Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Additional Information
Languages
Timeline
Generic

Shaquana Whitfield

Baker

Summary


Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.

Professional with strong background in medical claims evaluation and resolution. Adept at analyzing complex claims, ensuring compliance with regulations, and providing accurate assessments. Known for excellent collaboration, adaptability, and results-driven approach. Possess skills in claims processing, customer service, and conflict resolution. Reliable team player with commitment to achieving optimal outcomes.

Overview

22
22
years of professional experience
1
1
Certification

Work History

Medical Claims Adjuster

United Healthcare Group
01.2019 - 09.2024
  • Claims Processing
  • ICD 10 Codes
  • Enrollment Processing
  • Scheduling
  • Effective Communicator
  • Pre-Authorizations
  • Analyzed policy details along with supporting documents provided by healthcare providers to make informed decisions on claims approvals or denials.
  • Resolved complex claims issues for expedited processing and resolution.

Patient Access Representative Ll

Lane Regional Medical Center
06.2013 - 02.2019
  • -Entering doctor's order
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
  • -Assisting the nursing staff
  • Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
  • -Scheduling

Sales Rep/Associate

Walmart Supercenter
05.2014 - 09.2016
  • -sales processing
  • -motivate and create training
  • -analyze budgets
  • Enhanced client satisfaction by addressing concerns promptly and providing exceptional service.
  • Generated additional sales opportunities with upselling and cross-selling techniques.

Correctional Officer/Sergeant

Jetson Correctional Center
08.2002 - 02.2007
  • Enhanced inmate safety by conducting thorough cell searches and confiscating contraband items.
  • Effectively managed high-stress situations while maintaining professionalism, demonstrating strong leadership skills under pressure
  • Completed daily work report sheets and delegated tasks to employees.
  • Supervised [Number] employees and performance of tasks and managed [Number] offenders.
  • Implemented new procedures for contraband detection that resulted in fewer incidents of illegal substances entering the facility.

Education

Associate of Arts - Medical Billing and Coding

Everest University
01.2013

High School Diploma - undefined

Clinton High School
01.2002

Skills

  • SECURITY (6 years)
  • CUSTOMER SERVICE (7 years)
  • RETAIL SALES (7 years)
  • CIM (Less than 1 year)
  • Word (10 years)
  • Excel (9 years)
  • Data Entry (8 years)
  • Microsoft Word (10 years)
  • Billing (10 years)
  • Microsoft Office (9 years)
  • Scheduling (10 years)
  • Scan (7 years)
  • Scanning (7 years)
  • Filing (7 years)
  • Time Management
  • Bookkeeping
  • Accounting
  • Computer hardware
  • Databases
  • Business development
  • Windows
  • Training & development
  • Telemarketing
  • Driving
  • Human resources
  • Analysis skills
  • Customer support
  • Telecommunication
  • Medical Coding
  • Computer Networking
  • ICD-10
  • CRM Software
  • HIPAA compliance awareness

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Resolved product issue through consumer testing.


Certification

TWIC Card

Additional Information

Skills: Claims Processing computer, phone, youth development, Excel, Power Point, Customer Service, Outlook, counseling, communication, money management, front desk, Common Query, Control D, CIM, Microsoft Word, Excel, Power Point, customer Database, Creation Application, Security clearance, service, Outlook, front desk, Common Query, and Electronic Billing Control D, CIM, Database, Creation Application, and Electronic Billing

Languages

English
Full Professional

Timeline

Medical Claims Adjuster

United Healthcare Group
01.2019 - 09.2024

Sales Rep/Associate

Walmart Supercenter
05.2014 - 09.2016

Patient Access Representative Ll

Lane Regional Medical Center
06.2013 - 02.2019

Correctional Officer/Sergeant

Jetson Correctional Center
08.2002 - 02.2007

High School Diploma - undefined

Clinton High School

Associate of Arts - Medical Billing and Coding

Everest University

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