SSSabrina Shepherd
@sabrinashepherd
Detail-oriented Clinical Operation Technician with strong problem-solving skills.
United StatesWhat I'm looking for
I am a dedicated Clinical Operation Technician with a proven track record in healthcare operations and patient support. My experience spans various roles where I have honed my skills in communication, problem-solving, and data management. Currently, I work at Prime Therapeutics, where I review criteria for prior authorizations and ensure timely communication with healthcare providers and patients.
Throughout my career, I have consistently demonstrated my ability to manage complex tasks while maintaining a focus on quality and compliance. My previous roles as a Care Manager and Benefits Verification Specialist have equipped me with a deep understanding of medical billing processes and patient assistance programs. I pride myself on my attention to detail and my commitment to providing exceptional service to both internal and external stakeholders.
Experience
Work history, roles, and key accomplishments
Clinical Operation Technician I
Prime Therapeutics
Oct 2023 - Present (1 year 8 months)
Reviewed criteria to determine if a request could be approved and accurately entered Prior Authorizations in the claims system. Responded to complete requests by creating written communication of clinical outcome to members and their physicians within client-specific turnaround times.
Care Manager
Spectrum Staffing
Apr 2022 - Aug 2023 (1 year 4 months)
Managed single point of contact communication with providers and patients in a designated geographical area. Contacted insurance companies to perform appropriate benefit investigations and coverage eligibility to support the billing process.
Remote Benefits Verification Specialist
MMC Staffing
May 2021 - Mar 2022 (10 months)
Made outbound phone contact with various insurance companies regarding patient's benefits to verify specific program benefits. Reviewed all patient's insurance information needed to complete the benefits verification process.
Customer Care Representative
Burnett Specialists
Apr 2020 - Mar 2021 (11 months)
Authenticated callers and placed outgoing calls to Veterans regarding compensation and pension exams. Confirmed or rescheduled appointments and properly modified changes and documented information in OMS.
RMG Records and Imaging Clerk IV
Texas Department of Regulatory and Protective Service
Sep 2014 - Mar 2020 (5 years 6 months)
Served as the primary facilitator and subject matter expert to ensure program staff followed policy and procedures for submitting case records. Responsible for retrieving stored records when needed for case planning, audits, and legal issues.
Education
Degrees, certifications, and relevant coursework
Evan E. Worthing Senior High School
High School Diploma, General Studies
Grade: 3.0 GPA
Completed high school education and received a diploma in 1990. Achieved a 3.0 grade point average during the studies.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Salary expectations
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