SHANNON MATTHEWS
New Caney,TX
Summary
Insurance Specialist with over 8 years of experience in healthcare operations, dedicated to enhancing patient experiences through meticulous insurance verification and effective communication. Expertise in medical terminology, insurance benefits analysis, and electronic record management ensures efficiency and accuracy in patient care processes. Proven ability to collaborate with multidisciplinary teams to meet patient needs while maintaining compliance with industry standards. Committed to delivering exceptional service and improving operational workflows, consistently prioritizing patient satisfaction and streamlined administrative tasks.
Overview
15
15
years of professional experience
Work History
Insurance Verification Specialist/Authorization Specialist
Millennium Physicians Associations
Kingwood, TX
03.2020 - 05.2025
- Collected insurance information from patients for upcoming appointments.
- Entered detailed and accurate data into patients' charts.
- Verified all entered insurance information to eliminate errors.
- Obtained patient insurance benefits via provider portal or direct contact with insurers.
- Configured payment requirements for upcoming patient appointments.
- Gathered and verified medical orders against scheduled services.
- Collaborated with physicians to ensure the fulfillment of patient needs.
- Managed insurance verification processes across six departments.
- Reviewed medical records to ensure the accuracy of the required information needed for pre-authorization requests.
- Maintained accurate records of all authorization activities in the database system.
- Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Processed appeals in a timely manner as per policy guidelines.
Front Desk
Millennium Physicians Associations
Kingwood, TX
10.2016 - 03.2020
- Greeted and checked in patients, collecting copays, deductibles, and co-insurance amounts.
- Scheduled appointments and follow-up visits for outpatient imaging and ancillary services.
- Collected and provided all billing documentation to billing supervisor and staff.
- Communicated with Radiation Oncologist, Radiologist, and staff to ensure smooth workflow.
- Verified insurance coverage and obtained authorizations for ultrasounds.
- Trained new hires for front desk positions to enhance operational efficiency.
- Compiled patient data for over 40 patients for Radiologist review.
- Maintained close communication with multiple offices to ensure optimal patient care.
Spa Associate/ Trainer
Hand and Stone Massage and Facial Spa
10.2015 - 10.2016
- Delivered exceptional service during phone and in-person client interactions.
- Promoted health and wellness benefits of massage therapy and skincare services.
- Scheduled and confirmed appointments while maintaining daily appointment book accuracy.
- Communicated sales promotions and service options to enhance client engagement.
- Educated clients on membership benefits and current sales opportunities.
- Fostered effective communication with Service Provider team to optimize scheduling.
- Conducted daily computer data entry to maintain accurate records.
- Articulated product and service offerings clearly to drive sales.
Assistant Manager
World Duty Free Group - IAH
Humble, TX
08.2013 - 10.2015
- Coordinated daily customer service operations, including sales processes and payments.
- Monitored store inventory to optimize stock levels.
- Evaluated employee performance, identifying hiring and training needs.
- Supervised staff to enhance productivity and motivation.
- Coached Sales Associates, providing support for skill development.
- Suggested effective sales training programs and techniques.
- Analyzed consumer behavior to refine product positioning.
- Handled customer complaints, ensuring resolution and satisfaction.
Supervisor
World Duty Free Group - IAH
Humble, TX
09.2012 - 08.2013
- Monitored daily activities of subordinates to ensure operational efficiency.
- Coordinated breaks for hourly associates while keeping management updated on area activities and issues.
- Executed opening, daily, and closing procedures in compliance with company policies.
- Collaborated with management to provide on-the-job training for new associates.
- Operated cash register, voided transactions, and adhered to HMS Host cash handling policies.
- Transferred supplies and equipment between storage and work areas using hand trucks.
- Implemented product rotation based on code dates and participated in physical inventory counts.
- Resolved customer complaints according to company policy, prioritizing customer satisfaction.
Head Cashier
World Duty Free Group - IAH
Humble, TX
08.2010 - 09.2012
- Delivered customer service training and mentored staff to enhance team performance.
- Monitored multiple databases to track company inventory effectively.
- Led key projects that resulted in increased sales revenue.
- Executed strategic plans to improve sales growth and operational flow.
- Managed an efficient crew of over 30, fostering a friendly work environment.
- Evaluated operations to identify strengths and optimization opportunities.
Education
High School Diploma -
New Caney High School
New Caney, TX05-2009
Skills
- Patient registration and insurance verification
- Authorization processing
- Time management
- Effective communication
- Team collaboration
- Medical terminology and HIPAA compliance
- Accuracy and precision
- IKnowMed, NextGen, and Gendoc proficiency
- Coordination and scheduling
- Insurance terminology expertise
- Financial counseling
Timeline
Insurance Verification Specialist/Authorization Specialist
Millennium Physicians Associations
03.2020 - 05.2025
Front Desk
Millennium Physicians Associations
10.2016 - 03.2020
Spa Associate/ Trainer
Hand and Stone Massage and Facial Spa
10.2015 - 10.2016
Assistant Manager
World Duty Free Group - IAH
08.2013 - 10.2015
Supervisor
World Duty Free Group - IAH
09.2012 - 08.2013
Head Cashier
World Duty Free Group - IAH
08.2010 - 09.2012
High School Diploma -
New Caney High School