Shanequia Black
Saint Cloud,FL
Summary
Eager to integrate into the healthcare industry with a focus on patient care and administrative excellence. Skilled in managing patient intake, insurance verification, and scheduling. Equipped with strong interpersonal skills and a dedication to creating a supportive environment for patients.
Overview
7
7
years of professional experience
Work History
Prior Authorization Specialist
AppleOne
01.2024 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
Patient Service Specialist
Insight Global
06.2022 - 12.2023
- Verified patient eligibility and scheduled follow-up appointments, ensuring accurate patient information and streamlined processes
- Managed patient check-in and check-out procedures, maintaining efficient flow and minimal wait times
- Assisted with data entry and maintained up-to-date patient records, ensuring compliance with medical standards and confidentiality policies
Patient Service Representative
ChildrenFirst Healthcare System
02.2021 - 05.2022
- Accurately handled data entry and insurance verification for timely processing
- Coordinated patient setups, order submissions, and payments to improve efficiency
- Scheduled deliveries and managed logistics for timely supply distribution
- Demonstrated strong multitasking and organizational skills
- Delivered exceptional customer service, resolving patient inquiries quickly
Patient Service Representative
Kforce Professional Staffing & Solutions
03.2018 - 12.2021
- Scheduled COVID-19 vaccine appointments for efficient vaccination flow
- Managed billing tasks, including invoicing, payment tracking, and resolving inquiries
- Maintained accurate account balances and updated financial records
- Provided clear, professional communication regarding billing issues
- Documented interactions and maintained records in compliance with company
Education
High School Diploma -
Christian Academy
05.2010
Skills
- Phone Etiquette
- Medical Records
- Medical Scheduling
- Epic
- Computer Skills
- Data Entry
- Insurance Verification
- Strategic Planning
- Customer Service
- Healthcare
- Medical Terminology
- HIPAA
- EMR Systems
- Medical Office Experience
- Patient Care
Timeline
Prior Authorization Specialist
AppleOne
01.2024 - Current
Patient Service Specialist
Insight Global
06.2022 - 12.2023
Patient Service Representative
ChildrenFirst Healthcare System
02.2021 - 05.2022
Patient Service Representative
Kforce Professional Staffing & Solutions
03.2018 - 12.2021
High School Diploma -
Christian Academy
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