Sheri' Clayton
Huntsville,Alabama
Summary
A meticulous newly licensed skincare professional prepared for role with knowledge in facial treatments, chemical peels, dermaplaning and microdermabrasion. Known for strong focus on team collaboration and achieving exceptional client satisfaction. Recognized for maintaining flexibility with changing needs and upholding highest standards of hygiene and safety. Establishes relationships with customers and delivers quality service. Agile individual with excellent communication and customer service skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Medical Insurance Specialist
HH Spine And Neuro Center
06.2023 - Current
- Supported team members in professional growth, providing guidance on complex billing scenarios as needed.
- Improved cash flow by promptly following up on unpaid claims and resolving billing discrepancies.
- Collaborated with medical staff to obtain necessary documentation for accurate claim submissions.
- Reduced claim denials by verifying patient eligibility and coverage details prior to submission.
- Streamlined claim submission process for faster turnaround times and reimbursement rates.
- Contributed to positive relationships with insurance companies through consistent follow-up and prompt issue resolution.
- Increased patient satisfaction by efficiently processing insurance claims and addressing inquiries.
- Aided in boosting revenue by identifying opportunities for additional reimbursements through audits of past claims.
- Achieved timely resolution of claim issues through effective communication with insurance carriers and healthcare providers.
- Consistently exceeded performance benchmarks, processing a high volume of claims accurately within designated timeframes.
- Enhanced data accuracy by meticulously updating patient records and insurance information in the system.
- Provided exceptional customer service, assisting patients in understanding their insurance benefits and financial responsibilities.
- Conducted thorough reviews of denied claims, identifying errors or missing information before resubmitting corrections for payment approval.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and other applicable regulations in all aspects of the role.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Researched and resolved complex medical claims issues to support timely processing.
- Verify patient insurance coverage and benefits for medical claims.
- Monitor and update claims status in claims processing system.
- Paid or denied medical claims based upon established claims processing criteria.
- Evaluate medical claims for accuracy and completeness and researched missing data.
- Generate reports on medical claims processing activities and results.
ER Registrar, CPAR
Crestwood Medical Center
03.2018 - 06.2023
- Collected demographic and insurance information from patients
- Organized, checked and submitted all related paperwork
- Provided thorough information about admissions policies, financial requirements and check-in procedures
- Verified insurance benefits, process payments and issued receipts
- Greeted customers and visitors in-person and via telephone calls
- Oversaw inventory activities, including materials monitoring, ordering or requisition, and supply stocking or re-stocking
- Screened all visitors and directed them to correct employee or office
- Ensure HIPAA compliance
- Entered details such as payments, account information and call logs into computer system
- Verified data integrity for accuracy
- Copied, logged and scanned supporting documentation
- Used electronic systems to enter provider orders and retrieve test results.
- Reviewed and updated emergency room protocols regularly, ensuring compliance with changing industry standards and guidelines.
- Managed high-stress situations by maintaining a calm demeanor and ensuring proper procedures were followed.
- Facilitated the training of new ER registrars, promoting best practices and adherence to hospital policies.
- Developed professional relationships with interdisciplinary teams to optimize coordination of care for patients requiring specialized services or transfers to other facilities.
- Streamlined emergency room admissions process, resulting in reduced patient wait times.
- Maintained strict confidentiality of personal health information according to HIPAA regulations, safeguarding patient privacy rights.
- Collaborated with medical staff to ensure timely treatment for critically ill patients.
Medical Practice Manager
ADDC
03.2021 - 12.2021
- Develop policies and procedures for effective practice management.
- Oversee accounting, budgeting, and financial reporting.
- Train interns and newly hired team members on office procedures and computer system.
- Assess processes and procedures, complying with OSHA and HIPAA regulations.
- Assist with regulatory issues such as compliance.
- Managed 4 employees with various personalities and from different cultures for a 1-physician practice and a CRNP.
- Supervise team of 4 office personnel.
- Provided outstanding support to entire staff which helps improve process flow and boosts efficiency.
- Implemented onboarding for new employees, which enable each to effectively learn tasks and job duties.
- Developed close working relationships with front office and back office staff.
- Handle job duties for staff members which were unavailable or out of office.
- Communicate effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
- Ordered all office supplies and kept check on inventory levels.
- Consulted with healthcare professionals on business decisions.
- Maintained electronic record management systems to analyze and process data.
- Addressed and remedied all patient or team member issues.
- Created and provided monthly financial reports to provider during our monthly meeting.
- Registered and scheduled patients and scheduled procedures
- Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
- Developed policies and procedures for effective practice management.
- Assisted with regulatory issues such as compliance.
- Handled job duties for staff members which were unavailable or out of office.
- Ordered all office supplies and kept check on inventory levels.
- Created and implemented organizational policies and procedures.
- Supervised team of 4 office personnel.
- Stacked magazines, removed trash and managed cleaning to keep office and waiting areas clean and presentable.
