Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cheyenne Shaw

Houston,TX

Summary

Proven expertise in HIPAA compliance and multitasking honed at McLaren and other healthcare settings. Excelled in enhancing patient confidentiality, streamlining billing processes, and improving patient care coordination. Achieved significant efficiency in insurance verification and reduced claim denials, demonstrating strong organizational skills and a commitment to quality assurance.

Developed strong communication and problem-solving skills in fast-paced healthcare environment. Gained expertise in managing patient interactions and handling sensitive medical information. Seeking to transition into new field where these transferable skills can drive efficiency and enhance customer experience.

Overview

9
9
years of professional experience

Work History

Patient Access Representative

McLaren
11.2023 - 08.2024
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
  • Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
  • Increased efficiency in managing high call volumes by developing effective phone triage techniques for prioritizing urgent matters.
  • Provided and entered physician and/or diagnostic appointments for scheduling MRIs, Ultrasounds, X-ray, and Nuc Med tests.

Customer Service Representative

TTEC- CVS Project (Seasonal)
11.2021 - 02.2022
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Enhanced customer satisfaction by promptly addressing inquiries and resolving issues with mail order pharmacy
  • Safeguarded patient confidentiality by strictly adhering to HIPAA regulations while handling sensitive medical information.
  • Reduced medication errors by diligently reviewing and verifying patient records for discrepancies.
  • Enhanced customer satisfaction by efficiently addressing and resolving Medicare-related inquiries.

Compliance Officer

Heights Veterinary Clinic
01.2018 - 01.2019
  • Managed relationships with regulators, maintaining open lines of communication to ensure transparent operations.
  • Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
  • Collaborated with cross-functional teams to address compliance concerns, fostering a culture of shared responsibility.
  • Reduced the risk of financial penalties by conducting thorough internal audits on a regular basis.
  • Leveraged technology solutions for efficient tracking and reporting of compliance-related activities and metrics.

Patient Financial Coordinator

Eating Recovery Center
06.2015 - 10.2017
  • Increased efficiency in the billing department through regular audits, identifying errors, and providing training to staff members as needed.
  • Updated patients'' financial records promptly after receiving payments or adjustments, ensuring timely reporting of account status changes.
  • Collaborated with clinical teams to optimize patient care coordination and financial management.
  • Reduced claim denials, ensuring accuracy in insurance verification and pre-authorization processes.
  • Enhanced revenue collection with diligent follow-ups on outstanding balances and setting up payment plans for patients.

Education

Associate in Health Science - Medical Billing And Coding

Ultimate Medical Academy
Clearwater, FL
01-2015

Skills

  • Insurance verification
  • HIPAA compliance
  • Multitasking and organization
  • Appointment scheduling
  • EMR
  • Medical billing
  • Quality assurance
  • Insurance billing
  • Payment processing
  • Referral coordination
  • Pre-admission requests
  • Scheduling diagnostic procedures

Timeline

Patient Access Representative

McLaren
11.2023 - 08.2024

Customer Service Representative

TTEC- CVS Project (Seasonal)
11.2021 - 02.2022

Compliance Officer

Heights Veterinary Clinic
01.2018 - 01.2019

Patient Financial Coordinator

Eating Recovery Center
06.2015 - 10.2017

Associate in Health Science - Medical Billing And Coding

Ultimate Medical Academy
Cheyenne Shaw