Shaneqka Spikes
Little Elm,TX
Summary
Dynamic healthcare professional with extensive experience at Chenega/TriWest, excelling in claims administration and customer service. Proven ability to enhance patient satisfaction through empathetic communication and efficient claims processing. Skilled in documentation and time management, consistently improving workflows and supporting team training initiatives. Committed to delivering high-quality care and support.
Overview
5
5
years of professional experience
Work History
Claims Assistant
Chenega/ TriWest
08.2024 - Current
- Assisted with processing claims to ensure timely resolution for customers.
- Maintained accurate records of claim submissions and correspondence.
- Supported the team in gathering necessary documentation from clients.
- Reviewed and organized claim files for easy retrieval and reference.
- Improved customer satisfaction levels by providing timely, accurate, and empathetic support during the claims process.
- Provided exceptional customer service through clear communication, empathy, and proactive problem-solving during difficult situations.
- Created and updated[Salesforce] tracking spreadsheets.
- Processed claims documentation efficiently to ensure timely resolution and customer satisfaction.
- Collaborated with team members to streamline claim processing procedures and enhance workflow.
- Assisted in verifying policy details to ensure accuracy during the claims assessment process.
- Provided training support for new team members on claims processing systems and best practices.
- Improved customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
Phlebotomist
DCH Regional Medical Center
09.2023 - 08.2024
- Collected blood samples from patients using proper techniques and protocols.
- Ensured compliance with safety regulations and infection control procedures.
- Maintained accurate records of patient information and sample collection details.
- Collected blood in a hospital setting and then was moved to being a mobile phlebotomist, going to Nursing facilities for that hospital.
- Monitored inventory levels of supplies, ensuring availability for daily operations.
- Enhanced laboratory efficiency by properly labeling and processing collected specimens for testing.
- Upheld strict adherence to HIPAA regulations, maintaining the confidentiality of sensitive patient information at all times.
- Kept work area clean and organized, adhering to strict standards for sanitation and infection prevention.
- Increased patient comfort during blood draws by utilizing effective communication skills and gentle techniques.
Outreach Specialist
Axion Health
08.2023 - 08.2024
- Served as a liaison between medical professionals and insurance providers, advocating for optimal coverage on behalf of patients.
- Trained new staff on outreach protocols, ensuring adherence to best practices in client engagement.
- Managed a caseload of diverse clients while adhering to strict confidentiality standards and HIPAA regulations.
- Maintained accurate documentation of all outreach activities, supporting ongoing evaluation and reporting efforts.
- Trained new employees in effective case management techniques, ensuring a consistent standard of care delivery across the team.
- Contacted clients in person, by phone or in writing to ascertain compliance with required or recommended actions.
Phlebotomist
ExamOne, a Quest Diagnostics
02.2023 - 07.2024
- Collected blood samples using venipuncture and capillary techniques, ensuring patient comfort and safety.
- Processed specimens for laboratory analysis, maintaining accuracy in labeling and documentation.
- Assisted in training new phlebotomists on procedures and best practices to enhance team efficiency.
- Maintained compliance with infection control policies and safety regulations throughout the procedure.
- Conducted mobile blood collection procedures in accordance with safety protocols and best practices.
- Developed positive relationships with patients to ensure comfort and trust during phlebotomy procedures.
Certified Clinical Medical Assistant
Medcura Health
02.2022 - 09.2022
- Assisted in patient intake processes, ensuring accurate data collection and documentation.
- Conducted vital sign assessments and prepared patients for examinations efficiently.
- Collaborated with healthcare providers to streamline patient care workflows and improve service delivery.
- Educated patients on treatment plans and follow-up procedures, enhancing compliance and satisfaction.
- Implemented new protocols for infection control, improving safety standards within clinical settings.
- Managed electronic health records, maintaining accuracy and confidentiality of patient information.
- Coordinated scheduling of appointments and tests, optimizing clinic operations for better patient flow.
- Utilized electronic health records software proficiently to input data accurately, facilitating smooth transitions between healthcare providers during patient handoffs.
- Operated Athena EHR system
Certified Clinical Medical Assistant
UAB Medicine Orthopedic
02.2021 - 02.2022
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Trained junior staff on clinical procedures and best practices to enhance team performance.
- Collected and documented patient medical information such as blood pressure and weight.
- Prepared patients for examinations or treatments, positioning them properly to ensure comfort throughout the procedure while assisting healthcare professionals as needed.
- Assisted physicians in providing quality care through thorough documentation of medical histories and physical examination results.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Maintained confidentiality of patient information by adhering to HIPAA guidelines at all times during recordkeeping and communications.
- Continually updated medical knowledge through participation in professional development opportunities, staying current on industry trends, and advancements in clinical practice.
- Prepared and administered medications to alleviate patient symptoms.
- Administrate medicine in syringes(steroids) for physicians
- Sports Medicine
- Helped perform arthrocentesis (Knee aspirations)
- Enhanced patient care by efficiently performing clinical tasks such as taking vital signs and administering medications.
- Educated patients on preventive healthcare measures such as vaccinations, diet modifications, and exercise routines tailored to their specific needs.
Education
High School Diploma -
Parkridge Private School
Long Beach, CANo Degree - Certifications For Phlebotomy Tech
Fortis College
Birmingham, AL01-2025
No Degree - Certifications of CCMA
Fortis Institute
Birmingham, AL11-2020
Skills
- Claims administration
- Experienced with Microsoft Office applications
- Detail-oriented data management
- Detail-oriented approach
- Time management
- Customer service
- Documentation skills
- Task prioritization
- Claims adjustment
- Venipuncture technique
- Order of draw
- Blood culture collection
- Specimen labeling
- Immunization administration
- Vital sign monitoring
- Medical history recording
- Patient intake process
- Clinical documentation
Timeline
Claims Assistant
Chenega/ TriWest
08.2024 - Current
Phlebotomist
DCH Regional Medical Center
09.2023 - 08.2024
Outreach Specialist
Axion Health
08.2023 - 08.2024
Phlebotomist
ExamOne, a Quest Diagnostics
02.2023 - 07.2024
Certified Clinical Medical Assistant
Medcura Health
02.2022 - 09.2022
Certified Clinical Medical Assistant
UAB Medicine Orthopedic
02.2021 - 02.2022
High School Diploma -
Parkridge Private School
No Degree - Certifications For Phlebotomy Tech
Fortis College
No Degree - Certifications of CCMA
Fortis Institute