TRUDENCE SHAW
Horn Lake,MS
Summary
Insurance professional with in-depth experience in verifying insurance coverage and handling patient information to ensure smooth operations. Known for reliability and adaptability in dynamic environments, contributing effectively to team goals. Proficient in utilizing verification systems and maintaining comprehensive records while displaying strong attention to detail and collaborative mindset. Successfully identified discrepancies and facilitated resolutions to improve workflow and reduce claim denials.
Overview
5
5
years of professional experience
Work History
Insurance Verification Specialist
Evolent Health
11.2021 - Current
- Executed high-volume insurance verifications under tight deadlines to facilitate efficient medical operations.
- Conducted comprehensive insurance verifications to ensure accurate patient billing and claims processing.
- Resolved discrepancies in patient information and coverage details through collaboration with healthcare providers.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Supported team operations and communication while working remotely.
Patient Benefit Specialist
Change Health Care
09.2022 - 04.2024
- Coordinated verification of patient benefits eligibility and enrollment for various insurance plans, facilitating access to care.
- Acted as a liaison between patients, providers, and insurance companies to resolve claim issues and facilitate timely reimbursement.
- Reduced denied claims by ensuring accurate and thorough completion of paperwork for clients.
- Guided patients in navigating coverage options, copays, and out-of-pocket expenses to enhance their understanding.
- Worked remotely to manage tasks and communications effectively.
Patient Registration Representative
Solarity
06.2021 - 09.2022
- Monitored insurance verification processes to reduce billing discrepancies and improve revenue cycle outcomes.
- Coordinated patient information collection to ensure accurate data entry into electronic health record systems.
- Managed appointment scheduling, optimizing provider availability and enhancing patient satisfaction
- Managed patient registration process to achieve accurate, timely data entry and streamline patient onboarding.
- Remote
Education
Gratham University
Lenexa, KSSkills
- Customer Service
- HIPAA Compliance Awareness
- Claims Processing
- Insurance Coverage Verification
- Quality Assurance
- ICD-10-cM coding
- Patient Registration
- Eligibility Determination
- Call Center Experience
- Prior Authorization Process
- Patient Account Management
- Benefits Administration
Timeline
Patient Benefit Specialist
Change Health Care
09.2022 - 04.2024
Insurance Verification Specialist
Evolent Health
11.2021 - Current
Patient Registration Representative
Solarity
06.2021 - 09.2022
Gratham University