Summary
Overview
Work History
Education
Skills
Timeline
Generic

SHENEKA MANCHESTER

BATON ROUGE,US

Summary

Claims Specialist and Medical Receptionist with over 12 years of extensive expertise in customer service, patient care, and claims processing. Proficient in maintaining precise medical records and ensuring HIPAA compliance, while excelling in multitasking and insurance verification to enhance operational efficiency and patient satisfaction. Committed to fostering collaborative healthcare environments through advanced communication skills and a detail-oriented approach.

Overview

13
13
years of professional experience

Work History

Health Information Coordinator 3

LSU Health Sciences Center New Orleans
Baton Rouge, LA
09.2025 - Current

•Oversaw patient check-in and check-out operations to streamline workflow.Coordinated administrative functions to improve patient satisfaction.

•Conducted thorough reviews of insurance documentation to maintain operational integrity.

•Facilitated payment collection for copays related to procedures and surgeries.

•Facilitated connections between clients and services. Supported team members in managing referral processes. Assisted in tracking referral outcomes for continuous improvement.

•Managed phone communications and coordinated appointment scheduling for procedures and surgeries.

•Assessed and communicated treatment strategies to align with patient health objectives.

MEDICAL RECEPTIONIST

Retina & Vitreous of La
07.2024 - 09.2025
  • Maintain accurate patient records, ensuring HIPAA compliance and confidentiality
  • Efficiently manage patient check-ins, insurance verifications, and payment collections
  • Coordinate with healthcare staff to schedule appointments and address patient concerns
  • Update electronic health records with precision, enhancing data accuracy
  • Facilitate effective communication among medical teams, improving patient care
  • Streamlined patient check-in processes, reducing wait times and improving overall patient satisfaction through efficient service.

FEP CLAIM SPECIALIST I

Blue Cross Blue Shield of La
Baton Rouge, La
09.2013 - 07.2024
  • Verify and complete data for accurate claim adjudication, ensuring customer satisfaction.
  • Resolve claim inconsistencies, adhering to guidelines for timely and correct contract application.
  • Coordinate health benefits for Medicare beneficiaries, ensuring accurate primary payer identification.

Education

MEDICAL ASSISTANT DIPLOMA - undefined

Delta College of Arts & Technology
04.2012

HIGH SCHOOL DIPLOMA - undefined

Istrouma Magnet High School
05.2010

Skills

  • Enhanced customer experience by providing knowledgeable support and timely assistance
  • Balanced various projects and priorities effectively to ensure timely completion of deliverables
  • Oversaw the organization and retrieval of medical records, facilitating efficient access for healthcare providers
  • Managed insurance verification tasks, confirming coverage details and eligibility for optimal service delivery
  • Analyzed and validated claims submissions, maintaining compliance with industry standards and regulations
  • Configured and maintained EHR systems, ensuring seamless integration with existing healthcare infrastructure
  • Monitored patient conditions and collaborated with healthcare teams to optimize care strategies

Timeline

Health Information Coordinator 3

LSU Health Sciences Center New Orleans
09.2025 - Current

MEDICAL RECEPTIONIST

Retina & Vitreous of La
07.2024 - 09.2025

FEP CLAIM SPECIALIST I

Blue Cross Blue Shield of La
09.2013 - 07.2024

MEDICAL ASSISTANT DIPLOMA - undefined

Delta College of Arts & Technology

HIGH SCHOOL DIPLOMA - undefined

Istrouma Magnet High School
SHENEKA MANCHESTER