Shanitra Patterson
Camden,SC
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Medical Claims Specialist
TEKsystems
09.2024 - 05.2025
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Contributed to the overall financial stability of the healthcare facility by consistently meeting or exceeding billing and collection targets.
- Developed strong relationships with healthcare providers to facilitate efficient information exchange regarding patient eligibility and benefits coverage.
- Skillfully navigated Medicare/Medicaid regulations in order to secure maximum reimbursement rates for qualifying services provided.
Customer Service Representative/ Claims
WPS Health Solutions (Remote)
07.2023 - 04.2024
- Ensured compliance with applicable federal, state and local laws governing insurance policies and practices.
- Researched relevant documents, such as medical records and police reports, to support claim decisions.
- Collaborated with colleagues to resolve difficult claims issues in a timely manner.
- Provided guidance on complex claims requiring special attention or expertise from higher levels of management.
- Responded promptly to inquiries from internal departments regarding claim resolution strategies.
- Analyzed customer policies to determine coverage eligibility and payment amount.
- Adhered to established procedures while processing claims accurately.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Billing and Collections
BlueCross BlueShield, National Alliance (Remote)
09.2022 - 04.2023
- Negotiated payment plans with delinquent customers when necessary.
- Reconciled disputed items and resolved any issues that arose in a timely manner.
- Researched customer inquiries regarding payment status and provided timely responses to customers' inquiries.
- Investigated discrepancies between customer payments and invoices to resolve billing issues quickly and accurately.
- Identified opportunities for improvement in existing processes related to billing and collections operations.
- Processed incoming payments, posted them correctly to customer accounts, and prepared bank deposits.
- Reviewed overdue accounts and contacted clients via phone or email to collect payments on past due balances.
- Performed detailed account audits to ensure complete accuracy in billing and collections processes.
Financial Services Representative
Verizon Wireless (Remote)
02.2020 - 10.2021
- Received and processed deposits, withdrawals and payments, keeping financial records up-to-date.
- Held financial conversations with clients and prospects to determine needs and provide appropriate solutions.
- Ensured that all customer inquiries were answered promptly and completely.
- Fostered relationships with new and existing customers through excellent customer service skills.
- Processed transactions quickly and accurately in accordance with established procedures.
- Worked collaboratively with other departments to provide comprehensive solutions for clients.
- Established strong and positive working relationships within organization to contribute to team success.
Appointment Scheduler
Teleperformance USA (Remote)
05.2015 - 01.2018
- Provided excellent customer service through attentive listening, empathetic communication, and efficient problem-solving during the scheduling process.
- Answered phone calls and answered questions from potential customers.
- Managed high call volume while maintaining professionalism and accuracy when gathering client information for appointment bookings.
- Developed strong relationships with clients, providing personalized service when booking, rescheduling, or canceling appointments.
- Acted as first point of contact and set appointments for prospective clients.
Education
High School Diploma -
Camden High School
Camden, SC05-2010
Skills
- Time Management and Telephone Etiquette
- Verbal & Written Communication
- Interpersonal communication skills
- Third Party Invoicing and reconciliation
- Multitasking & Prioritization
- Collections, Billing, Office management
- Teamwork Collaboration and De-escalation Techniques
- Dispute Resolution
- Goal-Oriented
- Account Reconciliation
- Records Maintenance
- Customer Research
- Performance Improvement Techniques
- Risk Management
- Financial Management
- Record-Keeping
- Meeting Deadlines
- Email Etiquette
- Exceptionally Organized
- Analytical Skills
Timeline
Medical Claims Specialist
TEKsystems
09.2024 - 05.2025
Customer Service Representative/ Claims
WPS Health Solutions (Remote)
07.2023 - 04.2024
Billing and Collections
BlueCross BlueShield, National Alliance (Remote)
09.2022 - 04.2023
Financial Services Representative
Verizon Wireless (Remote)
02.2020 - 10.2021
Appointment Scheduler
Teleperformance USA (Remote)
05.2015 - 01.2018
High School Diploma -
Camden High School
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