Shaliece Lewis

Authorization and healthcare operations professional with 10+ years of experience in medical administration, insurance verification, prior authorization, patient registration, and customer service. Experienced in reviewing sensitive healthcare information, applying insurance guidelines, maintaining HIPAA compliance, and processing documentation accurately within established timeframes. Strong attention to detail, medical terminology knowledge, and ability to manage high-volume work while delivering professional customer service.

Authorization Specialist 2 - CENTENE - Remote

(2021-11)

• Process prior authorization requests accurately and within established turnaround times.
• Review authorization information and supporting documentation to ensure completeness and accuracy.
• Prepare and process authorization forms for multiple insurance companies while following payer requirements.
• Provide professional customer service to patients and other stakeholders by phone, email, and in person.
• Maintain current knowledge of insurance guidelines, regulations, and authorization procedures.
• Handle sensitive healthcare information in accordance with HIPAA and company policies.

Senior Pre Service Specialist - Cerner - Kansas City, MO

(2019-04 - 2021-11)

• Ensured pre-service activities followed applicable policies, procedures, and compliance requirements.
• Provided customer service to internal and external customers through phone, email, and in-person interactions.
• Registered patients and accurately collected financial responsibility and demographic information.
• Obtained signatures for financial responsibility and treatment procedures from patients or guardians.
• Obtained prior authorization by contacting insurance companies and documenting required information.

Outpatient Registration Representative - The University of Kansas Health System - Kansas City, KS

(2017-04 - 2019-04)

• Prepared and maintained patient registration documentation, including insurance forms and records.
• Verified insurance coverage prior to patient treatment and registration.
• Processed patient payments using cash registers and point-of-sale terminals.
• Followed hospital policies and procedures while registering patients and handling sensitive information.
• Provided accurate and professional service to patients during the registration process.

Associate Degree - Medical Billing and Coding - Pinnacle Career Institute (2012-11)