Shaleah Knight
Houston
Summary
Experienced healthcare professional with excellent multi-tasking, organizational and administrative skills. Seeking a full-time position in a challenging atmosphere where I can utilize my skills and develop professional growth.
Overview
15
15
years of professional experience
1
1
Certification
Work History
WELLNESS COORDINATOR
Optum
12.2021 - Current
- Focus on one call resolution, navigating through complex computer systems to identify the status of the request and provide appropriate response to caller
- Contact providers to clarify information, review benefits and authorizations, and assist with care coordination
- Data collection from providers, inputting information into multiple documentation systems
- Triage submissions of clinical information, set up cases to improve timely review, and complete administrative follow-ups on cases.
COORDINATOR II
Baylor St. Luke’s Hospital
01.2017 - 12.2021
- Administrative support to Business Operations Associate.
- Cath Lab case scheduling
- Physician and Mid-level Hospital credentialing/Payer credentialing
- Emergency credentialing for COVID surge physicians and Mid-levels.
- Answered and triaged phone calls in a high-volume setting
- Handled responsibilities of front desk.
MEDICAL CLAIMS EXAMINER
Manhattan Life Assurance
01.2014 - 01.2017
- Research each claim and pay according to specified benefit contracts.
- Investigate medical records to determine pre-existing conditions.
- Provide ICD-9 and diagnostics codes for claims and medical procedures.
INSURANCE VERIFICATION SPECIALIST
Community Health Choice
12.2011 - 01.2014
- Verifying insurance coverage, eligibility and coordinate benefits for CHIP and Medicaid clients.
- Investigate and resolve discrepancies in insurance and claim denials.
- Initiate and track prior authorization requests.
- Provide necessary information to the billing department for claims processing.
- Prepares reports by collecting, analyzing, and summarizing information.
Education
Diploma -
Las Vegas High School
Las Vegas, NV01.2006
Phlebotomy Tech Certification - undefined
Houston Community College
Houston, TX01.2016
Medical Administrative Assistant - undefined
Pima Medical Institute
Las Vegas, NV01.2009
Skills
- Self-motivated, effective communication and attention to detail and deliver high quality work
- Managing medical records and patient data using Epic
- Proficient in using MS Excel, EPIC, PECOS, Outlook, QNXT, MS Word
- General knowledge of Medical Terminology
- Ability to deliver high quality work
- Ability to perform data entry, manage spreadsheets, and create new appointments
- Knowledge of ICD-10-CM, CPT/HCPCS
Certification
- Medical Billing and Coding
- Medical Administrative Assistant
- CPCS - Certified Provider Credentialing Specialist (NAMSS) – in progress, expected August, 2026
Timeline
WELLNESS COORDINATOR
Optum
12.2021 - Current
COORDINATOR II
Baylor St. Luke’s Hospital
01.2017 - 12.2021
MEDICAL CLAIMS EXAMINER
Manhattan Life Assurance
01.2014 - 01.2017
INSURANCE VERIFICATION SPECIALIST
Community Health Choice
12.2011 - 01.2014
Phlebotomy Tech Certification - undefined
Houston Community College
Medical Administrative Assistant - undefined
Pima Medical Institute
Diploma -
Las Vegas High School