Sonia Misajlovski
Shelby Charter Township
Summary
Results-driven professional with significant experience in data integrity and compliance in healthcare. Proficient in records management, including document cataloging, file coordination, and processing destruction requests. Demonstrates strong critical-thinking, multitasking, and problem-solving skills alongside advanced technical capabilities.
Overview
5
5
years of professional experience
Work History
Member Records Specialist
NationsBenefits
05.2025 - Current
- Maintain and audit member healthcare benefit data within a HIPAA-compliant digital portal to ensure seamless patient access to care.
- Verify the accuracy of digital medical documentation and update records to ensure data consistency across the platform.
- Adhere to strict institutional privacy protocols while managing sensitive Protected Health Information (PHI).
Key Account Manager - Hospital & Healthcare Accounts
ALTA Language Services
12.2023 - 02.2025
- Managed compliance, documentation accuracy, and data integrity for hospital and healthcare system accounts.
- Coordinated provider language-proficiency testing and medical interpreter services in compliance with Section 1557 requirements.
- Audited provider credentials and records to resolve discrepancies and ensure accurate reporting.
- Partnered with hospital administrators to streamline workflows while maintaining strict confidentiality and data protection standards.
Claims & Records Specialist
GWC Warranty
02.2022 - 12.2023
- Processed and verified high-volume digital claims and contract documentation in a fully paperless environment.
- Maintained precise indexing and secure electronic records, with a focus on accuracy and compliance.
- Supported time-sensitive workflows requiring exceptional attention to detail and documentation integrity.
- Conducted regular audits of records to identify discrepancies and improve accuracy.
- Utilized software tools to streamline record management processes across departments.
Data & Compliance Processor
AmeriSave Mortgage
11.2020 - 01.2022
- Audited mortgage and financial documentation to ensure compliance with federal regulatory requirements.
- Verified data accuracy using automated loan and compliance software systems.
- Managed a high-volume digital document pipeline with strict accuracy and turnaround standards.
Skills
- Data integrity and auditing
- Regulatory and compliance documentation
- HIPAA and Section 1557 knowledge
- Digital records management
- Confidential information handling
- Workflow accuracy and process improvement
- Healthcare administration
- Electronic records management
- Regulatory compliance
- Information confidentiality
- Electronic filing systems
- Compliance monitoring
- Database maintenance
Languages
English
Full Professional
Macedonian
Native/ Bilingual
Timeline
Member Records Specialist
NationsBenefits
05.2025 - Current
Key Account Manager - Hospital & Healthcare Accounts
ALTA Language Services
12.2023 - 02.2025
Claims & Records Specialist
GWC Warranty
02.2022 - 12.2023
Data & Compliance Processor
AmeriSave Mortgage
11.2020 - 01.2022