SHERKYRO THOMPSON-MAYES
PHOENIX,US
Summary
Enthusiastic and ambitious Healthcare customer service specialist with wide-spread transferable skills in management, sales, and operations. Exceptional ability to connect with people and understand their wants, needs, and desires and delivering legendary service on every interaction. High level of professionalism, organizational skills and ability to work unsupervised.
Overview
8
8
years of professional experience
Work History
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
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
- HIPPA Expert
- Patient Service Expert
- Insurance Verification Expert
- Communication Skills Expert
- Medical Records Expert
- Salesforce
Timeline
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
Certificate of Studies - Criminal Justice
Phoenix College
High School Diploma - General Requirements
South Mountain High School
Associate of Applied Science - Nursing
Glendale Community College