Shaqueta Kariem
Summary
Customer service-oriented professional with over 5 years of administrative experience in fast-paced healthcare environments. Proficient in managing accounts payable and receivable, organizing workflow processes, and ensuring compliance with HIPAA regulations. Recognized for attention to detail, customer service excellence, teamwork, and accuracy in data verification.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Arisa health
North Little Rock, Arkansas
02.2024 - Current
- Performed administrative tasks such as filing paperwork, updating databases and generating reports.
- Deal with mental health clinic clients and accurate and complete data collection to prepare and maintain
- client records, accurate maintenance of fee agreements, updating eligibility, and ensuring that needed
- pre-certifications and authorizations are in place. scheduling appointments on behalf of therapists,
- running reports in internet sites as well as Microsoft Excel, and providing information directly to current
- and potential clients medical terminology, and EHRs. The Patient Care Assistant should have exceptional
- customer service skills, phone etiquette and typing/keyboarding skills and also the ability to maintain
- effective and organized systems to ensure timely run reports, take co-pays • Completion of preappointment checks for clients.
- Prepare and maintain client records, accurate maintenance of fee agreements, updating eligibilities,
- assessing that needed pre-certifications and authorizations are in place. Timely notification of appropriate
- Medical Staff as needed for entry of authorizations
- Provide an interactive, welcoming response to all ARISA Health inquiries for service by engaging clients
- in a supportive, non-judgmental way.
- Working and reconciling reports within EMR (Discharge, Disclosure, PDA’s, MTP signature count, open
- events, incompletes, scheduled and arrived visits, date of last service, Red X, and client without case
- manager, etc.).
- Coordinate with PCP staff regarding new or returning clients.
- Work with staff on problems related to weekly reports and/or billing issues.
- Management of VISA receipts and bi-monthly ordering of supplies for department as needed.
- Answer phones within three rings, taking accurate messages and routing calls as appropriate.
- Collection of payments in accordance with ARISA Health payment policy and entering of payments into
- EMR, making daily deposits, handling of all outgoing and incoming mail, which may include drop off and
- pick up at Post Office. Checking compliance with payment sources
- Copying, faxing as needed by clinical staff and other administrative staff.
- Reconciling reports within the EMR and working with staff on problems related to weekly reports and
- billing issues.
- intakes verification customer service
- Medicaid, title xxx , grants
- Work with epic
- Aviator systems
- Credible
Ops Scheduler Administrative
US Radiology Specialists Inc.
Lewisville, TX
01.2023 - 02.2024
- Worked extensively with ICD-10-CM and CPT codes
- Placed orders for diagnostic exams and procedures
- Assisted with authorization and verifications, filed clinical documents
- Provided accurate and complete information to the billing office
- Verified insurance and ensured accuracy of patient data entered into the system
- Assisted patients with check-in, check-out, and insurance verification.
Patient Financial Services Representative
CHRISTUS Health
01.2023 - 07.2023
- Managed account resolution and reconciliation for patient accounts
- Collected and provided patient and payor information to facilitate account resolution
- Responded to account inquiries through various communication channels
- Maintained payor-specific knowledge and followed billing guidelines for third-party payers
- Demonstrated strong knowledge of CPT, HCPCS, and ICD-10 coding regulations.
- With epic
- Cash posting
- Collects
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health key performance metrics.
- Ensures PFS departmental quality and productivity standards are met.
- Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
- Manages and maintains patient and payor information to facilitate account resolution.
- Responds to all types of account inquiries through written, verbal or electronic correspondence.
- Develops and maintains working knowledge of all functions within the Revenue Cycle.
- Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
- Compliant with all CHRISTUS Health, payer, and government regulations.
- Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
- Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
- Has professional and effective written and verbal communication.
- Assembly
- Completes requests for supporting documentation related to account resolution, audits and other requests and ensures delivery to appropriate party.
- Perform support services for departmental Associates such as faxing of documents, copying, printing of forms, data entry and reception relief.
- Performs mail retrieval, sorting, distribution and inter-facility delivery duties for all Business Office Associates.
- Performs scanning and electronic upload of documents.
- Cash Posting
- Ensures all payments are retrieved and posted accurately and timely, post lockbox monies, EFT/ACH monies, credit card payments, and patient payments including JV entries for nonpatient cash.
