SHAYQUELLA PAYNE-PRYER
BARBERTON,OH
Summary
Medical Office Associate with a robust background in reception and clerical work, proficient in HIPAA compliance and insurance billing. Demonstrates exceptional problem-solving and organizational skills, enhancing office efficiency and patient satisfaction. Eager to leverage expertise in a dynamic environment to facilitate company growth and streamline operations.
Skilled claims processing professional with extensive experience in reviewing and validating insurance claims. Strong focus on accuracy, problem-solving, and effective communication. Known for collaborative approach and adaptability to changing needs. Proficient in claims software, data entry, and customer service. Recognized for reliability and achieving results in team environments.
Overview
7
7
years of professional experience
Work History
Claims Processor
Concentrix
12.2024 - Current
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Maintained strict confidentiality when dealing with sensitive information about patients'' medical histories or personal details.
TITLE CLERK
Summit County Clerk Of Courts
07.2022 - 12.2022
- Gained knowledge of legal surveys and regulations, ensuring compliance in title processing
- Optimized customer comprehension of title transfer steps through effective guidance.
- Processed purchase payments and recorded lienholder payoffs accurately.
- Resolved title, odometer, and power of attorney discrepancies, maintaining document accuracy
- Processed and signed title documents electronically, maintaining expert system knowledge
- Scrutinized title documents for accuracy, resolving discrepancies in odometer readings and power of attorney to ensure legal compliance and ownership clarity
MEDICAL OFFICE ASSOCIATE
Western Reserve Physicians
04.2022 - 07.2022
- Ensured patient privacy by adhering to HIPAA guidelines, increasing trust and compliance
- Coordinated patient scheduling and billing, enhancing office efficiency and patient satisfaction
- Collected and processed insurance information, streamlining billing and insurance filing
- Scheduled surgeries and booked operating rooms, optimizing resource use and surgeon schedules
- Managed patient appointments and follow-up calls, improving appointment adherence and clinic flow
- Communicated with patients to gather prescription details and arrange pharmacist consultations
- Processed insurance claims, resolved issues, and reconciled payments efficiently
PHARMACY TECHNICIAN
CVS Pharmacy
09.2018 - 12.2021
- Counseled customers on medication use, dosages, and side effects, ensuring accurate prescriptions
- Restocked pharmacy shelves, contributing to consistent sales and inventory management
- Monitored medication stock orders to maintain streamlined inventory and minimize overhead
DISTRIBUTION ASSOCIATE
Signet Jewelers
06.2019 - 07.2020
- Prepared boxes, pallets, and crates for shipments, ensuring timely and accurate dispatch
- Reorganized tasks to adapt to changing priorities, enhancing workflow efficiency
- Documented inventory movements in WMS with handheld scanners, ensuring accuracy
- Inspected merchandise for damage and discrepancies, maintaining quality standards
- Completed daily cycle counts and supported monthly audits, improving inventory accuracy
DEBT COLLECTOR
First Credit
03.2018 - 08.2018
- Analyzed conversation prompts to convey account info and secure payments, ensuring compliance
- Notified co-signers of delinquent accounts, aiding in payment collection and account resolution
- Located overdue customers and solicited payments, adhering to fair debt collection practices
- Processed payments and updated account balances, maintaining accurate financial records
PHARMACY TECHNICIAN
Walmart Pharmacy
12.2017 - 03.2018
- Collected patient information for prescriptions, ensuring accurate and timely consultations
- Labeled and counted prescriptions, maintaining precise inventory records
- Processed payments efficiently, reducing overdue medical bills
- Verified drug deliveries against orders, updating inventory systems accurately
- Ordered medications daily, ensuring stock levels met patient needs
Education
ASSOCIATE OF LEGAL STUDIES -
Herzing University
Akron, Ohio12.2023
Skills
- Managing patient records
- Medical terminology
- Insurance billing
- Payment collection
- Payment processing
- Problem-Solving
- Critical Thinking
- Teamwork
- Collaboration
- Confidentiality
- HIPAA
- Medicare
- Medicaid
Timeline
Claims Processor
Concentrix
12.2024 - Current
TITLE CLERK
Summit County Clerk Of Courts
07.2022 - 12.2022
MEDICAL OFFICE ASSOCIATE
Western Reserve Physicians
04.2022 - 07.2022
DISTRIBUTION ASSOCIATE
Signet Jewelers
06.2019 - 07.2020
PHARMACY TECHNICIAN
CVS Pharmacy
09.2018 - 12.2021
DEBT COLLECTOR
First Credit
03.2018 - 08.2018
PHARMACY TECHNICIAN
Walmart Pharmacy
12.2017 - 03.2018
ASSOCIATE OF LEGAL STUDIES -
Herzing University
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