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Meshondria Spears

Meshondria Spears

CLIENT BENEFITS REPRESENTATIVE | HEALTHCARE OPERATIONS

Talent
WalkerMember since September 23, 2026
HEDIS AbstractionPrior AuthorizationInsurance VerificationBenefits AdministrationNCQA Standards
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HEDIS AbstractionPrior AuthorizationInsurance VerificationBenefits AdministrationNCQA Standards

About

Results-focused healthcare operations and client benefits professional with 8+ years of experience supporting members, patients, providers, and financial-service workflows. Brings proven strength in HEDIS abstraction, prior authorization, appeals, benefits administration, insurance verification, and confidential records management. Known for accuracy, clear communication, and dependable performance in fast-paced remote environments.

Experience

HEDIS Abstractor / Certified Medical Assistant at BCforward / Elevance Health / CareNational (2022-01 – 2026-05)

  • Reviewed and abstracted 100+ medical records daily for HEDIS compliance and quality reporting.
  • Applied NCQA standards to identify care gaps, validate clinical documentation, and support audit readiness.
  • Contributed to quality-improvement and population-health initiatives while consistently meeting productivity expectations.

Billing / Appeals Specialist / Benefits Specialist at Randstad / Alight (2023-08 – 2024-03)

  • Resolved complex billing discrepancies, claims concerns, benefit issues, and appeal cases with accuracy.
  • Supported medical, dental, vision, disability, and retirement programs while maintaining strict compliance.

Care Coordinator / Medical Assistant / Prior Authorization Specialist at Ochsner Health (2019-12 – 2021-05)

  • Coordinated prior authorizations, referrals, insurance requirements, patient outreach, and care activities.
  • Partnered with providers and patients to close quality gaps and support positive healthcare outcomes.

Medical Assistant / Medical Transcriptionist at Baton Rouge General (2017-06 – 2019-12)

  • Provided patient intake, clinical documentation, scheduling, transcription, and organized records support.
  • Completed insurance verification and authorization tasks while protecting confidential patient information.

Tax Preparation Specialist at Faith vs Fate Taxes LLC (2021-01 – Present)

  • Prepare and review individual and small-business tax returns while maintaining IRS compliance and confidentiality.
  • Deliver clear tax education and responsive client support throughout the filing process.

Amazon Flex Delivery Driver at Amazon Flex (2024-03 – 2026-09)

  • Managed time-sensitive delivery routes, customer interactions, and changing priorities in the field.
  • Maintained delivery accuracy and route efficiency in a fast-paced, independent work environment.

Education

Certifications & Training

Certified Medical Assistant (CMA) • Certified Clinical Medical Assistant (CCMA) • CPR/BLS Certified

Skills

CLIENT BENEFITS REPRESENTATIVEHEALTHCARE OPERATIONS

Reviews