Summary
Overview
Work History
Education
Skills
Timeline
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Shaune Geralds

Memphis

Summary

Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, ad providing customized solutions to build loyalty. Motivated professional offering proficiency in data entry combined with strong mathematical and analytical thinking skills. Personable team player with exceptional customer service abilities. Fast learner and committed to continuous, self-directed learning.

Overview

5
5
years of professional experience

Work History

Insurance Verification Specialist

Planned Parenthood
07.2021 - 08.2024
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Updated patient records with accurate, current insurance policy information.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Assisted patients with understanding personalized insurance coverage and benefits.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.

Patient Service Representative

Christ Community Health Service
10.2019 - 02.2023
  • Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
  • Verified insurance eligibility and coverage for patients.
  • Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
  • Filed and maintained patient records in accordance with HIPAA regulations.
  • Conducted pre-visit preparations such as obtaining necessary forms or documentation from patients or referring physicians ahead of scheduled appointments.
  • Maintained accurate and up-to-date client records.
  • Answered phone calls and provided new clients with required paperwork to initiate service.
  • Trained new Patient Service Representatives, contributing to a smooth onboarding process and fostering team cohesion.
  • Enhanced patient satisfaction by providing exceptional customer service and addressing concerns in a timely manner.
  • Verified patient insurance eligibility and entered patient information into system.
  • Provided excellent customer service to patients and medical staff.
  • Greeted and assisted patients with check-in procedures.

Patient Access Representative

The West Cancer Center
05.2022 - 01.2023
  • 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.
  • Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
  • Facilitated the admissions process by screening for patient eligibility, ensuring efficient and accurate intake procedures

Education

High School Diploma -

Whitehaven High School
Memphis, TN
2006

Skills

  • Attention to Detail
  • Patient confidentiality
  • HIPAA Compliance
  • Insurance Coverage Verification
  • Data entry proficiency
  • Eligibility Determination
  • Data Entry and Review
  • Communication and Interpersonal Skills
  • Coverage and Authorizations
  • Coordination and Scheduling
  • Medicaid knowledge
  • Insurance Billing
  • Healthcare Industry Knowledge
  • Electronic Medical Records
  • Patient contact
  • Prior authorization processing
  • Customer Relationship Management
  • Data Security and Confidentiality
  • Medical Terminology
  • Understanding of medical terms
  • Document Management
  • Patient Communication
  • Customer Service
  • Accuracy and Precision
  • Referral Coordination
  • Analytical Thinking
  • Patient Rapport
  • Work Monitoring
  • Customer Database Systems
  • Patient Health Information Access
  • Administrative Support
  • Insurance Authorizations

Timeline

Patient Access Representative

The West Cancer Center
05.2022 - 01.2023

Insurance Verification Specialist

Planned Parenthood
07.2021 - 08.2024

Patient Service Representative

Christ Community Health Service
10.2019 - 02.2023

High School Diploma -

Whitehaven High School

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Shaune Geralds