SHERKYRO THOMPSON-MAYES
PHOENIX,US
Summary
Healthcare customer service specialist with a proven track record in quality assurance and operational efficiency. Expertise in patient service, insurance verification, and delivering exceptional care. Strong organizational skills and professionalism ensure optimal service delivery in fast-paced environments.
Overview
9
9
years of professional experience
Work History
Quality Assurance Specialist
AssistRx
Phoenix, AZ
02.2026 - Current
- Executed routine audits to ensure adherence to quality standards and protocols.
- Analyzed data from quality reports to identify trends and improve processes.
- Consulted with management and personnel to educate on QA standards.
Pharmacy Technician/Quality Assurance
Centene
09.2019 - Current
- Receive written prescription or refill requests and verify that information is complete and accurate.
- Answer telephones, responding to questions or requests.
- Prepare and process medical insurance claim forms and records.
- Receive written prescription or refill requests and verify that information is complete and accurate.
- Review plans formulary
- Verify HIPPA
- Contact medical providers and members for additional clinical information
- Perform Monthly QA audits and coaching sessions for Customer Service Representatives in our call center environment
Admitting Representative
HonorHealth
Phoenix, Arizona
06.2025 - 07.2026
- Greeted patients and visitors warmly upon arrival at healthcare facility.
- Collected and verified patient information for accurate admissions processing.
- Managed insurance verification and authorization for various services provided.
- Maintained confidentiality of all patient information according to HIPAA regulations.
- Managed incoming calls from patients, families, and other health care providers regarding admissions related issues.
PA Rep II
Conifer Health
04.2023 - 09.2024
- Greet visitors or callers and handle their inquiries or direct them to the appropriate persons according to their needs.
- Create, maintain, and enter information into databases.
- Train and assist staff with computer usage.
- Determine charges for services requested, collect deposits or payments, or arrange for billing.
- Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
- Verify insurance
- Collect personal demographics to register patients to be seen in Emergency room setting
CSR Advocate II
Oscar Healthcare
09.2018 - 02.2019
- Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
- Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
- Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
- Verify medical benefits
- Confirm prescription coverage and benefits
Intake Coordinator
Care Centrix
07.2017 - 04.2018
- Contact medical facilities or departments to schedule patients for tests or admission.
- Explain treatment procedures, medications, diets, or physicians' instructions to patients.
- Keep financial records or perform other bookkeeping duties, such as handling credit or collections or mailing monthly statements to patients.
- Perform general office duties, such as answering telephones, taking dictation, or completing insurance forms.
- Schedule appointments for patients.
Education
Associate of Applied Science - Nursing
Glendale Community College
Glendale, AZ11-2025
Certificate of Studies - Criminal Justice
Phoenix College
Phoenix, AZ05-2020
High School Diploma - General Requirements
South Mountain High School
Phoenix, AZ05-1995
Skills
- Customer Service Expert
- Medical Terminology Experienced
- HIPAA Expert
- Patient Service Expert
- Insurance Verification Expert
- Communication Skills Expert
- Medical Records Expert
- Salesforce
Timeline
Quality Assurance Specialist
AssistRx
02.2026 - Current
Admitting Representative
HonorHealth
06.2025 - 07.2026
PA Rep II
Conifer Health
04.2023 - 09.2024
Pharmacy Technician/Quality Assurance
Centene
09.2019 - Current
CSR Advocate II
Oscar Healthcare
09.2018 - 02.2019
Intake Coordinator
Care Centrix
07.2017 - 04.2018
Associate of Applied Science - Nursing
Glendale Community College
Certificate of Studies - Criminal Justice
Phoenix College
High School Diploma - General Requirements
South Mountain High School