Samaria Shoemo
Pensacola
Summary
Dedicated Certified Nursing Assistant with expertise in patient care and customer service. Skilled in monitoring vital signs, assisting with daily living activities, and maintaining accurate patient records. Strong background in fostering relationships with patients and collaborating within multidisciplinary teams. Committed to enhancing patient safety and comfort through effective communication and problem-solving.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Customer Service Specialist/Medical Claims Specialist
Luminare Health Benefits Inc.
Remote
04.2024 - Current
- Assisted customers with inquiries about claim status, ensuring clear communication and timely updates.
- Identified and resolved issues affecting payment or processing of claims through effective problem-solving.
- Reviewed denied claims to gather necessary information for successful resubmission or appeal.
- Maintained confidentiality when dealing with sensitive patient information while adhering to HIPAA standards.
- Proficiently handled high call volumes while maintaining quality service standards.
- Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with customers.
- Managed customer accounts and updated information accurately.
- Handled escalated customer complaints with professionalism and care.
- Resolved customer complaints concerning coverage or billing discrepancies in a timely manner.
- Documented customer correspondence in CRM to track requests, problems, and solutions.
- Provided technical support for troubleshooting software applications used by customers.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Documented specific claims by completing and recording forms, reports and logs.
- Monitored call center queues daily in order to respond promptly to customer inquiries.
PCA/Certified Nursing Assistant
Deluna health and rehabilitation
Pensacola
05.2024 - 05.2025
- Provided basic patient care by taking vital signs, measuring height and weight, and recording intake and output to monitor patient health effectively.
- Monitored vital signs including blood pressure, pulse rate, respiration rate.
- Assisted patients with activities of daily living such as bathing, grooming, and dressing.
- Reported changes in patient condition to registered nurse or physician to ensure timely medical response.
- Observed and reported unusual symptoms and changes to charge nurse to facilitate prompt intervention.
- Answered call lights promptly and responded to patient needs accordingly.
- Provided emotional support to patients and families during difficult times.
Customer Service Desk Associate/Customer Service Cashier
Lowe's Home Improvement
Pensacola
07.2020 - 04.2024
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Resolved customer complaints and issues, escalating to ensure timely resolution
- Collaborated with internal teams to address customer concerns effectively
- Met or exceeded customer satisfaction and response time targets.
- Operated cash registers to process payments for goods and services.
- Informed customers of in-store promotions or pricing specials.
- Processed orders and handled returns according to company policies.
- Educated customers on special pricing opportunities and company offerings.
- Documented customer correspondence in CRM to track requests, problems, and solutions.
Restaurant Team Member
Whataburger
Pensacola
07.2019 - 07.2020
- Multi-tasked effectively by taking customer orders while preparing drinks or food items.
- Utilized knowledge of menu options to answer customer inquiries promptly.
- Greeted customers and answered their questions in a friendly manner.
- Maintained a professional attitude toward customers and coworkers during busy periods.
- Operated the cash register efficiently and accurately.
- Organized work area for cleanliness, safety and efficiency.
- Performed opening and closing procedures such as counting money in the register drawer, restocking items and completing paperwork.
- Delivered food orders to customers' tables using carts or other delivery methods.
Education
High School Diploma -
Penn Foster
Scranton, PASkills
- ICD Codes
- CPT Code Mastery
- Healthcare Billing Knowledge
- Medical billing
- Claim Inquiries Handling
- Patient Account Management
- HIPAA compliance
- Medical Terminology
- Care coordination
- Microsoft Office
- Google Suite Proficiency
- Attention to detail
- Computer literacy
- Customer Service
- Communication skills
- Active Listening
- Adaptability
- Care coordination
- Patient care
- Vital signs monitoring
- Recording vital signs
- Vital signs recording
- Emergency response
- Dementia care
- Personal needs support
- Patient intakes
- Monitoring fluids
- Basic life support
- Dressing assistance
- Safety precautions
- Collecting vital signs
- Behavior documentation
- Critical decision making
- Cash handling
- Safety precautions
- Collecting vital signs
- Cash handling
Certification
- Certified Nursing Assistant
- Medication Technician
- BLS Certification
- Florida life insurance agent
Timeline
PCA/Certified Nursing Assistant
Deluna health and rehabilitation
05.2024 - 05.2025
Customer Service Specialist/Medical Claims Specialist
Luminare Health Benefits Inc.
04.2024 - Current
Customer Service Desk Associate/Customer Service Cashier
Lowe's Home Improvement
07.2020 - 04.2024
Restaurant Team Member
Whataburger
07.2019 - 07.2020
High School Diploma -
Penn Foster