Summary
Overview
Work History
Education
Skills
Timeline
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Laura Sheleby

Eligibility Specialist
Downey,CA

Summary

Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities. Knowledgeable Eligibility Representative with history of assessing and verifying client eligibility efficiently. Successfully managed case documentation and resolved complex client inquiries. Demonstrated strong communication and problem-solving skills, ensuring high levels of client satisfaction.

Overview

25
25
years of professional experience

Work History

Eligibility Intake Specialist

Maravilla Foundation
10.2023 - Current
  • Answered phone calls and provided new clients with required paperwork to initiate service.
  • Increased customer satisfaction with timely follow-ups, ensuring all necessary documentation was collected and processed promptly.
  • Completed intake assessment forms and filed clients' charts.
  • Maintained high levels of accuracy and compliance in data entry, ensuring all information was correctly entered into the required systems.

Eligibility Representative

Memorial Care Long Beach Medical Center
Long Beach, CA
11.2012 - Current

Verify Eligibility PPO, HMO Medical benefits, generate estimates for patients copays and deductibles, verify by contacting Dr. offices correct and proper Cpt codes for Surgery Scheduling and obtaining Surgery authorizations and Worker Comp Information , deal with daily phone calls from Patients and Dr. offices , make daily contact calls to Health Insurances with any corrections and benefits changes.

Enrollment Intake Specialist

Long Beach Community Action Partnership
04.2021 - 09.2023
  • Answered phone calls and provided new clients with required paperwork to initiate service.
  • Increased customer satisfaction with timely follow-ups, ensuring all necessary documentation was collected and processed promptly.
  • Completed intake assessment forms and filed clients' charts.
  • Maintained high levels of accuracy and compliance in data entry, ensuring all information was correctly entered into the required systems.

Eligibility Clerk

Delta Dental
Cerritos, CA
06.2000 - 10.2010

Received all Enrolment applications, stamped date and sorted all mail scanned under Eligibility mainframe , entered all member Eligibility to process and approved benefits , answered daily calls from Providers Inquiring Information to accept the patient to their Facility , dealt with different Departments in regards to filed documents and active benefits to process proper billing.

Education

Certificates - Clerical , Medical Terminology

Larson Training Center
Carson , CA
06.2002

Skills

  • Proficiency in Epic, Microsoft Word
  • Documentation and paperwork
  • Resource information
  • Faxing, Scanning
  • Telephone etiquette
  • Recordkeeping and data input
  • Call center operations
  • Problem resolution
  • Bilingual Spanish

Timeline

Eligibility Intake Specialist

Maravilla Foundation
10.2023 - Current

Enrollment Intake Specialist

Long Beach Community Action Partnership
04.2021 - 09.2023

Eligibility Representative

Memorial Care Long Beach Medical Center
11.2012 - Current

Eligibility Clerk

Delta Dental
06.2000 - 10.2010

Certificates - Clerical , Medical Terminology

Larson Training Center
Laura ShelebyEligibility Specialist