Sheleima Jackson
Katy,TX
Summary
Self-sufficient Insurance Verifier working independently and performing several tasks at once. Skilled at drafting and submitting complex insurance correspondence and monitoring all data transition processes. Sound communication and interpersonal abilities.
Well-organized Insurance Verifier with 8 years of experience as an insurance verifier in the Houston,TX area. In-depth knowledge of overseeing and initiating insurance coverage for patients. Expertise in service activity monitoring and electronic workflow completion.
Friendly Insurance Verifier with many years of experience as a professional. Looking to tackle new responsibilities in the medical insurance verification industry. Skilled at reviewing, analyzing, and interpreting various insurance policies.
Multitasking individual boasting background determining health insurance benefits for patients. Highly organized Financial Counselor successfully liaises with multiple parties, including patients and physicians to ensure smooth workflows and effective communication.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Financial Counselor
Houston Methodist
Houston, TX
04.2024 - Current
- Provided guidance on creating a plan to pay off high-interest debts first while still contributing towards savings goals.
- Assessed client's income sources and determined which type of loan would be most beneficial for them.
- Provided financial counseling to clients on budgeting, credit management, and debt repayment strategies.
- Reviewed and verified financial data to determine program eligibility.
- Assisted patients without healthcare coverage to find resources, services and assistance needed.
- Interviewed patients and families, answering questions regarding financial process during such sessions.
- Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
Senior Insurance Verifier
Houston Methodist Williowbrook
Houston, TX
04.2022 - 04.2024
- Monitored changes in health care policies and procedures related to insurance verification process.
- Submitted prior authorization requests to insurance companies when necessary.
- Verified insurance coverage and eligibility for services using computer software.
- Reviewed patient information to ensure accuracy of data entered into the system.
- Received, analyzed and responded to incoming calls from patients and providers regarding insurance issues.
Admitting Representative
Houston Methodist
Houston, TX
04.2016 - 04.2022
- Keep records of customers interactions, Complete contract forms, Contact customers to respond to inquiries, Review insurance policy, Communicate with customers by phone or in person
Medical Records
Providence Imaging Center
05.2013 - 03.2015
- Pull and file 20 patients charts per day, Digitize Films, Purge Records, Handle 60+ inbound calls, Operate switchboard
Customer Service Representative
Shuzy Q
07.2011 - 10.2014
- Set up floor display, Merchandising 10 boxes pulse, Cashier 500 to 1,000 dollars, Private Party Hostess
Mental Health Associate
Anchorage Community Mental Health Service
12.2009 - 02.2014
- Trained, Coached and supported clients in the accomplishment of daily living skills, Provided individual assistance to clients in accessing mental health and other services, Assisted clients on an emergency basis, Group Therapy (dealing with coping skills)
Customer Service Representative
Health Help
01.2006 - 01.2008
- Data Entry, Medical Coding, Customer Service, Pre-cert for Humana, Benefits Verifying, Make coverage changes including adding new members and editing member plans, Answer questions about member’s coverage plan
Education
Medical Assistant -
Alaska Career College
12.2014
General Credits towards Social Work -
University Alaska, Anchorage
05.2010
Skills
- Insurance Coverage Verification
- Insurance Terminology
- Eligibility Determination
- Underwriting Knowledge
- Insurance Verification
- Understanding Of Medical Terms
- Quoting And Pricing Policies
- Financial Counseling
Certification
- Nationally Certified Medical Assistant (NCMA), National Center for Competency Testing (NCCT), Pending
- First Aid/CPR/BLS/with AED Healthcare Provider, American Heart Association, 12/2014
Timeline
Financial Counselor
Houston Methodist
04.2024 - Current
Senior Insurance Verifier
Houston Methodist Williowbrook
04.2022 - 04.2024
Admitting Representative
Houston Methodist
04.2016 - 04.2022
Medical Records
Providence Imaging Center
05.2013 - 03.2015
Customer Service Representative
Shuzy Q
07.2011 - 10.2014
Mental Health Associate
Anchorage Community Mental Health Service
12.2009 - 02.2014
Customer Service Representative
Health Help
01.2006 - 01.2008
Medical Assistant -
Alaska Career College
General Credits towards Social Work -
University Alaska, Anchorage