Sherall Wingate
Rock Hill,SC
Summary
Efficient Reimbursement Specialist with solid background proactively managing claims and preventing insurance issues. Competent in keeping records accurate and current and proactively managing account problems. Excellent customer relations skills combined with analytical approach to handling routine and complex delays.
Overview
7
7
years of professional experience
Work History
Reimbursement Specialist
IQVIA
05.2023 - Current
- Enhanced team productivity by providing training on industry updates, regulations, and software applications.
- Improved reimbursement rates with regular audits of insurance contracts to ensure compliance and proper coding practices.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
- Streamlined workflow for medical providers by obtaining necessary referrals and authorizations for services.
Insurance Verification Specialist
AmerisourceBergen
09.2019 - 04.2022
- Updated patient records with accurate, current insurance policy information.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Pharmacy Health Specialist
Talent Bridge
01.2018 - 08.2018
- Developed strong relationships with healthcare providers by effectively communicating about prescription-related matters and collaborating on patient care plans when necessary.
- Improved patient understanding by providing thorough medication counseling and answering questions in a clear manner.
- Provided empathetic patient support, addressing concerns and questions, leading to high satisfaction and trust in pharmacy services.
Education
Associate of Applied Science - Medical Administration
ECPI University
Charlotte, NC04.2021
Skills
Appeals Handling
HCPCS Coding
HIPAA Compliance
Claims Processing
Insurance Verification
Timeline
Reimbursement Specialist
IQVIA
05.2023 - Current
Insurance Verification Specialist
AmerisourceBergen
09.2019 - 04.2022
Pharmacy Health Specialist
Talent Bridge
01.2018 - 08.2018
Associate of Applied Science - Medical Administration
ECPI University
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