Sharonda Taylor
Winter Park,FL
Summary
I was prompted to Team lead
I maintain a 95% or better on my quality assurance.
Successful trained new hire’s
Provided coaching when necessary.
Maintain a weekly huddle and one on one’s with each employee that was under me.
Mentored 7 team members, helping them achieve their performance goal.
Overview
16
16
years of professional experience
Work History
Team Lead
AssistRx
Orlando, FL
09.2024 - Current
- Inspiring and motivating team members to achieve goals, setting clear expectations, and recognizing achievements.
- Monitoring team performance, providing feedback, and identifying areas for improvement.
- Acting as a liaison between the team and upper management, clearly communicating goals, updates, and concerns.
- Fostering a positive and collaborative work environment through team-building activities and open communication.
- Providing coaching and mentoring to team members to enhance their skills and knowledge.
- Overseeing project timelines, milestones, and resource allocation.
- Ensuring that work meets quality standards and deadlines
Patient Access Specialist/Case Manager
AssistRx
Orlando, FL
12.2022 - Current
- Responsible for verifying insurance coverage for new patients and re-verifying for existing patients.
- Processed incoming Commercial and Medicaid Prior Authorization request via phone and fax.
- Completed investigation of insurance benefits, including information about coverage and out-of-pocket costs; Provide answers to questions about insurance coverage while completing Benefit Verifications for patients.
- Assist in training of new hire and special projects such presenting an power point to the new hire
- Maintained above 95% quality rating.
- Verified patient insurance coverage, determines eligibility and benefits.
- Submitted electronic prior authorizations to insurance company
- Coaching New Hire Providing constructive feedback to help New Hire grow and develop
- Creating guidelines, templates, processes, tools, to help the New Hire deliver high-quality work
Customer Care Representative
ReedGroup
Orlando, FL
10.2019 - 11.2022
- Manage the entire leave and disability process for companies with 5,000+ employees – accurately and with timely determinations. Experts in FMLA, STD, LTD, and all types of paid leave, including ADA.
- Provide Excellent care to employees
Appointment Scheduler
AdventHealth
Orlando, FL
08.2016 - 10.2019
- Take inbound calls from patients, and collect personal, medical, and insurance information.
- Schedule, reschedule, and verify patient appointments; schedule appointments with secondary care providers.
- Coordinate physician schedules and maintain patient flow by communicating patient arrivals or delays.
- Took inbound calls from patients for various reasons, examples being: scheduling appointments, processing payments, verifying insurances
Insurance Verification Specialist
Orange Blossom Family Health
Orlando, FL
05.2014 - 08.2016
- Verify insurance eligibility for both medical and vision insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
- Review patient deductibles and/or co-pay and enter into the billing system and spreadsheets provided to the front end department at all locations.
- Coordinate with front end regarding scheduling errors.
- Assist front end staff and call center staff in understanding carrier websites and verification of eligibility.
- Enter insurance referrals as needed.
- Answers questions from patients, clerical staff and insurance companies.
- Participates in educational activities and attends monthly staff meetings
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Customer Service Representative
Accredo Specialty Pharmacy
Orlando, FL
01.2010 - 05.2014
- Assist with checking on prior authorization product as instructed by the pharmacist
- Assist pharmacist with the preparation, reconciliation and billing of third-party insurance claims and in the re-billing of rejected third party claims
- Attend educational events as sponsored or provided by pharmacy
- Assist pharmacist with filling prescriptions by pulling stock, pouring, counting, restocking, packaging, labeling and pricing the prescription
- Maintain accurate and complete documentation of all inquiries in order to continuously improve the customer service process and ensure compliance
- Prepare orders for packing and shipping; properly execute and record sales and shipping transactions
Education
Dental assistant - undefined
Florida career college Orlando
Orlando, FL10.2018
High school diploma - undefined
Winter Springs High School
Winter Springs, FL05.2007
Skills
- Medical billing
- Phone etiquette
- Computer literacy
- Positive attitude
- Microsoft Office
- Research
- Data collection
- Building customer loyalty
- Call Center (9 years)
- Medical terminology
- Computer skills
- Excellent computer skills
- Computer Networking
- HIPAA
- Customer service
- Great team player
- Analysis skills
- Case Management
- Active listening
- Insurance Verification
- Medical Scheduling
- Medical Records
- Attention to details
- Communication skills
- Able to prioritize tasks and manage time appropriately
- Insurance verification
- Organizational skills
- Strong verbal and written communication skills
- Intake Experience
- Medical Terminology
- Front desk
- Salesforce
- Windows
- Data entry
Timeline
Team Lead
AssistRx
09.2024 - Current
Patient Access Specialist/Case Manager
AssistRx
12.2022 - Current
Customer Care Representative
ReedGroup
10.2019 - 11.2022
Appointment Scheduler
AdventHealth
08.2016 - 10.2019
Insurance Verification Specialist
Orange Blossom Family Health
05.2014 - 08.2016
Customer Service Representative
Accredo Specialty Pharmacy
01.2010 - 05.2014
Dental assistant - undefined
Florida career college Orlando
High school diploma - undefined
Winter Springs High School