Open to opportunities

Shampriel Morton

@shamprielmorton

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Healthcare specialist with 10+ years improving eligibility, policy, and revenue operations.

United States

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What I'm looking for

I seek a role where I can apply policy, eligibility, and revenue-cycle expertise to improve compliance, patient advocacy, and operational efficiency within a collaborative healthcare organization.

I am a dynamic healthcare specialist with over a decade of experience delivering high-quality patient care, customer service, and operational improvements across health plans and provider organizations.

I have led policy and correspondence initiatives, drafted and revised clinical correspondence to meet NCQA, URAC, ERISA, and CMS standards, and created training materials to onboard staff effectively.

I consistently exceed productivity and quality metrics — submitting 50+ eligibility applications, processing high invoice volumes, and maintaining accurate confidential records in EPIC, EHRs, and financial systems while ensuring HIPAA compliance.

I combine strong analytical skills, policy knowledge, and interpersonal communication to advocate for patients, streamline workflows, and drive measurable improvements in eligibility determination, revenue cycle management, and compliance.

Experience

Work history, roles, and key accomplishments

Current

Correspondence Policy Specialist

Current

Magellan Health

Nov 2024 - Present (1 year 4 months)

Managed policy initiative projects and updated clinical correspondence templates on SharePoint to ensure compliance with NCQA, URAC, ERISA, and CMS standards, improving document quality and regulatory adherence.

Policy Analysis SharePoint Jira Project Management Regulatory Compliance

Eligibility Specialist II

Savista, LLC

Nov 2019 - Nov 2024 (5 years)

Exceeded productivity and quality metrics by 95%, submitting 50+ applications to secure Social Security Disability and Medicaid eligibility while coordinating with hospitals, case management, and government agencies.

Eligibility Verification Epic Microsoft 365 Patient Advocacy Documentation Revenue Cycle Management

Insurance Verification Specialist

JAX Spine & Pain Center

Mar 2019 - Nov 2019 (8 months)

Verified insurance eligibility and benefits for 60+ accounts, coordinated prior authorizations and referrals using Availity and EHR (eClinicalWorks), and supported claims resolution for pain management procedures.

Insurance Verification Availability Prior Authorizations Claims Resolution HIPAA compliance

Accounts Payable Specialist

Onsite Physio

Jan 2019 - Mar 2019 (2 months)

Processed ~80 invoices weekly, reducing payment processing time by 60% through negotiated vendor terms and efficient use of QuickBooks and Access to maintain accurate ledgers and support month-end close.

Accounts Payable Quickbooks Invoice Processing Financial Reporting

Medical Records Clerk

Right Path Behavioral Health

Sep 2018 - Dec 2018 (3 months)

Maintained confidential behavioral health records for 50+ clients, ensured HIPAA compliance, performed ICD-10 coding support, processed record requests, and conducted audits to maintain documentation quality.

Medical Records HIPAA compliance ICD 10 Coding Auditing Data Entry

Financial Representative

First Coast Service Options

May 2017 - Aug 2018 (1 year 3 months)

Processed Medicare Part A exchanges, conducted 50+ cost reviews and debt settlements, and led internal audits to ensure CMS compliance and accurate provider payment processing via internal portals.

Accounts Receivable SPOT Portal Debt Settlement

Provider Service Advocate

Novitas Solutions, Inc.

Oct 2012 - May 2017 (4 years 7 months)

Handled 50+ Medicare Part A/B inquiries, supported claims and appeals processing, and used CMS tools to explain coding and policy to providers, enhancing provider relations and claims resolution efficiency.

Provider Relations Appeals CM Tools Documentation Customer Service