Summary
Overview
Work History
Education
Skills
Timeline
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Shaunta Rogers

Houston,TX

Summary

Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.

Overview

7
7
years of professional experience

Work History

Medical Billing Specialist/Insurance Claims Specialist

Itcon-
03.2024 - Current
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Collaborated with team members to develop best practices for consistent customer service delivery.

Customer Service Representative/Billing Specialist

ObjectWin
04.2024 - 02.2025
  • Handle a high volume of inbound calls from customers regarding billing inquiries, payment issues, and account discrepancies.
  • Explain billing statements, charges, fees, and payment options to customers in a clear and professional manner. Assist customers with setting up payment plans, processing payments, and resolving billing disputes.
  • Address and resolve escalated billing concerns while maintaining a high level of customer satisfaction. Process credit card, debit card, ACH, and other electronic payments securely and efficiently.
  • Verify account balances, adjustments, refunds, and chargebacks. Assist in reconciling billing errors and issuing corrections or credits when necessary.


Medical Billing Specialist/Eligibility Specialist

CVS
01.2018 - 04.2022
  • Handle high-volume inbound calls related to medical billing, insurance eligibility, and medication order inquiries. Process and submit medical claims accurately, ensuring compliance with payer guidelines.
  • Verify coding accuracy (CPT, HCPCS, ICD-10) for medication-related claims and resolve billing discrepancies. Track claim status and ensure timely reimbursements from insurance providers.
  • Verify patient insurance coverage, policy details, and medication benefits before processing orders. Obtain prior authorization for medications as required by insurance providers.
  • Communicate coverage limitations, co-pays, deductibles, and out-of-pocket costs to patients. Assist patients with medication order inquiries, including refills, delivery status, and billing questions.


Education

High School Diploma -

High School Diploma
Houston, TX

Skills

  • Customer service
  • Remote Operations
  • Email Support
  • Inbound/Outbound Calling
  • Critical thinking
  • Customer relations
  • Call center experience
  • Data entry
  • Complaint resolution
  • Payment processing
  • Product knowledge
  • Customer relationship management (CRM)
  • Prioritization
  • Insurance verification
  • Appointment scheduling
  • HIPAA compliance
  • Referral coordination
  • Empathy and patience
  • Eligibility determination
  • ICD-10 proficiency
  • Medicare expertise
  • Claims processing
  • Medical billing
  • Provider relations
  • Medicaid
  • ICD codes

Timeline

Customer Service Representative/Billing Specialist

ObjectWin
04.2024 - 02.2025

Medical Billing Specialist/Insurance Claims Specialist

Itcon-
03.2024 - Current

Medical Billing Specialist/Eligibility Specialist

CVS
01.2018 - 04.2022

High School Diploma -

High School Diploma

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Shaunta Rogers