Summary
Overview
Work History
Education
Skills
Certification
Timeline
CustomerServiceRepresentative

Shanique Ocltree

Broadway,NC

Summary

To secure a position that both utilizes my professional skills in customer service and conflict resolution, and allows me to grow and develop new skills that will be beneficial to my career in the presently and in future. To have the opportunity to be a positive addition and asset to the work family. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Reliable and competent Medical Billing/Coding professional with exceptional data entry and customer service skills.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Support Coordinator

TrialCard
06.2023 - Current
  • Worked with other departmental staff to answer questions and resolve problems.
  • Adhered to company policies, procedures and system documentation requirements.
  • Determined job urgency and priorities to satisfy customer requirements.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Providing excellent customer service by promptly answering patient inquiries.

Insurance Specialist/ Billing Assistant

Western Wake Wellness
12.2022 - 05.2023
  • Verify insurance for upcoming appointments
  • Scanning in Insurance cards, checking in/out patients, taking co-pays and deductibles
  • Scrubbing claims, denial and rejection resolution, working collections, payment posting, A/R.
  • Maintained high standards of customer service by building relationships with clients.
  • Processed eligibility and benefits verification and authorization requests.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Resolved discrepancies in insurance payments by collaborating with carriers.

Medical Billing Specialist-Hybrid

TheraPlay Pediatrics
06.2022 - 12.2022
  • Using Fusion EMR software, I am trained in scrubbing and sending claims for submission and resubmission, Reconciling rejected claims, Requesting authorizations, Creating invoices and billing patients
  • Creating and balancing remittances assisting in the credentialing process, create and update billing policies, experienced in microsoft word excel teams and outlook, contact insurance companies/ patients for claim information and resolutions, assist with scheduling and new patient registration.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Located errors and promptly refiled rejected claims.
  • Collected payments and applied to patient accounts.

Patient Access Representative

Central Harnett Hospital
04.2021 - 09.2021
  • Obtain patient information to alert ER staff on patients arrival
  • Also obtain and process insurance information, collect copays and have necessary forms filled for treatment and privacy
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Greeted and assisted patients with check-in procedures.

Customer Service Agent

Conduent-Humana
09.2020 - 04.2021
  • Answer questions regarding medical and pharmacy benefits, claims and billing and taking premium payments
  • Initiating prior authorizations and medical authorizations.
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Responded to customer calls and emails to answer questions about products and services.
  • Demonstrated high attention to detail, organization and management of multiple tasks and projects simultaneously.
  • Handled customer inquiries and suggestions courteously and professionally.

Label Inspector/ Receptionist/Boxer/Shipping Clerk

The Challenge Printing Company
07.2011 - 08.2020
  • Boxer: Fill out proper paper work, Inspect inserts/outserts, as they are coming out of a folding machine, properly pack and label inserts/outserts according to customer and in-house specifications
  • Label Inspector: Fill out proper paper work, set up inspection machine to take large rolls of printed labels, inspecting them and making them into smaller rolls
  • Set up includes feeding labels through machine, programming vision system to the specific label, setting barcode scanner(s), setting blades to slit larger rolls into several smaller rolls, making sure end wind position is correct, and following all other customer and in-house specifications
  • Receptionist Fill-in: Properly check in and out all visitors
  • Answer all calls
  • Properly screen calls for facility safety
  • Transfer calls to proper person.

Crew Leader

Dairy Queen
05.2006 - 04.2011
  • Managed crew of three or more employees
  • Ensure restaurant runs properly and efficiently
  • Directly provided customer service on professional and personal levels
  • Handled money at end of shift or at closing
  • Closed store down at end of night.
  • Trained employees in time management and proper ways to complete job duties.
  • Monitored team members to verify work quality and address concerns.
  • Communicated effectively with upper management, team members, and customers to keep everyone informed.
  • Discussed daily work requirements with crew and assigned skills-based tasks to enable completion of work.

Education

High school diploma -

Western Harnett High School
Lillington, NC
06.2009

Certificate - Medical Administrative Office Assistant

Fayetteville Technical Community College
Fayetteville, NC
06.2022

Certificate - Medical Billing And Coding

Central Carolina Community College
Lillington, NC
12.2022

Skills

  • Filing
  • Certifications and Licenses
  • Medical Administrative Assistant
  • Additional Information
  • Skills
  • Strong Verbal and Oral Communication Skills
  • Computer Proficient
  • Familiar with
  • Microsoft word, Excel, and PowerPoint
  • Detail Oriented
  • Strong Organizational Skills
  • Able to Take Direction
  • Data Entry Experience
  • Team Goals
  • Inquiry Requests

Certification

DATA ENTRY (10+ years) DETAIL ORIENTED (7 years) EXCEL (10+ years) MICROSOFT WORD (7 years) ORGANIZATIONAL SKILLS (7 years) Customer Service (10+ years) Fast Computer Skills (10+ years) Training Retail (7 years) Sales (10+ years) Merchandising Front Office (5 years) Front Desk Time Management Microsoft Excel (10+ years) Debits & Credits (10+ years) Accounts Receivable Negotiation Shipping & Receiving Management (3 years) Insurance Verification Microsoft Office Medical Scheduling Medical Records EMR Systems

Timeline

Support Coordinator

TrialCard
06.2023 - Current

Insurance Specialist/ Billing Assistant

Western Wake Wellness
12.2022 - 05.2023

Medical Billing Specialist-Hybrid

TheraPlay Pediatrics
06.2022 - 12.2022

Patient Access Representative

Central Harnett Hospital
04.2021 - 09.2021

Customer Service Agent

Conduent-Humana
09.2020 - 04.2021

Label Inspector/ Receptionist/Boxer/Shipping Clerk

The Challenge Printing Company
07.2011 - 08.2020

Crew Leader

Dairy Queen
05.2006 - 04.2011

High school diploma -

Western Harnett High School

Certificate - Medical Administrative Office Assistant

Fayetteville Technical Community College

Certificate - Medical Billing And Coding

Central Carolina Community College

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Shanique Ocltree