Shameka Johnson
Laveen,AZ
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Relentless professional known for working hard to determine risk levels. A well-spoken Customer service specialist, and Fraud Analyst promoting exemplary talents in reviewing accounts and identifying issues.
Overview
9
9
years of professional experience
Work History
Randstad
Wells Fargo Fraud analyst
Phoenix, AZ
10.2023 - 04.2024
- Reviewed customer and regulatory complaints to ensure all applicable laws and policies were followed, including sales practices, fraud prevention, and employee guidelines.
- Maintained clear and concise communication between leadership, customers, outside departments, and applicable stakeholders.
- Efficiently worked on each account, maintaining 100% compliance, and meeting all regulatory deadlines.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Bank of America
Fraud Specialist
Phoenix, AZ
02.2019 - 01.2024
- Reviewed reports and individual transactions that appeared suspicious to uncover possible fraudulent activity.
- Evaluated customer data to identify and prevent fraudulent activities.
- Developed and implemented procedures to detect and prevent fraud.
- Analyzed large amounts of data to find patterns of fraud and anomalies.
- Performed risk assessments to determine the level of fraud risk and prioritize investigations.
- Updated and maintained databases with current information.
Advanced Patient Care Technician Customer Services
Robert Half Staffing Agency
Phoenix, AZ
02.2016 - 07.2016
- Verified insurance coverage and obtained pre-authorizations.
- Confirmed patient appointments the day before scheduled.
Managed multiple schedules and prioritized tasks to meet the demands of a fast-paced work environment.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
Followed up with patients to reschedule missed appointments.
- Collaborated with healthcare staff to verify alignment of appointment scheduling with clinic protocols.
- Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
Confirmed appointments one day prior to minimize missed appointments and maximize clinic utilization.
Patient Service Scheduler Veterans
Tri-West
Tempe, AZ
08.2015 - 02.2016
- Verified insurance coverage and obtained pre-authorizations.
- Confirmed patient appointments, day before scheduled.
- Managed multiple schedules and prioritized tasks to meet the demands of a fast-paced work environment.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
- Followed up with patients to reschedule missed appointments.
- Collaborated with healthcare staff to verify alignment of appointment scheduling with clinic protocols.
- Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
- Confirmed appointments one day prior to minimize missed appointments and maximize clinic utilization.
- Managed complex calendars for multiple medical practitioners, verifying accuracy of all appointments.
- Coordinated with other departments to facilitate seamless operation and excellent patient care.
- Developed and implemented efficient scheduling systems to maintain organized medical appointment schedules.
Education
Certification - Medical Assisting
Everest College - Chicago
Chicago, IL08-2007
High School Diploma -
Hyde Park High School
Chicago, IL09-2004
Skills
- Client Relations Skill
- Customer Inquiries
- Investigation techniques
- Dispute Resolution
- Research abilities
- Fraud prevention
- Effective Communication
- Trend Analysis
- Multitasking
- Handling Confidential Materials
- Complaint resolution
- Information gathering and analysis
References
References available upon request.
Timeline
Randstad
Wells Fargo Fraud analyst
10.2023 - 04.2024
Bank of America
Fraud Specialist
02.2019 - 01.2024
Advanced Patient Care Technician Customer Services
Robert Half Staffing Agency
02.2016 - 07.2016
Patient Service Scheduler Veterans
Tri-West
08.2015 - 02.2016
Certification - Medical Assisting
Everest College - Chicago
High School Diploma -
Hyde Park High School
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