Summary
Overview
Work History
Education
Skills
Timeline
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SHAKESHA BOYD

Murfreesboro,TN

Summary

Reliable and high-performing leader, who quickly learns and master new concepts and skills, handles multiple responsibilities simultaneously while providing exceptional customer service. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position. Ready to help team achieve company goals. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

14
14
years of professional experience

Work History

HR Leave of Absence Representative

CVS Health
WFH
02.2022 - Current
  • Maintained all requested FMLA and other company provided leave of absence and ensured accurate and timely documentation
  • Efficiently manage HR-related customer service calls, maintaining high satisfaction rates
  • Initiate and respond to inquiries about leave, disability, and benefits for the Expedited Approval team
  • Clarify HR policies and procedures to ensure compliance and a well-informed workforce
  • Collaborate with third-party administrators, HR, Safety, Payroll, Benefits, and other departments

Senior Resolution Specialist

CVS Health
WFH
11.2020 - 02.2022
  • Managed customer accounts, resolving rejected claims to ensure efficient financial record-keeping
  • Assisted members with pharmacy benefit plans, enhancing their healthcare experience
  • Handled escalated calls, providing clear answers on prescription benefits and medication coverage
  • Monitored calls and developed improvement plans for representatives, boosting team efficiency
  • Facilitated dispute resolutions, fostering mutual understanding and positive outcomes

Patient Services Representative

TriWest Healthcare Alliance
WFH
07.2019 - 10.2020
  • Educated Veterans on healthcare options, enhancing their understanding and satisfaction
  • Coordinated medical appointments and follow-up care, ensuring seamless healthcare experiences
  • Delivered exceptional customer service, addressing inquiries and resolving issues efficiently
  • Adhered to HIPAA regulations, safeguarding patient privacy and maintaining compliance
  • Utilized various technologies to manage tasks, demonstrating adaptability and technical proficiency
  • Manage prioritized tasks in a time-sensitive environment
  • Perform other tasks as assigned by leadership.

PATIENT ACCESS REPRESENTATIVE II

EXPRESS SCRIPT
WFH
08.2015 - 07.2019
  • Entered patient payment info, verified insurance, maintained confidentiality, ensuring HIPAA compliance
  • Resolved complex claims and delinquent accounts, significantly enhancing payment collection rates
  • Provided copayment assistance and order status updates, boosting patient satisfaction
  • Handled inquiries from pharmacists and doctors, ensuring prompt and accurate prior authorization processing
  • Streamlined the patient payment process, enhancing accuracy in data entry and reducing payment discrepancies, improving cash flow
  • Led initiatives to resolve complex billing and collection issues, significantly reducing outstanding claims and improving financial performance.

PATIENT ACCESS REPRESENTATIVE II

AEROTEK STAFFING/EXPRESS SCRIPT
Bartlett, TN
12.2013 - 08.2015
  • Entered patient payment info, verified insurance, maintained confidentiality, ensuring HIPAA compliance
  • Resolved complex claims and delinquent accounts, significantly enhancing payment collection rates
  • Provided copayment assistance and order status updates, boosting patient satisfaction
  • Handled inquiries from pharmacists and doctors, ensuring prompt and accurate prior authorization processing
  • Streamlined the patient payment process, enhancing accuracy in data entry and reducing payment discrepancies, improving cash flow
  • Led initiatives to resolve complex billing and collection issues, significantly reducing outstanding claims and improving financial performance.

PATIENT FINANCIAL COUNSELOR

BAPTIST MEDICAL GROUP
Memphis, TN
10.2010 - 12.2013
  • Coordinated patient billing and insurance applications, resolving financial issues efficiently
  • Liaised between departments to resolve outstanding issues, improving cash flow and reducing bad debt
  • Monitored collections and payments, ensuring compliance with guidelines and enhancing reimbursement accuracy
  • Verified insurance and obtained pre-authorizations, reducing claim rejections and improving patient satisfaction
  • Provided empathetic financial guidance to patients, resulting in higher satisfaction scores and better understanding of payment options
  • Introduced a digital tracking system for insurance claims, cutting down processing times by 30% and improving overall efficiency
  • Facilitated cross-departmental communication to resolve billing issues, accelerating reimbursement processes.

Education

No Degree - Healthcare Administration

UNIVERSITY OF PHOENIX

Medical Office Professional - Medical Billing & Coding

REMINGTON COLLEGE

High School Diploma -

H.W. BYERS HIGH SCHOOL

Skills

  • RFP
  • Medical Billing
  • Operations Improvement
  • Administrative Operations
  • Payment Tech Bill Payment System
  • Integration payment and accounting systems
  • Cixtrix
  • Rumba
  • Alstript
  • Rxhomes
  • Bluezone
  • MS Office
  • Product Development
  • AS400
  • PeopeSafe
  • AS
  • Technical Troubleshooting

Timeline

HR Leave of Absence Representative

CVS Health
02.2022 - Current

Senior Resolution Specialist

CVS Health
11.2020 - 02.2022

Patient Services Representative

TriWest Healthcare Alliance
07.2019 - 10.2020

PATIENT ACCESS REPRESENTATIVE II

EXPRESS SCRIPT
08.2015 - 07.2019

PATIENT ACCESS REPRESENTATIVE II

AEROTEK STAFFING/EXPRESS SCRIPT
12.2013 - 08.2015

PATIENT FINANCIAL COUNSELOR

BAPTIST MEDICAL GROUP
10.2010 - 12.2013

No Degree - Healthcare Administration

UNIVERSITY OF PHOENIX

Medical Office Professional - Medical Billing & Coding

REMINGTON COLLEGE

High School Diploma -

H.W. BYERS HIGH SCHOOL

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