Jessica Shelton
Joliet
Summary
Efficient Prior Authorization Specialist known for high productivity and ability to complete tasks swiftly. Possess specialized skills in insurance verification, medical coding (ICD-10 and CPT), and regulatory compliance. Excel at communication, and time management for effective quality service
Overview
15
15
years of professional experience
Work History
Authorization Specialist
Teleperformance USA
Joliet
10.2024 - Current
- Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
- Tracked progress of each referral throughout its lifecycle from submission through authorization or denial notification.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services using online databases and contacted insurers directly when needed
- Maintained policy, procedures, and work instructions for quality and continuous improvement
Postal Support Employee
United States Postal Service
Aurora
11.2022 - Current
- Train new employees and conducted a variety of clerical duties to assist with incoming and outgoing mail.
- Operated equipment or manually aid with sortation and distribution of mail.
- Ensured and maintained the flow of assortment at all times.
Delivery Driver
Instacart
Joliet
04.2022 - 11.2022
- Received and processed shopping list requests for online orders sent through a mobile app.
- Travelled to retail store of choice, scanned each item on grocery list, and paid for items using company-issued card.
- Delivered orders to customer locations within specified timelines to maintain quality customer service.
- Worked independently in a minimally structured environment.
- Remained flexible, calm under pressure, and dependable.
Housekeeper
Silver Cross Hospital
New Lenox
04.2019 - 04.2022
- Answered inbound calls, trained new hires, and cleaned all areas of the facility in accordance with procedures.
- Worked independently with minimal supervision and met established deadlines.
- Promoted and engaged in proper safety and infection control practices.
- Respected patient privacy and maintained confidentiality standards.
Cafeteria Worker
Sunny Hill Nursing Home
Joliet
09.2014 - 11.2018
- Trained new employees and performed skilled tasks necessary for the preparation and serving of meals.
- Communicated effectively with residents and staff and resolved complaints.
- Met standards of local, state, and federal health and safety regulations.
- Established priority order of tasks necessary to complete an assignment.
Shift Manager / Key Holder / Customer Service
McDonald's
Joliet
04.2010 - 11.2014
- Supervised 15 employees, opened and closed the store, trained employees, and prepared bank deposits.
- Analyzed labor cost, executed safe counts, delegated task, and took inventory.
- Performed various tasks including food production and serving customers at the drive thru.
- Took orders, operated cash register, accepted payments, and made accurate change.
- Worked in a fast paced, team environment and communicated effectively with customers and co-workers.
Education
Associate of Science Degree - Healthcare Accounting
Ultimate Medical Academy
01.2023
Skills
- Claims Processing
- Revenue Cycle
- Data Entry
- Medical Billing
- Reimbursement Cycle
- Bookkeeping
- Invoicing Reconciliation
- Payroll Accounting
- Payroll Taxes
- Balance Sheets
- Medical Records Management
- Financial Statements/Reporting
- Financial Auditing
- General Ledger
- Medical Terminology
- EOBs (Explanation of Benefits)
- Government/Third Party Payers
- Medicare/Medicaid
- Introduction to ICD-10
- CPT
- HCPCS
- HIPAA Compliance
- Interpersonal Communications
- Accounts Receivable (A/R)
- Accounts Payable (A/P)
- Payment Posting
- Insurance verification
- Authorization processing
- Attention to detail
- Chemotherapy infusion
High Academic Honors
- Dean's List
- Honor Roll
Key Qualifications
- Claims Processing
- Revenue Cycle
- Data Entry
- Medical Billing
- Reimbursement Cycle
- Bookkeeping
- Invoicing Reconciliation
- Payroll Accounting
- Payroll Taxes
- Balance Sheets
- Medical Records Management
- Financial Statements/Reporting
- Financial Auditing
- General Ledger
- Medical Terminology
- EOBs (Explanation of Benefits)
- Government/Third Party Payers
- Medicare/Medicaid
- Introduction to ICD-10
- CPT
- HCPCS
- HIPAA Compliance
- Interpersonal Communications
- Accounts Receivable (A/R)
- Accounts Payable (A/P)
- Payment Posting
Timeline
Authorization Specialist
Teleperformance USA
10.2024 - Current
Postal Support Employee
United States Postal Service
11.2022 - Current
Delivery Driver
Instacart
04.2022 - 11.2022
Housekeeper
Silver Cross Hospital
04.2019 - 04.2022
Cafeteria Worker
Sunny Hill Nursing Home
09.2014 - 11.2018
Shift Manager / Key Holder / Customer Service
McDonald's
04.2010 - 11.2014
Associate of Science Degree - Healthcare Accounting
Ultimate Medical Academy