Shenika Carson

Senior Process Executive-Data

Dallas, TX 75287

ad0ajo@r.postjobfree.com

+1-214-***-****

Highly skilled and detail-oriented professional with extensive experience in medical claims processing, data analysis, and administrative support. Proven track record in accurately pricing professional claims, configuring benefits and payment systems, and providing excellent service to clients and medical providers. Adept at utilizing Microsoft Excel, Teams, and SharePoint to streamline processes and drive efficient workflow. Strong communication skills, attention to detail, and ability to multitask effectively in fast-paced environments. Committed to delivering exceptional results and contributing to the success of healthcare organizations as a Medical Billing Specialist. Willing to relocate to: Denver, CO - Las Vegas, NV Authorized to work in the US for any employer

Work Experience

Senior Process Executive-Data

Cognizant Technology Solutions - Remote

January 2022 to Present

• Intermediate/Advanced Excel Access, PowerPoint, Word, and other Microsoft products

• Processed and priced an average of 300 professional claims daily with a 99% accuracy rate.

• Utilized data analysis techniques to create pivot tables and generate actionable insights for business stakeholders.

• Identified and resolved implementation barriers, contributing to a 20% increase in system adoption and user satisfaction.

• Conducted detailed analysis on assigned projects, recommending and implementing business solutions that resulted in a 15% reduction in operational costs.

• Collaborated with bots to automate repetitive tasks, reducing manual effort by 30% and improving overall efficiency.

• Utilized Microsoft Teams, SharePoint, and Excel on a daily basis to streamline communication and data management processes.

Executive Administrative Assistant to CEO

Kids' Kastle PPEC - Madison, MS

September 2018 to December 2021

• Verified Medicaid eligibility for 100+ patients per month, ensuring accurate billing and maximizing reimbursement.

• Assisted in onboarding 15+ new employees, facilitating a smooth transition and ensuring compliance with pre-employment requirements.

• Prepared and monitored expense reports and purchase orders.

• Conducted general data entry duties, managed office administration tasks, and provided payroll assistance.

• Submitted and corrected medical claims, communicated with medical providers, and performed medical billing and coding.

• Managed accounts receivable and ordered medical supplies.

• Assisted with pre-employment processing, maintained administrative records, and prepared reports as assigned.

• Handled various administrative duties and maintained employee files. Administrative Assistant

Quality Healthcare, Inc. - Ridgeland, MS

October 2017 to September 2018

Mail, fax, or arrange correspondence to clients

Medical Records

Submit Medical Claims

Receive and place telephone calls.

Make photocopies of correspondence, documents, and other printed matter. Draft and type office memos.

Transmit information or documents to customers, using computer, mail, or facsimile machine. File and maintain records.

Collect, sort, distribute, or prepare mail, messages, or courier deliveries. Keep a current record of staff members' whereabouts and availability. Customer Service Representative

Conduent - Madison, MS

October 2016 to October 2017

I work on the Humana Campaign for Conduent I am

In Bound Call Center

Trained in Billing & Enrollment, Pharmacy, Medical Claims, & Medical Benefits As well as IPA Trained

EOL Inspector

Kasai - Canton, MS

March 2016 to October 2016

• Ensure quality of manufactured goods.

• Inspect goods as they are finished.

• Perform quick visual inspections

• Approves finished products by confirming specifications; conducting visual and • measurement tests; returning products for re-work; confirming re-work

• Documents inspection results by completing reports and logs; summarizing re-work and waste

• Record pass/fail grade of products.

• Produce detailed reports.

• Observe dials, gauges and indicators to make sure that a machine is working properly Front End Supervisor

Kroger - Pearl, MS

August 2015 to March 2016

• rings up purchases

• answers questions about products, policies, and services

• Responsible for taking money in the form of cash, check, or credit card from patrons in exchange for food or services

• Greet customers and ask if they want paper or plastic.

• Scans items, provides change, balances drawer, and processes card transactions

• Assist with placement of orders, refunds, or exchanges.

• Resolve customer complaints via phone

• Balance the Safe for the Store

• Send and receive money from Western Union

Barista

Starbucks - Mesquite, TX

May 2014 to February 2015

• Clean or sanitize work areas, utensils, or equipment.

• Check temperatures of freezers, refrigerators, or heating equipment to ensure proper functioning.

• Describe menu items to customers or suggest products that might appeal to them.

• Order, receive, or stock supplies or retail products.

