SHADEAH BAILEY
Carteret,NJ
Summary
Patient Registration and Revenue Cycle professional with 6+ years of experience supporting high-volume hospital and remote environments. Skilled in patient demographic capture, insurance verification and eligibility checks, pre-authorizations, EMR navigation (Epic, Cerner, IDX), and HIPAA-compliant handling of PHI. Known for accuracy, clear communication, and resolving coverage issues to support clean claims and timely billing.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Patient Support / Reimbursement Specialist
AssistRx
Remote
10.2023 - 02.2026
- Managed all inquiries and questions from prescribers, patients, and field agents, providing timely and accurate information.
- Analyzed patient profiles to determine suitable support programs and developed tailored next steps for optimal assistance.
- Coordinated dissemination of updates and statuses regarding patient support activities to maintain transparency and foster consistent follow-through.
- Coordinated efforts with program-specific Assistrx resources to ensure effective support for active patients.
- Oversaw claims and billing data management, focusing on maintaining high standards of accuracy and compliance.
- Utilized strong analytical skills to identify and resolve issues, promoting efficient reimbursement processes.
- Assumed various duties as directed by management to support team objectives.
Care Navigator
Curative
Remote
02.2024 - 10.2025
- Processed and verified patient demographic and clinical information across CRM/EHR systems to support timely care and billing.
- Maintained HIPAA compliance while handling high volumes of PHI and inbound requests in a fully remote environment.
- Identified documentation discrepancies and coordinated corrections to ensure data integrity and downstream billing readiness.
- Collaborated with cross-functional teams to meet daily productivity goals and maintain service-level turnaround times.
Surgical Coordinator
Hospital for Special Surgery (HSS)
New York, NY
11.2022 - 02.2024
- Completed patient registration tasks by entering and updating demographics, insurance, and surgical documentation across systems.
- Verified insurance eligibility and benefits, supported pre-authorizations, and prepared documentation to reduce denials and appeals.
- Reviewed coverage details and escalated complex issues (COB, payer requirements, out-of-network considerations) to billing teams.
- Ensured accurate, compliant documentation delivery to clinical teams while protecting confidentiality and PHI.
HSS Connect Senior Representative
Hospital for Special Surgery (HSS)
Remote
11.2020 - 11.2022
- Processed high-volume data updates and patient record requests while following HIPAA and internal compliance standards.
- Monitored and resolved queue-based workflows, maintaining accuracy and productivity under tight deadlines.
- Provided system support and trained new team members on documentation standards, quality checks, and workflow expectations.
Senior Medical Secretary
Weill Cornell Medicine
New York, NY
10.2018 - 11.2020
- Managed patient records, insurance updates, and chart documentation across EMR platforms in a fast-paced specialty practice.
- Supported clinicians with accurate chart prep, record requests, and documentation completion for internal/external review.
- Maintained confidentiality and compliance while coordinating across departments to ensure timely updates and follow-through.
Education
Associate of Science - Health Administration
University of Phoenix
08.2025
Certification
- HIPAA & Privacy Compliance Certified
- Epic Credentialed Trainer
Timeline
Care Navigator
Curative
02.2024 - 10.2025
Patient Support / Reimbursement Specialist
AssistRx
10.2023 - 02.2026
Surgical Coordinator
Hospital for Special Surgery (HSS)
11.2022 - 02.2024
HSS Connect Senior Representative
Hospital for Special Surgery (HSS)
11.2020 - 11.2022
Senior Medical Secretary
Weill Cornell Medicine
10.2018 - 11.2020
Associate of Science - Health Administration
University of Phoenix