Shannon Mosley
St Louis,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
10
10
years of professional experience
Work History
Patient Service Representative
Mercy
St. Louis, MO
06.2024 - 12.2024
- Greeted patients with a welcoming demeanor and assisted with the registration process.
- Maintained patient records in accordance with HIPAA regulations.
- Utilized EPIC for various tasks such as verifying and updating patient demographics, processing copayments, and scheduling appointments
- Increased overall practice revenue by diligently collecting copayments and outstanding balances at the time of service.
Insurance Verification Specialist
EmpowerMe
Brentwood, MO (Hybrid Position)
11.2023 - 05.2024
- Assured timely verification of insurance benefits prior to patient appointments.
- Contacted insurance carriers and utilized provider portals to verify eligibility, obtain patient responsibility such as copays or coinsurance, and prior authorization requirements.
- Achieved daily target for number of verification while maintaining accuracy standards.
Member Service Representative
Aetna
St. Louis, MO (Remote Position)
05.2017 - 09.2023
- Provided exceptional customer service by displaying compassion and empathy while addressing inquiries and resolving problems in a timely manner.
- Enhanced member support through various tasks including eligibility checks, demographic updates, and ID card management.
- Successfully managed a daily inbound line averaging 60-80 calls.
Prior Authorization Specialist
Aetna
St. Louis, Missouri
11.2014 - 05.2017
- Managed a high volume of incoming calls and faxes from providers regarding non-clinical prior authorization requests.
- Verified patient eligibility and insurance coverage to ensure compliance with payer guidelines.
- Utilized working knowledge of medical terminology, CPT codes and ICD-10 codes during review process.
Education
High School -
Parkway South High School
Manchester, MOSkills
Attention to Detail
Communication
Active Listening
Customer Service
Problem-Solving
Computer Literacy
Work Ethic
Reliability
Ability to Work From Home
Medicaid/Medicare and Commercial Insurance
EMR systems
Microsoft Proficiency
Timeline
Patient Service Representative
Mercy
06.2024 - 12.2024
Insurance Verification Specialist
EmpowerMe
11.2023 - 05.2024
Member Service Representative
Aetna
05.2017 - 09.2023
Prior Authorization Specialist
Aetna
11.2014 - 05.2017
High School -
Parkway South High School