- Resolves submitted work queues for missing and/or unapplied cash.
- Monitor and perform cash reconciliation to identify cash posting errors and ensure all receipts are applied.
- Customer Service
- Answers inbound calls to the department in a timely manner, consistent with department and/or industry standards.
- Collects and provides patient and payor information to facilitate account resolution.
- Responds to patient and insurance company complaints, correspondence, inquiries, and requests for information.
- Collects balance owing from third-party payers in accordance with state and federal laws governing collection practices. Ensures that collection efforts are thorough with the overall objective being to collect the outstanding balance in an ethical manner.
- Complete Attorney requests for billing records and subpoenas.
- Ensured HIPAA compliance when handling confidential patient information.
Billing Representative
UnitedHealthcare Group
Remote
02.2022 - 07.2022
- Gathered support data to ensure invoice accuracy and resolved billing discrepancies
- Monitored outstanding balances and took action to ensure timely payments
- Prepared and transmitted insurance claims, assisted patients with follow-ups
- Reviewed insurance explanation of benefits (EOB) for payment accuracy
- Worked on appeals and rejected claims, and posted EOBs.
Customer Service Health Care Concierge
CVS
Remote
03.2021 - 01.2022
- Performed data entry and solved complex problems
- Managed multiple tasks while maintaining a calm demeanor
- Communicated effectively, both orally and in writing
- Utilized medical accounting software, including electronic claim submission
- Handled collections and evaluated patients' ability to pay.
Remote Financial Advisor / Customer Service
Fidelity Investment
Lewisville, TX
01.2021 - 10.2021
- Interfaced with customers via inbound phone calls
- Provided account information, transferred assets, and helped maintain new accounts
- Assisted customers in creating online profiles and updating account information
- Documented interactions and handled confidential information.
Scheduler / Medical Receptionist
Children's Hospital
Denver, CO
12.2014 - 05.2015
- Answered inbound calls, scheduled appointments, and checked patients in and out
- Verified insurance, collected payments, and handled confidential information.
Medical Front Desk Assistant
Dr. Johnson Dental
Denver, CO
07.2012 - 06.2014
- Greeted visitors, verified insurance, and updated patient records
- Scheduled and coordinated appointments, handled mail correspondences.
Education
Associate - Medical Billing and Coding
Ultimate Medical Academy
Skills
- Technical:
- EOBs, Revenue Cycle Management, EMR systems, ICD-9, ICD-10, CPT
- Coding, Microsoft Office (Excel, Word, PowerPoint, Outlook, Teams)
- Healthcare:
- Medical Billing, Insurance Verification, Collections, HIPAA Compliance
- Medical Terminology, Anatomy & Physiology
- Administrative:
- Data Entry, Scheduling, Accounts Receivable, Accounts Payable
- Customer Service, Organizational Skills, Typing (55
- Anywhere
- This revised resume provides a clearer, more structured, and professional presentation of
- Your qualifications, emphasizing your skills and experience in healthcare administration
- And customer service
- Call Schedule Distribution
- Calendar Management
- Telephone Etiquette
- Computer Skills
- Problem-Solving
- CRM Software
- Critical Thinking
- Medical Terminology
- Data Entry
- Medical Billing
- Insurance Verification
- Patient Scheduling
- With epic, A/R,credible
- Customer relationship management (CRM)
- Administrative support
- Quality assurance controls
Certification
Certifications Medical Coding Certification cpc
Timeline
Customer Service Representative
Arisa health
02.2024 - Current
Ops Scheduler Administrative
US Radiology Specialists Inc.
01.2023 - 02.2024
Patient Financial Services Representative
CHRISTUS Health
01.2023 - 07.2023
Billing Representative
UnitedHealthcare Group
02.2022 - 07.2022
Customer Service Health Care Concierge
CVS
03.2021 - 01.2022
Remote Financial Advisor / Customer Service
Fidelity Investment
01.2021 - 10.2021
Scheduler / Medical Receptionist
Children's Hospital
12.2014 - 05.2015
Medical Front Desk Assistant
Dr. Johnson Dental
07.2012 - 06.2014
Associate - Medical Billing and Coding
Ultimate Medical Academy