Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shalayna Hudson

Beaumont

Summary

Administrative Coordinator with proven expertise in delivering exceptional customer service. Consistently exceeds expectations through proactive problem-solving and effective communication. Committed to professional growth and collaboration with industry peers to drive organizational success.

Overview

4
4
years of professional experience

Work History

Billing Coordinator

Harbor Healthcare System
Beaumont
08.2024 - 03.2025
  • Executed completion of claims submissions to payers and insurance providers.
  • Verified patient insurance coverage and authorized referrals for specialists.
  • Maintained referral log for effective tracking of referral processes.
  • Communicated with patients regarding pending referrals to ensure clarity.
  • Processed banking transactions independently, demonstrating initiative and decision-making skills.
  • Exhibited strong attention to detail while organizing tasks effectively.
  • Employed problem-solving skills to address challenges professionally.
  • Demonstrated high levels of professionalism in all interactions.

Customer Service/Billing

CVS Specialty Pharmacy
Remote
08.2023 - 08.2024
  • Ensured timely payment and accurate billing of specialty pharmacy invoices to enhance financial efficiency.
  • Collected and input demographic and financial data into systems to improve patient record accuracy.
  • Verified insurance eligibility and details to facilitate seamless patient service and compliance.
  • Scheduled specialty medication to optimize workflow and increase patient satisfaction.
  • Maintained proficiency in job requirements, boosting team competency and service quality.
  • Identified reasons behind denied claims and collaborated with insurance carriers for resolution.
  • Verified coverage and communicated with medical facilities to address discrepancies.

Customer Service Representative

Humana
Remote
08.2022 - 08.2023
  • Company Overview: Handle a high volume of inbound & outbound calls & communicate with energy & enthusiasm to members.
  • Assist members with claims issues, enrollment questions, implementation, enrollment & eligibility, & claims processing.
  • Investigate & settle claims & customer service issues.
  • Regularly exercise discretion & judgment in prioritizing requests & interpreting & adapting procedures, processes, & techniques.
  • Handle a high volume of inbound & outbound calls & communicate with energy & enthusiasm to members.

Customer Service Representative

Iqor
Remote
08.2021 - 08.2022
  • Managed high volume of inbound and outbound calls, ensuring energetic and enthusiastic customer interactions.
  • Educated customers regarding client products and services to enhance understanding.
  • Resolved technical support inquiries through phone, chat, and email, providing timely solutions.
  • Recorded actions taken, issues resolved, and customer information to maintain accurate account management.

Education

High School -

Silsbee High School
Silsbee, TX
01.2015

Skills

  • Multitasking
  • Problem-Solving
  • Active Listening
  • Adaptability
  • Customer Service
  • Leadership
  • Microsoft Office
  • Communication
  • Billing processing
  • Claims submission
  • Analytical Thinking
  • Customer Data Confidentiality
  • Data Entry

Timeline

Billing Coordinator

Harbor Healthcare System
08.2024 - 03.2025

Customer Service/Billing

CVS Specialty Pharmacy
08.2023 - 08.2024

Customer Service Representative

Humana
08.2022 - 08.2023

Customer Service Representative

Iqor
08.2021 - 08.2022

High School -

Silsbee High School

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