SHELONDA LINDSEY

***** ****** ****. / (C) 214-***-****/ adu01n@r.postjobfree.com

Job Experience

Includes reviewing patient records, examining claims, checking insurance eligibility, collecting payments, identifying coding errors, explaining medical benefits to providers and patients, and maintaining patient databases. Assisting the clinicians in the Medical Management department with their provider and member activities across the company as needed.

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Professional Skills:

Adaptability

Attention to detail

Problem-solving

Oral communication

Productivity

Time management

Conflict resolution

Multitasking

Organization

Customer service

All phone systems

Data entry

Event planning

Typing 45WP

All MS Application/programs

Computer proficiency.

Leadership experience.

Communication skills.

Organizational know-how.

People skills.

Collaboration talent.

Problem-solving abilities

Collections/Claims

Professional Summary

Experienced extensive knowledge in office management software. Proven office and personnel management skills, with equal ability in lead and support roles. Competencies include record keeping, document management, personnel support and report presentation. Also Hardworking and versatile Skills with proven organizational skills and thorough knowledge of corporate policies and procedures. Excellent communication and people skills with extensive strategic planning capabilities.

Work History

Blue Cross Blue Shield of TX (09-03-2011/05-13-2022)

Credentialing Rep. Specialist: My duties were verifying the professional licenses and certifications of medical staff. Also making sure that federal and state standards are met, and I also assisted auditors and help keeping a facility's accreditation.

Behavioral Health Advocate: My primary responsibility in this role is answering calls from Provider and members. The majority of the day will be answering inbound calls from mostly providers quoting behavioral benefits for the members they were seeing in their facilities.

Medical Intake Representative: Responds to all calls for information, response of patients, and inquiries about services offered and assists callers with accessing the most appropriate level of service and service provider to meet the needs of the patient.

Healthcare Coordinator: This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, performing data entry, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities

Education

Strayer University 04/2018- 04/2024

Business Management/Administration/Currently Attending, (On Line)

9000 W Chester St. M

Milwaukee, WI 53214

Objective

Highly self-motivated achiever driven to set and attain goals. Team player, with strong interpersonal time management, and organization skills. Able to communicate effectively, with various personality types, while exhibiting leadership, a professional attitude, and appearance. Computer literate, aggressive, persistent, and able to work well independently.

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