Summary
Overview
Work History
Education
Skills
Qualificationhighlights
Timeline
Generic

Shaletta Gillespie

Athens,GA

Summary

Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.

Overview

19
19
years of professional experience

Work History

PCC Verification Associate

Piedmont Healthcare
04.2018 - Current

Front Office Assistant

Hometown Pediatrics
05.2018 - 12.2018

Patient Account Representative

GA GYN Oncology
01.2016 - 01.2018

Patient Access Representative II

Athens Regional Medical Center
01.2009 - 01.2016

Receptionist

Regional First Care
01.2006 - 01.2009

Education

Still in School - Healthcare

Southern New Hampshire University
Manchester, NH
12-2025

Graduate Certificate - Healthcare

Everest Institue
Norcross, GA
07.2009

Skills

  • Organizational and Administrative Duties
  • Processing financial transactions
  • Scheduling
  • Medical records management
  • High volume inbound/outbound calls
  • Insurance verification
  • Clerical practices and procedures
  • Basic administrative terms
  • Operation of standard office equipment
  • Detail oriented
  • Oral communication
  • Identity verification
  • Teamwork
  • Customer service
  • Problem-solving abilities
  • Time management
  • Multitasking
  • Organizing and prioritizing work
  • Excellent communication
  • Attention to detail
  • Adaptability and flexibility
  • Payment and investigation escalations
  • Self motivation
  • Time management abilities
  • Decision-making
  • Team collaboration
  • Effective communication
  • Active listening
  • Computer proficiency
  • Critical thinking
  • Reliability
  • Insurance coverage verification
  • Professionalism
  • Billing software
  • Medical terminology
  • Team building
  • Prior authorization processing
  • Analytical thinking
  • Task prioritization
  • Patient rapport
  • Appointment scheduling
  • Records management
  • Eligibility determination
  • Goal setting
  • Financial transactions
  • Teamwork skills
  • Patient contact
  • Recordkeeping organization
  • Confidentiality handling

Qualificationhighlights

  • Verify insurance and confirm to make sure policy is active before procedure in Epic, then identify the patient responsibility and for the patient estimate so registration collect amount due at point of service.
  • Cross trained in venipuncture, patient care, specimen collections, specimen processing and patient electronic records. Collect blood for accurate and reliable test results.
  • Registration duties: register patients that check in for MRI/CT appointments and schedule MRI/CT appointments for Orthopedic doctors.
  • Patient Access duties includes verifying insurance for outpatient-inpatient surgery in Med Assets/Optimum, Radiology and Rehab accounts, schedule Radiology procedures, cross-trained to register patients, call patients to collect copays and deductibles, customer service including typing, data-entry, processed various financial transactions, resolved conflict resolutions, balanced allocated cash drawer, analytical demands, maintained confidentiality of information received, retrieved and disseminated information, collections and calculations, inbound/outbound calls, performed other duties as assigned.
  • Receptionist duties included arranging patients for appointments, file and pull charts for patients, customer service, collect upfront copays, answered multi-line phones and directed calls to appropriate physician, scanned patient charts, filed insurance payments through E-Clinicals, conducted EKGs, blood sugars and holter monitors, called in patient prescriptions to pharmacies but limited and scheduled patients.

Timeline

Front Office Assistant

Hometown Pediatrics
05.2018 - 12.2018

PCC Verification Associate

Piedmont Healthcare
04.2018 - Current

Patient Account Representative

GA GYN Oncology
01.2016 - 01.2018

Patient Access Representative II

Athens Regional Medical Center
01.2009 - 01.2016

Receptionist

Regional First Care
01.2006 - 01.2009

Still in School - Healthcare

Southern New Hampshire University

Graduate Certificate - Healthcare

Everest Institue
Shaletta Gillespie