Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shaquandra Herron

Jacksonville,FL

Summary

Dedicated and detailed oriented healthcare professional with 10+ years of experience in clinical support, patient services and revenue cycle. Experienced with patient registration, insurance verification, and data management. Utilizes strong interpersonal skills to provide exceptional patient support and streamline admission processes. Knowledge of healthcare systems and compliance standards. Proven ability to work collaboratively within team to achieve organizational goals and adapt to changing needs.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Patient Access Representative III

Baptist Health Hospital
12.2019 - 12.2024
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
  • Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
  • Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
  • Facilitated smooth billing processes by verifying insurance eligibility and obtaining authorizations.
  • checking for correct ICD10 and CPT codes

Sleep Coordinator

Fletcher's Medical Supplies
03.2017 - 09.2018
  • Entered data, generated reports, and produced tracking documents.
  • Gathered and organized materials to support operations.
  • Coordinate and schedule CPAP/BiPAP setups, downloads, and compliance follow ups.
  • Monitor patient compliance data via remote monitoring for insurance purposes.
  • Review and process sleep study referrals, prescriptions and documentation for insurance authorizations.
  • Stay updated on insurance guidelines and Medicare regulations.
  • Communicate with physicians, sleep labs and insurance companies to ensure all documentation and authorizations are in place.

Account Coordinator

Mercy Hospital
03.2015 - 08.2016
  • Fostered a positive work environment by actively participating in team-building activities and demonstrating commitment to the success of coworkers and patients.
  • Handle billing for both hospital and physician accounts
  • Handle inbound and outbound calls
  • Review and manage patient accounts for billing accuracy, insurance coverage and outstanding balances.
  • Assist patients with billing inquires, payment plans and financial assistance options.


Education

High School Diploma -

Hazelwood East High
St Louis, MO
05-2007

Skills

  • Customer service
  • Insurance verification
  • HIPAA compliance
  • Patient registration
  • Insurance billing
  • System updating
  • Quality Assuanrance
  • Phone and email etiquette
  • Revenue Cycle
  • Problem solving
  • Eligibility determination

Certification

Certificate Earned: (CPT) Certified Pharmacy Technician

MISSOUR BOARD OF PHARMACY Jan 2009

JEFFERSON CITY, MO

Timeline

Patient Access Representative III

Baptist Health Hospital
12.2019 - 12.2024

Sleep Coordinator

Fletcher's Medical Supplies
03.2017 - 09.2018

Account Coordinator

Mercy Hospital
03.2015 - 08.2016

High School Diploma -

Hazelwood East High

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Shaquandra Herron