Shaquannah Buford
Sweet Water
Summary
Customer service oriented professional with medical claims and healthcare industry experience. Work collaboratively to
ensure quality operations. Able to coordinate the medical office administrative and clerical duties to ensure effective
patient services and ideal patient volume and flow.
Overview
9
9
years of professional experience
1
1
year of post-secondary education
1
1
Certification
Work History
Insurance Specialist
Alorica
Sweet Water
01.2020 - 01.2026
- Managed high-volume inbound and outbound calls while maintaining quality and performance standards.
- Reviewed and processed medical claims for accuracy, completeness, and compliance with policies.
- Assisted customers with complex inquiries related to benefits, claims, FMLA-related absences, and disability processes.
- Demonstrated leadership by supporting team members, sharing knowledge, and assisting with escalated calls.
- Utilized call center systems and tools to track performance, document interactions, and ensure resolution.
- Investigated and resolved denied or rejected claims, ensuring timely follow-up and customer satisfaction.
- Maintained strict confidentiality in handling sensitive personal and medical information
- Consistently met deadlines, productivity metrics, and attendance expectations in a remote environment.
- Identified process improvement opportunities to enhance customer experience and operational efficiency.
Certified Medical Assistant
Dr Kidd family Physician
Thomasville
10.2021 - 06.2023
- Assisted in patient intake, gathering medical histories and vital signs.
- Managed appointment scheduling and coordinated follow-up visits for patients.
- Supported physicians during examinations, ensuring necessary tools were available.
- Administered injections and vaccinations according to established protocols.
- Documented patient information accurately in electronic health records systems.
- Assisted physicians and nurses with patient exams, including taking vital signs, preparing exam rooms, and updating medical records.
Phlebotomist
American Red Cross
Mobile
05.2018 - 09.2018
- Collected blood samples from donors following strict safety protocols.
- Prepared samples for laboratory analysis in compliance with regulations.
- Maintained accurate donor records and ensured data entry accuracy.
- Ensured cleanliness and organization of the blood collection area.
CNA
Crowne Health Care
Thomasville
01.2017 - 01.2018
- Assisted residents with daily living activities and personal care tasks.
- Monitored vital signs to ensure patient health and safety.
- Collaborated with nursing staff to create personalized care plans.
- Documented patient progress and reported changes to healthcare team.
- Maintained cleanliness and organization of patient living areas.
- Provided assistance with activities of daily living, including bathing, dressing and grooming.
- Performed vital sign assessments, such as taking blood pressure and temperature.
- Documented patient care services by charting in designated areas.
- Answered patient call lights promptly and responded to requests appropriately.
Education
Associate of Applied Science - Healthcare Management
Ultimate Medical Academy
Clearwater, FL 11.2024 - 03.2026
Wilcox Central High School
Camden , ALSkills
- Business Operations ▪ Practice Structure ▪ Leadership & Management ▪ Medical Administrative ProceduresHealthcare Ethics ▪ HIPAA Compliance ▪ Accounting ▪ Payroll ▪ Appointment Scheduling ▪ Insurance Verification ▪ CMS 1500Processing Co-Payments ▪ UB-04 ▪ Insurance Billing Procedures ▪ Insurance Claim Cycle ▪ Medical TerminologyElectronic Health Records (EHR) ▪ Electronic Medical Records (EMR)Health Records Management ▪ Medical Records Management ▪ Human Resource ManagementOrganizational Improvements ▪ Interpersonal Professional CommunicationsStrong time management skills with ability to establish priorities to meet timelines▪ Effective problem-solver and decision-maker, able to assess situations and identify solutions▪ Regarded as a natural people person with strong interpersonal communication skills▪ Communication Platforms – Google Meet, Slack, and MS Teams▪ Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint │ Type 61 WPM with 100% accurac
Certification
- State of Alabama | CNA
State of Alabama |CMA
State of Alabama | Phlebotomist
Timeline
Associate of Applied Science - Healthcare Management
Ultimate Medical Academy
11.2024 - 03.2026
Certified Medical Assistant
Dr Kidd family Physician
10.2021 - 06.2023
Insurance Specialist
Alorica
01.2020 - 01.2026
Phlebotomist
American Red Cross
05.2018 - 09.2018
CNA
Crowne Health Care
01.2017 - 01.2018
Wilcox Central High School