Office Manager
Jeremy P Russell MD LLC
03.2006 - 10.2017
- Developed departmental goals, objectives, standards of performance, policies and procedures
- Lead the planning and achievement of goals and objectives consistent with the agency mission and philosophies
- Interpret and communicate new or revised policies to staff
- Oversee private MCR billing, payroll, AP, and AR and verify that proper procedures are followed
- Create, maintain and route monthly reports to company accountant
- Create and distribute daily billing reports to third party billing company
- Reconcile and balance fee sheets and Quick-books file monthly with third party billing company
- Properly route agreements, contracts and invoices through the signature process
- Receive and distribute faxes and mail in a timely manner
- Route agreements, contracts and invoices through the signature process
- Encourage creative thinking, problem solving, and empowerment along with the physician to improve morale and teamwork
- Assist in resolving and satisfying client requests and internal operational issues
- Initiate audit process to evaluate thoroughness of documentation and maintenance of facility standards
- Monitor Risk Management and Quality Improvement plans
- Maintain computerized record management systems to record, process data and generate reports
- Scheduled daily appointments
- Registered patients into the EMR system
- Verified insurance to ensure proper payment
- Completed Prior Authorization from drug companies for medications
- Completed Pre Certifications from insurance companies for Radiological tests to be performed for patients.
Licensing Coordinator
Daniel & Yeager
07.2002 - 03.2006
- Oversaw the complete licensing process of physicians for all departments
- Scheduled interviews with State Medical Boards for physicians
- Assisted State Medical Boards in disbursing information to appropriate designations for physicians
- Prepared/Maintained quarterly and annual reports for licensing, COO and team managers budgets
- Reviewed packets for completion prior to elevating to the Risk Management Quality Assurance Manager
- Provided employing facilities with physician's employment verification and medical claims history reports
- Prepared check requests
- Organized files, developed spreadsheets, faxed reports and scanned documents
Registration Representative
Huntsville Hospital Medical Mall
06.1999 - 07.2002
- Greeted customers and visitors in-person and via telephone calls
- Registered patients into the EMR system for each visit
- Scheduled new and follow up appointments as advised by the therapist
- Entered daily billing charges into hospital system
- Logged all Medicare charts and oversaw delivery to Medical Records
- Prepared and delivered Medicare 485 Forms to outside Physicians for signatures
PT Tech
Prism Healthcare
01.1994 - 05.1999
- Planned and administered a range of treatments and therapeutic exercise programs involving active and passive ranges of motion and muscle reeducation
- Taught patients uses of wheelchairs, braces, canes, crutches and prosthetic devices
- Communicated effectively with other care providers (physicians, nurses, business office, and medical records) to provide for continuity of patient care
- Treated wounds gently and thoroughly
- Demonstrated clear written and oral communications skills when working with health care professionals, patients and caregivers
Front Desk Receptionist
Bailey Chiropractic Clinic
02.1991 - 12.1993
- Registered and scheduled patients into GreyCat System
- Greeted customers and visitors in-person and via telephone calls
- Answered inquiries and addressed, resolved or escalated issues to management personnel to ensure client satisfaction
- Assisted with insurance filing and payment posting
- Roomed patients to include height, weight and reason for visit
- office supplies
- Copied, faxed and filed documents to appropriate locations
Education
Medical Esthetician -
St. John's School of Esthetics
Huntsville, AL10-2024
Skills
- Microsoft Office Knowledgeable
- Meticulous attention to detail
- Results oriented
- Professional phone etiquette
- Strong problem solver
- Strong Time Management
- Registration/Scheduling
- Customer service-oriented
- Articulate and well-spoken
- Flexible
- Excellent planner and coordinator
- Delivers Results in High-Pressure Situations
- Pleasant demeanor
- Excellent Customer Service Skills
- Policy Development
- Client consultation
- Patient education
- Dermaplaning techniques
- Microdermabrasion
- Waxing
- Facial Massage
- Chemical peels
- Record keeping
- Sanitation and sterilization
- Attention to detail
- Multitasking and organization
- Skincare product knowledge with Dermalogica, PCA, Zo and SkinBetter
- Verbal and written communication
- Relaxation techniques
- Relationship building and management
- Customer consultation
- Alabama licensed esthetician
- Excellent team player
- Infection control
- Skin analysis
- Guest services expertise
- Client needs assessment
- Professional demeanor
- Client intakes
Certification
CPAR-Certified Patient Account Representative May 2018
Alabama Licensed Medical Esthetician
March 10, 2025
Additional Information
I am currently taking Microsoft classes to become proficient in order to be of better service
Timeline
Medical Insurance Specialist
HH Spine And Neuro Center
06.2023 - Current
Medical Practice Manager
ADDC
03.2021 - 12.2021
ER Registrar, CPAR
Crestwood Medical Center
03.2018 - 06.2023
Office Manager
Jeremy P Russell MD LLC
03.2006 - 10.2017
Licensing Coordinator
Daniel & Yeager
07.2002 - 03.2006
Registration Representative
Huntsville Hospital Medical Mall
06.1999 - 07.2002
PT Tech
Prism Healthcare
01.1994 - 05.1999
Front Desk Receptionist
Bailey Chiropractic Clinic
02.1991 - 12.1993
Medical Esthetician -
St. John's School of Esthetics
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