Shyanne Jack Louis
West Palm Beach,FL
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
7
7
years of professional experience
4
4
years of post-secondary education
1
1
Certification
Work History
Insurance Verification Specialist
On-site Physical Therapy
05.2023 - 06.2024
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Answered phone calls and messages for 8-physical therapists scheduling appointments and handling patient inquiries.
Insurance Verification Specialist
American Medical Response Coweta Co
01.2022 - 12.2022
- Processed and contact insurance company's to determine if patients were cover for medical procedures and services.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
- Ensured compliance with all regulations related to patient privacy, safety, and transportation protocols.
After Hours Doctor Office
Call 4 Health
12.2017 - 08.2018
- Inbound answering service for after hour doctors office
- Process calls and take messages for medical provider along with scheduling appointments
- Understand and abiding by HIPAA guidelines
- Appointment scheduling
- Insurance verification
- Participated in quality improvement initiatives to optimize clinical processes and enhance overall patient care standards.
- Increased patient satisfaction with thorough assessments, clear communication, and empathetic bedside manner.
- Advocated for patient rights, ensuring ethical considerations were prioritized in all clinic operations and treatment decisions.
- Collected, recorded and maintained patient medical history, reports and examination results.
Education
License Practical Nurse - License Practical Nurse
Medical Institute of Palm Beach
Lake Worth, FL10.2025
Certificate in Medical Assisting -
Florida Career College
Boynton Beach, FL09.2021
High School Diploma -
Santaluces Community High School
Lantana, FL 08.2014 - 05.2018
Skills
- Eligibility Determination
- Data entry proficiency
- Medicaid knowledge
- Insurance Billing
- Patient contact
- HIPAA Compliance
- Medical terminology knowledge
- Medical record-keeping
- Medication Administration
- Healthcare regulations
- Pharmacy Knowledge
- Patient Scheduling
- Customer Service
- Patient confidentiality
- Insurance Coverage Verification
- Attention to Detail
Certification
- CMA - Certified Medical Assistant
- MT - Medical Technologist
- BLS- Basic Life Support Certified
Timeline
Insurance Verification Specialist
On-site Physical Therapy
05.2023 - 06.2024
Insurance Verification Specialist
American Medical Response Coweta Co
01.2022 - 12.2022
After Hours Doctor Office
Call 4 Health
12.2017 - 08.2018
High School Diploma -
Santaluces Community High School
08.2014 - 05.2018
License Practical Nurse - License Practical Nurse
Medical Institute of Palm Beach
Certificate in Medical Assisting -
Florida Career College
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