Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shinice Lezama

Jersey City,NJ

Summary

Compassionate and detail-oriented Healthcare Customer Service Specialist with over 3 years of experience in remote patient support, claims processing, and high-volume call center operations. Skilled in navigating insurance systems, ensuring HIPAA compliance, and delivering accurate, empathetic assistance to patients and providers. Adept at balancing performance metrics with quality service in fast-paced virtual environments.

Overview

8
8
years of professional experience

Work History

Health Information Operations

Datavant
New York, New York
06.2023 - 12.2025
  • Scheduled appointments, managed high-volume phone lines, and addressed insurance inquiries.
  • Protected sensitive patient data while supporting HIPAA compliance.
  • Organized electronic files to streamline claim processing and improve turnaround times.
  • Provided consistent front-line support to patients, improving overall satisfaction scores.
  • Supported daily operations, ensuring smooth workflow in a fast-paced environment.

Healthcare Customer Service Representative

Vitability
Union, NJ
09.2020 - 04.2023
  • Supported a team managing claims for 86,000+ patients while meeting strict deadlines.
  • Handled inbound and outbound patient calls, resolving claim escalations empathetically.
  • Maintained a 98% compliance rate with insurance documentation standards.
  • Accurately tracked and updated claim cases using proprietary CRM software.
  • Recognized for delivering excellent service while balancing high call volumes.

Customer Service Representative

HHA Home Care
New York, New York
02.2018 - 06.2020
  • Scheduled appointments, managed high-volume phone lines, and addressed insurance inquiries.
  • Protected sensitive patient data while supporting HIPAA compliance.
  • Organized electronic files to streamline claim processing and improve turnaround times.
  • Provided consistent front-line support to patients, improving overall satisfaction scores.
  • Supported daily operations, ensuring smooth workflow in a fast-paced environment

Education

High School Diploma -

Henry Snyder H.S.
Jersey City, NJ

Skills

  • - Healthcare Claims Processing & Eligibility Verification -
  • Remote Patient Support & Call Center Expertise
  • Conflict Resolution & De-escalation Techniques
  • CRM & Data Entry Systems (Typing: 49 WPM) -
  • HIPAA Compliance & Confidential Data Handling
  • Microsoft Office Suite Zoom MS Teams -
  • Multi-Tasking in High-Volume Environments -
  • Benefits Verification & Client Intake

Timeline

Health Information Operations

Datavant
06.2023 - 12.2025

Healthcare Customer Service Representative

Vitability
09.2020 - 04.2023

Customer Service Representative

HHA Home Care
02.2018 - 06.2020

High School Diploma -

Henry Snyder H.S.
Shinice Lezama