Shannon Mosley
Insurance
Ballwin,MO
Summary
Self-Motivated and dedicated professional with extensive experience in the Healthcare field. Offering keen attention to detail and strong work ethics to manage multiple, concurrent tasks. Ability to perform effectively in independent or team environments.
Overview
9
9
years of professional experience
Work History
Insurance Verification Specialist
EmpowerMe Wellness
11.2023 - 04.2024
- Built Insurance Verification Summaries by utilizing provider portals as well as placing calls to insurance companies to verify patient eligibility, authorization requirements, and financial responsibility.
- Input patient demographics and insurance into EMR systems.
- Tracked daily completed work.
Account Resolution Specialist (Temp Position)
Parallon
05.2023 - 10.2023
- Maintained high volume of incoming and outgoing calls and met demands of busy and productive group.
- Documented all actions performed and interactions with customers.
- Assisted patients with account resolution, including but not limited to; Answering billing questions, processing payments, setting up payment plans, researching accounts, and resolving billing issues.
Member Services Representative
Aetna, A CVS Health
05.2017 - 03.2023
- Provided exceptional service through active listening, answering questions, understanding member needs, and offering appropriate solutions.
- Verified coverage and quickly resolved eligibility issues.
- Educated members on their coverage and benefits specific to their health plan.
- Assisted Members with various tasks including, but not limited to; Ordering new ID cards, searching for in-network specialists, updating Primary Care Provider (PCP), and updating demographics.
Prior Authorization Specialist
Aetna
11.2014 - 04.2017
- Processed non-medical and mental health requests via phone and fax.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Input all patient data regarding prior authorizations into system accurately.
- Consistently met or exceeded daily requirement of 20 authorizations daily.
Education
High School Diploma -
Parkway South High School
Manchester, MO 06.2007
Skills
- Attention to Detail
- Customer Service
- HIPAA Compliance
- Insurance Verifications and Authorizations
- Data entry proficiency
- Working CPT knowledge
- Medicaid/Medicare/Commercial Insurance Knowledge
- EMR systems
Timeline
Insurance Verification Specialist
EmpowerMe Wellness
11.2023 - 04.2024
Account Resolution Specialist (Temp Position)
Parallon
05.2023 - 10.2023
Member Services Representative
Aetna, A CVS Health
05.2017 - 03.2023
Prior Authorization Specialist
Aetna
11.2014 - 04.2017
High School Diploma -
Parkway South High School
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