Shadasha Mann
@shadashamann
Remote customer service leader delivering accurate, patient-focused support.
What I'm looking for
I’m a remote customer service representative with 6+ years of experience supporting healthcare programs and customers through complex billing and eligibility questions. I’m known for resolving issues promptly while maintaining compliance and a professional, positive demeanor.
At MAXIMUS, I provided inbound support for Medicaid and CHIP, including eligibility, claims, and benefits explanations. I maintained 98% accuracy on call documentation and compliance audits, and helped members with plan enrollment and sensitive medical inquiries. I also supported the launch of a new member portal through effective onboarding assistance.
Earlier, at Amazon, I handled billing inquiries, product and service issues, and documented customer interactions using call center software. I escalated complex cases as needed, guided customers through self-service options and online portals, and worked to resolve complaints quickly to protect satisfaction and outcomes.
In healthcare claims work, I process CPT/REV codes and other coding elements, review insurance claims for accuracy and compliance, and support patient registration, insurance verification, and referral processing. I’m committed to HIPAA-compliant documentation, eligibility screenings for financial assistance programs, and clear cross-department communication to improve the patient experience.
Experience
Work history, roles, and key accomplishments
Medical Coding Specialist
Qualcode, Inc.
Jan 2026 - Present (5 months)
Provided coding review and claims support with additional assistance for compliance and coding education. Supported accurate coding and related documentation to help ensure quality and policy adherence.
Healthcare Claims Specialist
Sutherland Global
May 2022 - Present (4 years 1 month)
Processed CPT/REV codes, service/diagnosis codes, modifiers, and hold codes while reviewing insurance claims for accuracy, completeness, and compliance. Managed patient registration, insurance verification, referral processing, eligibility screenings for financial assistance, and patient admission coordination with accurate documentation.
Healthcare Customer Service Rep
Maximus
Feb 2023 - Apr 2025 (2 years 2 months)
Provided inbound customer service for Medicaid and CHIP programs, including eligibility, claims, and benefits explanation. Maintained 98% accuracy on call documentation and supported plan enrollment and sensitive medical inquiry resolution, including onboarding for a new member portal launch.
Remote Call Center Rep
Amazon
Jul 2019 - Feb 2023 (3 years 7 months)
Handled inbound customer calls for billing inquiries, product information, and service-related issues. Used call center software to document interactions, update profiles, resolve complaints, and guide customers to self-service and online portals, escalating complex cases as needed.
Education
Degrees, certifications, and relevant coursework
Academy of Richmond County
High School Diploma
Earned a High School Diploma from Academy of Richmond County.
Augusta University
Bachelor's degree, Business Management & Analysis
Completed a bachelor's degree, with coursework aligned to business management and analysis.
Availability
Location
Authorized to work in
Job categories
Skills
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