Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Sheniqua Wilson

Tallulah,LA

Summary

Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Office Coordinator

HealthPRO Heritage
06.2023 - 12.2024
  • Managed office activities by maintaining communication between clients, tracking records, and filing all documents.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Worked collaboratively with office staff to maintain smooth operations and team readiness for unexpected demands.
  • Efficiently supervised filing, sorting and handling incoming and outgoing mail.
  • Tracked records, filed documents, and maintained communication between clients to manage office activities.
  • Organized team workload and prioritized tasks to streamline office functions in deadline-driven environment.
  • Process payments handled cash flow

Patient Access Representative

Houston Methodist
07.2021 - 10.2022
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
  • Provided excellent customer service to patients and medical staff.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Greeted and assisted patients with check-in procedures.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Verified patient insurance eligibility and entered patient information into system.

Account Specialist III (Collections)

Christus Health
02.2019 - 11.2020
  • Adhered to standards of quality and service as well as all compliance requirements.
  • Set up new customer accounts and updated existing profiles with latest information.
  • Analyzed financial data and generated accurate, insightful reports for management.
  • Reconciled customer accounts and identified discrepancies for further investigation.
  • Resolved complex billing and payment issues for balanced, accurate accounts.
  • Prepared and submitted timely invoices, statements and payment reminders for customers.
  • Reviewed account activity to assess financial status and evaluate discrepancies.
  • Processed payments setup payment plans

Member Service Representative

Aetna
07.2017 - 01.2019
  • Assisted members with correcting account, service, and system issues by educating on required forms and technical processes.
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Educated and engaged patients with new member benefits products and services.
  • Handled complaints with prompt, courteous service to uphold professional reputation.
  • Explained EOB
  • Explained Medicaid and Medicare benefits offered with plan
  • Processed plan payments via pos system
  • Viewed claims and pre-auth

Patient Access Representative

USMD Hospital
04.2016 - 07.2017

Verify Insurance Schedule Appointments (varies physician NextGen) Processing Payments
• Received patient deductibles, co-pay amounts and discussed options to satisfy remainder of patient financial obligations
• Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services
• Obtained patient's insurance information and determined eligibility for benefits for specific services rendered
• Outbound welcome calls
• Verified Medical Records Managed referrals (outgoing/incoming)
• Update any forms at check-in Schedule follow-up visits and send out any needed referral requested by physician.

Call Center Supervisor

Novo 1
09.2013 - 03.2016
  • Supervised in providing excellent customer service to callers requiring assistance.
  • Monitored call quality and provided individual constructive feedback to enhance performance and address areas in need of improvement.
  • Oversaw employee performance to foster accurate prioritization and achievement of sales and productivity goals.
  • Developed process controls and metrics for daily management of call center.
  • Increased efficiency and productivity through effective staff training regarding customer service protocols and call resolution techniques.
  • Trained and coached sales team members on best practices for customer service and sales techniques.
  • Communicated customer feedback and complaints to team members to promote proper resolution.

Administrative Assistant

Williams Insurance
01.2010 - 09.2013
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Maintained inventory of office supplies and placed orders.
  • Liaised between clients and vendors and maintained effective lines of communication.
  • Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
  • Assisted coworkers and staff members with special tasks on daily basis.
  • Organized logistics and materials for each meeting and took detailed notes for later dissemination to key stakeholders.

Education

High School Diploma -

Madison High
Tallulah, LA
05-2007

Skills

  • Report reconciliation
  • Production leadership
  • Contract coordination
  • Performance improvement
  • Correspondence management
  • Expense reporting
  • Customer service
  • Office administration
  • Calendar management
  • POS payment processing
  • Medicaid & Medicare trained
  • Account reconciliation

Certification

  • Microsoft Office Specialist (MOS) - Microsoft.
  • Introduction to Supervisory Skills– SkillPath.

Languages

English
Full Professional

Timeline

Office Coordinator

HealthPRO Heritage
06.2023 - 12.2024

Patient Access Representative

Houston Methodist
07.2021 - 10.2022

Account Specialist III (Collections)

Christus Health
02.2019 - 11.2020

Member Service Representative

Aetna
07.2017 - 01.2019

Patient Access Representative

USMD Hospital
04.2016 - 07.2017

Call Center Supervisor

Novo 1
09.2013 - 03.2016

Administrative Assistant

Williams Insurance
01.2010 - 09.2013

High School Diploma -

Madison High
Sheniqua Wilson