Shaneka Sims is seeking an administrative position that allows for growth. She has over 7 years of administrative experience and 20 years of customer service experience. She is proficient in Outlook and Excel. Her experience includes an externship in a medical office setting where she created patient encounters, monitored insurance eligibility, and maintained accurate billing. Her professional experience includes roles in customer service, merchandising, loan servicing administration, and billing. She has a diploma in Medical Billing/Administration and an Associate's degree in Medical Assisting.

1. Shaneka S. Sims 773-587-9146
2121 E WarmSpringsRd.,Las Vegas,NV 89119 shaneka_sims@yahoo.com
OBJECTIVE
To obtaina positioninwhichIcan utilize myskillsandaccomplishmentstoallow me the opportunityfor
growth.
HIGHLIGHTS AND QUALIFICATIONS
 Over7 yearsof Administrativeexperience.
 Over20 yearsof Customerservice experience.
 ProficientinOutlookandExcel.
 Great abilitytoworkindependentlyoroperate asa teamplayer.
 Adaptquicklytochangesinpriorities.
 Completedexternshipinamedical office setting.
CLINICAL EXTERNSHIP
 Createdpatientencounters,accuratelydocumentingpatients’visitsusingthe
appropriate billingdata.
 Monitoredandverifiedinsurance eligibility.
 Maintained accurate billingof clientsprocedures,assuringaccurate billingadjustments.
 Gatheredappropriate documentationforclaimssubmissions.
PROFESSIONAL EXPERIENCE
2016-Present Sutherland Global Services, Customer Service Consultant, Las Vegas, NV
 Certified Consultant for MetLife Short Term Disability.
 Answers all inbound calls and service customers within HIPAA standards.
 Initiate Short Term, Long Term Disability and FMLA requests.
 Document case files and prepare for Case Management review.
 Call handling adherence.
2013-Present Target Corporation, Overnight Merchandising, Las Vegas, NV
 Effectivelycommunicatesmerchandise needstoitsappropriate placesforoptimal
display.
 Deliveredaclean,neat,easytoshop store environment.
 Adheredtolosspreventioncontrol andcompliance procedures.
2015-2016 Customer Contact Channels, Customer Care Advocate, Las Vegas, NV
 Third-party company contracted by United Healthcare for Medicare and
Retirement.
 Answers all inbound calls from members within HIPAA standards.

2.  Educate members on current insurance coverage and future benefits for current
and next year’s plan including the four stages of coverage for true out of pocket
cost for prescriptions.
 Search and assign Primary Care Physicians.
 Set clinical appointments for members.
 Research and solve issues with denied claims.
 Researching alternative prescriptions drugs on formulary using OptumRX.
2013-2015 Enterprise Recovery Systems, Loan Servicing Administrative, Woodridge, IL
 ProcessedConsolidationand RehabilitationdocumentsforFederal StudentLoans.
 Processedpaymentplansforrehabilitationprograms.
 Auditedincomingcorrespondencepertainingtothe documentsprocessed.
 Adheredtofederal compliance guidelines.
2006-2012 Kemco Trucking, Billing Auditor, Elk Grove, IL
 Dailybillingandweeklyinvoicingof over$100,000 inrevenue.
 Monitoredanddocumentedarrival of deliveries.
 Scheduledresidentialandcommercial deliveryandpick-upappointments.
 Mediumto highvolume call atmosphereinwhichcalls were directedtothe appropriate
recipients.
 Conductedon-the-spotcustomerquotes.
EDUCATION
2012-2013 Sanford-BrownCollege,DiplomainMedical Billing/Administration,Hillside,IL
2003-2005 NorthwesternCollege,A.A.SinMedical Assisting,Chicago,IL