Shanae Leslie
ENT & Voice Care of Atlanta
Sugar Hill,GA
2027
years of professional experience
Experienced Revenue Cycle Specialist with 17 years of front-end healthcare expertise across ENT, pediatric dental, and physician-practice environments. Skilled in insurance verification, eligibility review, prior authorizations, EOB processing, payment reconciliation, and patient financial counseling. Known for building strong patient rapport, resolving coverage discrepancies early, and maintaining accurate accounts that support clean claims. Adept at navigating Medicare, Medicaid, CareSource, Payspan, Availity, and major commercial payer portals. Recognized for improving workflows, training staff, and supporting high-volume clinical operations with precision and professionalism.
Work History
Patient Accounts Specialist
- Verify insurance benefits for ENT office visits, diagnostics, and non-surgical procedures, preventing coverage issues and reducing claim delays.
- Complete prior authorizations for diagnostic imaging and in-office procedures by submitting CPT/diagnosis details, requesting quantities, verifying medical necessity, and documenting authorization numbers.
- Post EOBs and reconcile payments daily to maintain accurate patient accounts.
- Trained nine new hires, delegating tasks to increase productivity and reduce supervisor workload.
- Identify recurring workflow issues and recommend improvements that increase office efficiency.
- Collaborate with clinical and billing teams to resolve documentation gaps prior to claim submission, reducing potential claim denials.
- Track daily balances to compare expected vs actual revenue, supporting financial accuracy.
- Ensure accurate patient registration, demographic entry, insurance capture, and HIPAA compliance.
- Schedule new, return, follow-up, pre-op, post-op, and procedure appointments.
- Navigate Medicare, Medicaid, CareSource, Payspan, Availity, NaviNet, and commercial payer portals (BCBS, UHC, Aetna, Cigna, Tricare) to verify coverage and resolve claim issues.
Front Office Assistant
6 Months- Registered patients and verified insurance information to prevent claim issues later in the billing cycle.
- Confirmed coverage for scheduled procedures and ensured all required documentation was completed.
- Explained financial responsibility to patients and collected payments at check-in.
- Assisted billing staff with charge entry review and basic claims preparation.
- Used Medicare, Medicaid, CareSource, Payspan, and commercial payer portals to confirm eligibility and coverage requirements.
Front Office Coordinator
5 Months- Checked insurance eligibility and coordinated benefits for pediatric patients to avoid unexpected costs.
- Followed up on overdue accounts and recovered significant outstanding balances, earning the nickname "Collections Queen."
- Assisted families with billing questions, payment plans, and insurance explanations.
- Supported scheduling and front-office operations during high-volume clinic days.
Lead Risk Advisor | Insurance Sales Representative
2 Years 1 Month- Promoted to Lead Risk Advisor after only two months due to exceptional performance.
- Built strong client relationships and provided personalized guidance based on individual coverage needs.
- Developed trust with clients, vendors, and other professionals through clear communication and consistent follow-through.
- Generated over $400,000 in sales through tailored recommendations and trust-based communication.
- Oversaw daily production logs and supported team performance.
- Maintained accurate documentation and ensured compliance with company and regulatory standards.
Education
Bachelor of Science - Actuarial Science
Full Stack Web Development - Certification
Skills
Insurance Verification
Eligibility Review
Prior authorizations
Patient Registration
Charge entry
EOB processing
Payment processing
A/R Follow-Up
Patient Financial Counseling
Documentation compliance
Workflow optimization
EMR/EHR Systems: Greenway PrimeSuite
Phreesia
Centricity
Cerner
Dentrix
Payer Portals: Medicare
Medicaid
CareSource
Payspan
Availity
NaviNet
BCBS
UHC
Aetna
Cigna
Tricare
Microsoft Excel
Word
Outlook
Basic ICD-10 & CPT familiarity
Timeline
Front Office Assistant
Perimeter North Medical Associates (Northside Hospital)
04.2025 - 10.2025Read More
Front Office Coordinator
D4C Dental Brands
05.2023 - 10.2023Read More
Lead Risk Advisor | Insurance Sales Representative
State Farm Agency
11.2017 - 12.2019Read More
Patient Accounts Specialist
ENT & Voice Care of Atlanta
2009 - CurrentRead More
Georgia State University
Bachelor of Science from Actuarial Science
Read More
Bloom Institute of Technology
Full Stack Web Development from Certification
Read More