Open to opportunities

Shaquiana Dandridge

@shaquianadandridge

Message

Experienced healthcare specialist with a focus on claims processing.

United States

Message

What I'm looking for

I am looking for a role that allows me to leverage my healthcare expertise while providing opportunities for professional growth and development.

I am an experienced healthcare specialist with over 5 years of expertise in claims processing, medical records retrieval, and customer service. My career has been marked by a proven track record of improving claim retrieval efficiency and ensuring HIPAA compliance. I excel in making outbound calls to medical providers and insurance companies, adeptly solving complex claims issues while maintaining a high level of accuracy in updating claim data.

In my current role as a Clinical Intake Coordinator at Highmark BCBS, I make over 70 outbound calls daily, successfully resolving 90% of requests on the first call. My commitment to customer service is reflected in my ability to provide exceptional support to members, achieving a 90% customer satisfaction score. I am passionate about enhancing operational efficiency and am always looking for ways to improve processes and outcomes in the healthcare industry.

Experience

Work history, roles, and key accomplishments

Current

Clinical Intake Coordinator

Current

Highmark BCBS

Jul 2024 - Present (10 months)

Responsible for making over 70 outbound calls daily to retrieve medical records and assist with claims follow-up. Achieved a 90% resolution rate on first calls and consistently met performance targets.

Time Management

Senior Markets Member Service Representative

Highmark BCBS

Oct 2023 - Mar 2024 (5 months)

Provided exceptional customer service to over 100 members weekly, resolving inquiries about insurance benefits and claims. Maintained a 90% customer satisfaction score and exceeded performance targets.

Claims Analyst

Synergy Laboratories

Jul 2022 - Sep 2023 (1 year 2 months)

Analyzed and processed over 200 claims monthly, ensuring compliance and reducing discrepancies by 25%. Collaborated with medical providers and insurance companies to expedite claim resolutions.

Medical Terminology

Medical Claims Specialist

Trubridge

Jan 2020 - Jul 2022 (2 years 6 months)

Managed claims for over 100 clients weekly, ensuring accurate documentation and timely submissions. Collaborated with healthcare providers to resolve claims issues and reduce payment discrepancies.

Education

Degrees, certifications, and relevant coursework

Faulkner State College

Associate in Science, Business Administration

Completed an Associate in Science degree with a focus on Business Administration, gaining foundational knowledge in business principles and practices.