SHAKEREYA WALLACE
Tampa
Summary
Motivated team player experienced in providing exceptional customer service. Proven ability to remain calm and professional in high-stress situations while being able to quickly and effectively resolve customer complaints. Possesses exceptional communication, organizational and multitasking skills. Committed to providing the highest quality service and creating a positive customer experience.
Overview
5
5
years of professional experience
Work History
Collections Agent II
J.P Morgan Chase
03.2024 - Current
- Managing calls from customers regarding past due accounts and actively reaching out to customers with delinquent balances to initiate collection efforts.
- Building report with customers, listening to their concerns and explaining payment options to encourage timely payments.
- Negotiating payment plans with customers based on their financial situation to resolve outstanding/charged off accounts.
Claims Resolution Specialist
LIBERTY Dental Plan
11.2023 - 02.2024
- Review and research complex dental claims, denials, and underpayments.
- Contact providers to discuss claim issues, negotiate resolutions, and gather necessary information.
- Utilize payer websites to check claim status, eligibility, and submit online appeals or corrected claims.
- Identify reasons for denials, develop resolution strategies, and process appeals within timely filing limits.
- Update provider databases and document all claim activity and communications.
Admissions Coordinator
Gracepoint Wellness
02.2022 - 11.2023
- Respond to phone calls, emails, and referrals from individuals, families, providers, and agencies seeking mental/behavioral health services
- Conduct preliminary screenings to assess the appropriateness of services offered and gather relevant clinical and demographic information
- Coordinate with clinical staff to schedule assessments, evaluations, or admissions
- Verify insurance benefits, obtain authorizations, and explain financial obligations to patients or guardians
Grievance Appeals Specialist
CVS / Aetna
12.2020 - 12.2021
- Processed institutional and professional claims for Medicaid and Medicare, insurance, compliance, and accuracy.
- Streamlined document management by organizing forms, photocopying, filing records, preparing correspondence, and generating reports.
- Facilitated provider enrollment by preparing supporting documentation for individual physicians and physician groups with payors
- Consistently met daily production targets by addressing 25-38 appeals, demonstrating exceptional productivity and attention to detail
Education
Diploma - undefined
Hillsborough High School
05.2013
Skills
- Teamwork
- CMS
- Facets
- Claims Analysis
Timeline
Collections Agent II
J.P Morgan Chase
03.2024 - Current
Claims Resolution Specialist
LIBERTY Dental Plan
11.2023 - 02.2024
Admissions Coordinator
Gracepoint Wellness
02.2022 - 11.2023
Grievance Appeals Specialist
CVS / Aetna
12.2020 - 12.2021
Diploma - undefined
Hillsborough High School