• Prepare or serve hot or cold beverages, such as coffee, espresso drinks, blended coffees, or teas.

• Receive and process customer payments.

• Set up or restock product displays.

ER Admitting Clerk

Central Mississippi Medical Center - Jackson, MS

August 2014 to January 2015

• Enter and verify that all patient demographics and billing information correctly entered/verified at time of check in

• Process encounters daily for and balance to co-payments.

• Collect balances due at time of check in.

• Answer phones

• Obtain signed statements

• Record payments

• Keep admission desk clean and organized.

• Perform insurance data entry

• Ensure all papers are properly filled out and input into system. Insurance Verification/ Processing

Clerical Assistant

Jackson State University - Jackson, MS

September 2010 to December 2013

• Answer phone calls and direct calls to appropriate parties or take messages.

• Greet visitors and determine whether they should be given access to specific individuals.

• File and retrieve corporate documents, records, and reports.

• Provide clerical support to other departments.

• Type, format, proofread, and edit correspondence and other documents, from notes or dictating machines, using computers or typewriters.

• Complete work schedules, manage calendars, and arrange appointments.

• Deliver messages and run errands.

• Troubleshoot problems involving office equipment, such as computer hardware and software. Education

CCMA in Medical Assistant

Institute of health & Technology - Jackson, MS

August 2017 to June 2018

High School Diploma

Jim Hill High School - Jackson, MS

2006 to 2010

Skills

• Microsoft Word (8 years)

• Excel (10+ years)

• Adobe (8 years)

• Administrative Assistant (3 years)

• e-verify (1 year)

• Call Center (2 years)

• Cash Handling (10+ years)

• Cashier (6 years)

• Medical Records (5 years)

• Insurance Verification (5 years)

• Data Entry (5 years)

• Administrative Support

• Executive Administrative

• Customer Service (10+ years)

• EMR Systems

• Software Troubleshooting

• Coffee Experience

• Experience Administering Injections

• Medical Office Experience

• Medical Coding

• Patient Care

• Venipuncture

• Proofreading

• Medical Billing

• Help Desk

• ICD-10

• Calendar management

• Personal assistant experience

• Multi-line phone systems (5 years)

• Medical scheduling

• Microsoft Excel

• Accounts receivable

• Windows

• Documentation review

• Medicare

• Medical Terminology

• HIPAA

• Vital Signs

• Filing

• Anatomy Knowledge

• CPT coding (3 years)

• Medical office management (3 years)

• Organizational Skills

• Front Desk

• Microsoft Outlook

• Conflict management

• Google Docs

• Computer literacy

• Negotiation

• Zendesk

• Multi-line phone systems

• Multi-line phone systems

• Constant Contact

• VoIP

• Microsoft Powerpoint

• Epic

• Basic life support (4 years)

• Clerical Experience

• Hospital Experience

• Phlebotomy

• Time management

• English

• Customer support

• Administrative experience

• Microsoft Office

• Accounts payable

• Marketing

• Social media management

• Editing

• AS400

• Operating systems

• SharePoint

• Human resources

• Pivot tables

• System design

• Active Directory

• SharePoint (3 years)

• Workday

• Communication skills

• Office experience

• QuickBooks

• HCPCS

• ICD-9

• EHR systems

• Hospitality

• Banking

• Travel planning

• Data collection

• Microsoft Access

• Employee relations

• Computer skills

• Typing

• Phone etiquette

• Data analytics (3 years)

Certifications and Licenses

Certified Medical Assistant (AAMA)

August 2018 to August 2020

Certification# S7H4N8W6

Certified Notary Public

Food Handler Certification

BLS Certification

Assessments

Working with MS Word documents — Proficient

January 2022

Knowledge of various Microsoft Word features, functions, and techniques Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

• Proficient in Microsoft Office Words, Excel, etc.

• Certified Inspector

• Customer and Personal Service

• Active Listening

• Critical Thinking

• Reading Comprehension

• English Language

• Judgment and Decision Making

• Persuasion

• Clerical

• Time Management

• Active Learning

• Ability to multitask

• Knowledge of basic mathematics and payment processing

• Ability to multitask

• Knowledge of basic mathematics and payment processing

• Computer experience, with fast, accurate typing skills

• Strong organization abilities and attention to detail

• Outstanding customer service skills

• Ability to remain calm and professional, even in emergency situations

• Understanding of medical terminology and standard insurance forms

Contact this candidate