Summary
Overview
Work History
Education
Skills
Timeline
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Shakydra Boose

Arlington,TX

Summary

Experienced Claim Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 7 years of experience and willingness to take on any challenge.

Overview

7
7
years of professional experience

Work History

Claim Specialist Proximity

State Farm
08.2022 - Current
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Reduced claim resolution timeframes by swiftly conducting thorough investigations and assessments of loss damage.
  • Assisted colleagues with challenging cases, providing guidance on best practices for investigating and resolving claims.

Accident Claim Specialist

Aflac
07.2021 - 08.2022
  • Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
  • Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
  • Negotiated with claimants to settle claims.

Transportation Supervisor

Richwood Transport
10.2020 - 07.2021
  • Managed routing, driver supervision and DOT compliance.
  • Maintained and verified time, transportation, financial, inventory and personnel records.
  • Managed a team of drivers, providing training, guidance, and performance evaluations to maintain a high level of professionalism.

Medicare Claims Processor

Parkland Hospital
02.2019 - 10.2020
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
  • Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
  • Conducted thorough investigations of suspected fraud cases, leading to the recovery of lost funds.

Case Manager

City Square
01.2018 - 02.2019
  • Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
  • Monitored clients' progress and tracked client services to provide crisis interventions.
  • Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.

Patient Financial Counselor

USMD
03.2017 - 01.2018
  • Verified patient insurance eligibility and entered patient information into system.
  • Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
  • Provided compassionate assistance to financially challenged patients, identifying potential sources of funding or discounts when applicable.
  • Collaborated with medical staff to ensure accurate billing codes and minimize claim denials.


Education

Associate of Applied Science - Medical Insurance Coding

Remington College
Little Rock, AR
10.2006

Skills

  • Claims Investigation
  • Decision-Making
  • Eligibility Determination
  • ICD-10 Coding
  • Insurance Billing
  • Fraud Prevention Strategies
  • Crisis Intervention
  • Treatment Planning
  • Social Work
  • Team Leadership

Timeline

Claim Specialist Proximity

State Farm
08.2022 - Current

Accident Claim Specialist

Aflac
07.2021 - 08.2022

Transportation Supervisor

Richwood Transport
10.2020 - 07.2021

Medicare Claims Processor

Parkland Hospital
02.2019 - 10.2020

Case Manager

City Square
01.2018 - 02.2019

Patient Financial Counselor

USMD
03.2017 - 01.2018

Associate of Applied Science - Medical Insurance Coding

Remington College

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Shakydra Boose