Shameika Paige
Ashburn,VA
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Reliable worker with the ability to quickly learn new concepts and skills, a team player with a passion for helping others. Organized and dependable successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Claims Analyst
NALC Health Benefit Plan
02.2019 - Current
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures, and HIPAA regulations
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Researched claims and incident information to deliver solutions and resolve problems.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Viewed reports regularly to make sure processing was conducted efficiently.
- Handled 55+ calls from customers or providers about eligibility status.
- Processed 80+ claims daily.
- Maintained strict confidentiality with all personal data as per company guidelines.
License Practical Nurse
Inova-Montgomery Occupational Health Clinic
08.2017 - 02.2020
- Greeting clients in a friendly manner, triaging, and obtaining vital signs as needed.
- Obtained patient vital signs and input/output measurements from inpatients.
- Performing vision, hearing, and pulmonary function tests according to the client's contract.
- Performing DOT, non-DOT urine drug screens and alcohol breath tests.
- Administered injections to patients.
- Uploading documents into charts and or faxing to clients as needed.
License Practical Nurse
Loudoun Medical Group-The Urology Group
06.2012 - 07.2017
- Coordinating delivery of patient care obtaining vital signs, patient history and medication history
- Assisting Physicians with-in office surgical procedure and inserting or removing foley catheters as ordered
- Giving IM or subcutaneous injections and bladder cancer treatments as ordered by Physicians.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
- Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
- Administered medications and injections to patients.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Reviewed patient history to verify conditions and current medications.
- Evaluated patient histories, complaints, and current symptoms.
- Delivered emotional support to patients and families during challenging times.
- Supported diagnoses by taking blood samples from patients for laboratory testing.
Phlebotomist
Molina Healthcare
07.2009 - 08.2011
- Collected patient blood samples and urinalysis in a safe, sanitary manner for diagnostic testing
- Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
- Centrifuged blood samples as outlined in clinical protocols
- Tracked collected specimens by initialing, dating, and noting times of collection
- Used personal protective equipment correctly to protect coworkers and patients
- Completed proper sanitation and cleaning of equipment and work areas between patients
- Demonstrated the ability to interact with customers from diverse cultures and backgrounds
- Followed and was in compliance with HIPAA, CLIA and OSHA regulations
- Reacted calmly and effectively in emergency situations, and added the personal, caring touch that put patients at ease
Student Account Representative
George Washington University
12.2006 - 01.2009
- Demonstrated proficiencies in telephone customer service within a high call volume environment.
- Responded to customer inquiries and provided detailed account information.
- Maintained accurate records of customer accounts, payments and payment plans.
- Researched billing errors and discrepancies to initiate corrective action.
- Generated and distributed monthly customer statements.
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Calmed angry customers researched and rapidly solved problems.
Education
LPN License - Virginia Board of Nursing
Loudoun County School of Practical Nursing
Leesburg, Virginia05.2012
CNA License - Virginia Board of Nursing
Loudoun County School of Practical Nursing
Leesburg, Virginia06.2010
Phlebotomy Technician - ASCP
Northern Virginia Community College
Alexandria, Virginia07.2009
Skills
- MS Word
- MS Excel
- MS Outlook
- MS Power Point
- Electronic Medical Records- All Scripts, Pulse, Epic
- Document Workflow
- Data Entry Software
- Data Entry Accuracy
- Medical Terms and Procedure Knowledge
- Medical Terminology
- Knowledge of HIPAA
- Prior Authorization Processing
Certification
CPR/AED Expires 10/2023
Drug Test Collector - US DOT 49 CFR
Breath Alcohol Technician - US DOT 49 CFR
Timeline
Claims Analyst
NALC Health Benefit Plan
02.2019 - Current
License Practical Nurse
Inova-Montgomery Occupational Health Clinic
08.2017 - 02.2020
License Practical Nurse
Loudoun Medical Group-The Urology Group
06.2012 - 07.2017
Phlebotomist
Molina Healthcare
07.2009 - 08.2011
Student Account Representative
George Washington University
12.2006 - 01.2009
LPN License - Virginia Board of Nursing
Loudoun County School of Practical Nursing
CNA License - Virginia Board of Nursing
Loudoun County School of Practical Nursing
Phlebotomy Technician - ASCP
Northern Virginia Community College
CPR/AED Expires 10/2023
Drug Test Collector - US DOT 49 CFR
Breath Alcohol Technician - US DOT 49 CFR
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