Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shentree Latimer

Griffith,IN

Summary

Reliable professional specializing in connecting patients with available resources. Computer-savvy and adept at caseload management. Compassionate Patient Advocate with background in healthcare and social services. Experience includes working closely with patients to understand medical needs, communicating effectively with medical professionals, and navigating complex healthcare systems. Strengths lie in outstanding interpersonal skills, strong problem-solving abilities, and deep commitment to patient rights advocacy. Previous work has shown significant improvements in patient experience and satisfaction. Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations. Detail-focused Insurance Verification Specialist recognized for high productivity and efficient task completion. Specialize in insurance policy verification, claim processing accuracy, and patient data confidentiality management. Excel in communication, problem-solving, and time management to ensure seamless operations within healthcare settings. Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Pateint Advocate REP I Escalations/Recovery Resolutions Representative

CVS Caremark Specialty Pharmacy
Mt. Prospect, IL
11.2015 - Current
  • Displayed superior confidentiality in mail, telephone and in-person communications.
  • Verified insurance eligibility for services provided.
  • Verified insurance coverage and managed billing processes.
  • Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
  • Researched insurance denials, rejections, and appeals.
  • Submitted claims to insurance companies.
  • Verified patient information and insurance coverage.
  • copayments for treatments. benefits, and eligibility for services across multiple insurance platforms.
  • Verified insurance coverage details by reviewing policies and contacting insurance companies when necessary.
  • Processed insurance claims and payments accurately.
  • Provided support to customers with inquiries about their orders or shipments.
  • Presented existing and prospective customers with valuable service or product information to aid in decision-making.
  • Managed customer expectations by clarifying needs, identifying options, and recommending products and services.
  • Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
  • Identified and escalated priority issues as needed.
  • Consulted with customers to resolve service and billing issues.
  • Answered incoming calls and provided highest level of professionalism and knowledgeable service to every customer.

Education

Certificate - Medical Billing

Sanford Brown Institute
08-2004

High School Diploma -

Simeon High School
Chicago, IL
06-1996

Skills

  • Benefits administration
  • Research proficiency
  • Adaptability
  • Team collaboration
  • Verbal and written communication
  • Conflict resolution
  • Communication
  • Interpersonal communication
  • Quality assurance
  • Remote office availability
  • Microsoft Word

Certification

  • Certified Pharmacy Technician
  • Net+ Certified

Timeline

Pateint Advocate REP I Escalations/Recovery Resolutions Representative

CVS Caremark Specialty Pharmacy
11.2015 - Current

Certificate - Medical Billing

Sanford Brown Institute

High School Diploma -

Simeon High School
Shentree Latimer