Sherlyn Bray
Summary
Service-driven professional highly informed of all state and federal regulations pertaining to benefits for employees. Communicative Benefits Specialist offering outstanding customer service and data confidentiality skills.
Overview
11
11
years of professional experience
1
1
year of post-secondary education
Work History
Intake Referral Benefits Specialist
Tanyr Healthcare / AcuServe
Akron, Ohio
11.2024 - 04.2026
- Evaluated 5 to 15 urgent and routine home infusion referral requests daily, ensuring clinical documentation met insurance necessity criteria for timely processing.
- Audited and verified medical benefits, ensuring accuracy to support claims processing and patient understanding.
- Calculated patient financial responsibilities, including deductibles, coinsurance, and out-of-pocket maximums, to facilitate transparent financial planning.
- Executed automatic test claims for production cycle, to validate accuracy of newly implanted PBM benefit plans.
Patient Service Coordinator
Contract with Medix staffing for Cook children’s
Fort Worth, Texas Texas
01.2024 - 07.2024
- Assisted patients with registration and insurance verification processes.
- Coordinated patient appointments and managed scheduling to optimize provider availability.
- Communicated effectively with families regarding care procedures and appointment updates.
- Investigated and resolved pending prior authorization requests to ensure timely patient care.
- Answered incoming calls and routed them to the correct department.
- Shipped durable medical equipment orders to patients, ensuring prompt delivery and access to necessary care.
Sales Coordinator
Repay
Fort Worth, TX
05.2022 - 07.2023
- Coordinated sales efforts to enhance customer engagement and improve communication between teams.
- Managed scheduling and logistics for sales meetings to support seamless operations.
- Processed electronic payments to ensure timely transactions.
- Review documentation to ensure accuracy with Bank approvals.
Pharmacy Intake Specialist
Landmark Healthcare
Fort Worth, TX
10.2019 - 03.2022
- Facilitated patient intake by collecting and verifying demographic and insurance information to ensure accurate patient records.
- Coordinated communication between patients and healthcare providers to ensure timely information exchange and address patient needs.
- Initiated authorizations from beginning to end by investigating, tracking and resolving pending authorizations.
- Coordinated and processed urgent and routine HIT and durable medical equipment referrals to support patient care and streamline service delivery.
- Coordinated delivery of medication for patients.
- Executed automated Test claims per production cycle, to validate accuracy of PBM Insurances.
Intake Coordinator
Amerita
Irving, TX
05.2019 - 11.2019
- Coordinated patient intake processes to enhance accuracy of data collection.
- Managed communication among patients, healthcare providers, and insurance companies to facilitate seamless information exchange.
- Verified all medical insurance benefits for HIT and DME patients.
- Coordinated delivery of medication with patients, and pharmacy to ensure proper shipment.
- Initiated and followed up on all HIT therapy and DME authorizations by proactively, identifying and streamlining repetitive documentation procedures procedures.
- Ensured strict HIPAA compliance while ensuring patient demographics and Financial data into practice management systems.
Insurance Coordinator
American Outcomes Management
Fort Fort Worth, TX
01.2015 - 03.2019
- Coordinated insurance claims processing for multiple healthcare providers, ensuring timely reimbursement and minimized claims denials.
- Managed patient insurance verification and eligibility checks, facilitating seamless patient care and reducing appointment delays.
- Coordinated with physicians and insurance underwriters to secure prior authorizations, preventing procedure delays and enhancing patient satisfaction.
- Developed and maintained strong relationships with insurance companies, physicians and patients.
- Managed the beginning to end referral process by triaging new patient inquiries and ensuring rapid scheduling for new HIIT and DME appointments.
Education
Certificate - Medical Billing And Coding
Concorde Career College
Grand Prairie, Texas 01.2009 - 12.2009
Brewer High School
Fort Worth, TexasSkills
- Referral Management and Processing
- Insurance Verification and Authorizations
- Benefit calculations
- ICD 10, CPT, and HCPCS Coding
- Home Infusion Therapy
- Durable Medical Equipment
- Pharmacy
- Payment Processing
- EMR
- HIPAA compliance
References
References available upon request.
Timeline
Intake Referral Benefits Specialist
Tanyr Healthcare / AcuServe
11.2024 - 04.2026
Patient Service Coordinator
Contract with Medix staffing for Cook children’s
01.2024 - 07.2024
Sales Coordinator
Repay
05.2022 - 07.2023
Pharmacy Intake Specialist
Landmark Healthcare
10.2019 - 03.2022
Intake Coordinator
Amerita
05.2019 - 11.2019
Insurance Coordinator
American Outcomes Management
01.2015 - 03.2019
Certificate - Medical Billing And Coding
Concorde Career College
01.2009 - 12.2009
Brewer High School