProfessional references available upon request