Shelvie Mosley
Winston-Salem
Summary
Patient support professional with 10-years of experience supporting patients in major healthcare systems Strong knowledge of medical payment plans such as Medicare, Medicaid, and healthcare insurance Superb customer service standards within the healthcare industry, focusing on ensuring all needs are met Trained & conscientious of patient data protections, such as the Health Insurance Portability & Accountability Act (HIPPA) Experienced with the patient referral process Proficient user of Microsoft Office tools such as Outlook, Excel, & PowerPoint Strong organizational skills that allow for quick adaptation and multi-tasking Skilled with communicating with consumers via telecommunications.
Overview
10
10
years of professional experience
Work History
Insurance Specialist
Novant Health
10.2021 - Current
- Responsible for Follow Up on encounters with no payer response, analyzing patient accounts, performing the appropriate steps or actions needed to satisfy the account balance, and handling inquiries regarding patient’s account
- Resubmit claims as needed
- Excellent communication and organizational skills required
- Ability to successfully complete generic and department specific skills validation and competency testing
- Must display excellent customer service skills and excellent computer skills
- Must be able to multi-task and be a team player
- Must be able to work overtime as required
- Must be self motivated, able to work independently without constant supervision and a critical thinker
- Must be flexible, able to meet deadlines and adaptable to change
- Ability to communicate effectively and professionally
- Detail oriented and strong organizational skills
- Aware of HIPAA laws
- Familiar with Microsoft Office Applications
- Must be able to manage time with tasks assigned
- Basic medical terminology
- Insurance guidelines
Patient Service Coordinator III
Novant Health
12.2018 - 01.2021
- Complete patient registration quickly and accurately during each visit while providing a pleasant patient experience
- Process patient copays and insurance/Medicare/Medicaid information
- Provide administrative support for all healthcare providers at the clinic
- Confirm and update patient information
- Schedule patient appointments and receive patient phone calls for the clinic
- Direct the patient flow within the clinic to minimize patient wait times
- Comply with all healthcare privacy and security laws and policies, such as HIPA
Patient Access Specialist
Wake Forest Baptist Medical Center
11.2017 - 10.2018
- Collect emergency room patient demographics using a bedside process
- Process patient copays and insurance/Medicare/Medicaid information
- Confirm and update patient information
- Ensure high standards of customer service are met during each visit
Patient Access Specialist
Novant Health
07.2016 - 08.2018
- Coordinate patient appointments for occupational and speech therapy
- Process patient copays and insurance/Medicare/Medicaid information
- Confirm and update patient information
- Ensure high standards of customer service are met during each visit
Customer Service Representative
Novant Health
04.2015 - 07.2016
- Take inbound and outbound calls with patience to support their needs
- Verify active insurance coverage for patients
- Communicate with patient legal counsel regarding relevant patient billing matters
- Update patient demographics during calls when applicable
Education
High School -
West Forsyth High School
Clemmons, NC05.2000
Skills
- Patient support
- Medical payment plans
- Customer service
- Patient data protection
- Patient referral process
- Microsoft Office
- Organizational skills
- Telecommunications
- Communication skills
- Team player
- Self-motivated
- Critical thinking
- Flexibility
- Deadline management
- Detail oriented
- Basic medical terminology
- Insurance guidelines
Timeline
Insurance Specialist
Novant Health
10.2021 - Current
Patient Service Coordinator III
Novant Health
12.2018 - 01.2021
Patient Access Specialist
Wake Forest Baptist Medical Center
11.2017 - 10.2018
Patient Access Specialist
Novant Health
07.2016 - 08.2018
Customer Service Representative
Novant Health
04.2015 - 07.2016
High School -
West Forsyth High School
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