Shikira Hudson
Conroe,TX
Summary
Demonstrative Eligibility Specialist proudly offering over 13 years of experience assisting others with enrollment and program services. Polished professional known for interactions that are fair, compassionate, and respectful. Promoting issue resolution expertise in fast-paced environments.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Precertification Specialist
Cedargate Technologies
Houston, TX
01.2022 - Current
- Discuss medications, insurance and prior authorization documents with patients
- Get prior authorization approval from insurance firms and nurse managers
- Appeal insurance companies after prior authorization refusals
- Assess accounts for completeness and accuracy
- Follow up on missing or incorrect information so patients receive the right reimbursement
- Document account activity using correct medical and billing codes.
Insurance Verification Specialist
San Jacinto Regional Eye Center
Baytown, TX
10.2016 - 12.2020
- Verify patient insurance benefits to ensure medical procedures are covered for required services
- Obtain prior authorizations for surgical procedures
- Answer telephones and direct calls to appropriate staff
- Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations
- Greet visitors, ascertain purpose of visit, and direct them to appropriate staff
- Interview patients to complete documents, case histories, or forms, such as intake or insurance.
Medical Records Clerk
San Jacinto Regional Eye Center
Baytown, TX
08.2011 - 07.2016
- Review records for completeness, accuracy, and compliance with regulations
- Retrieve patient medical records for physicians, technicians, or other medical personnel
- Release information to persons or agencies according to regulations
- Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer
- Process and prepare business or government forms
- Train medical records staff.
Accounts Payable Clerk
Baytex Operations
Baytown, TX
05.2008 - 07.2011
- Match order forms with invoices, and record the necessary information
- Calculate, prepare, and issue bills, invoices, account statements, and other financial statements according to established procedures
- Maintain inventory records
- Operate computers programmed with accounting software to record, store, and analyze information
- Operate 10-key calculators, typewriters, and copy machines to perform calculations and produce documents
- Reconcile or note and report discrepancies found in records.
Education
Associate in Science (AS) in Surgical Technology -
San Jacinto College
03.2024
High School Diploma -
ROBERT E. LEE SENIOR HIGH
Skills
- Front Office
- Insurance Verification
- EMR Systems
- Medical Office Experience
- Medical Scheduling
- CPT Coding
- Medical Billing
- ICD-10
- Medical Coding
- Anatomy knowledge
- EClinicalWorks
- Allscripts
- Medical Terminology
- QuickBooks
- Hospital experience
- Medical records
- Epic
- Medicare
- ICD coding
- Documentation review
- Customer service
- Pivot tables
- Payroll
- Ophthalmology
- Surgery
- HIPAA
- Dental terminology
- Medical billing
- ICD-9
- Medical coding
- Medical terminology
- Medical office management
- EMR systems
Certification
Driver's License
Additional Information
Allscripts, eClinical Works, CPSI, Quickbooks, Microsoft Word
Timeline
Precertification Specialist
Cedargate Technologies
01.2022 - Current
Insurance Verification Specialist
San Jacinto Regional Eye Center
10.2016 - 12.2020
Medical Records Clerk
San Jacinto Regional Eye Center
08.2011 - 07.2016
Accounts Payable Clerk
Baytex Operations
05.2008 - 07.2011
Associate in Science (AS) in Surgical Technology -
San Jacinto College
High School Diploma -
ROBERT E. LEE SENIOR HIGH
Driver's License
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