Shavontae Jones
Meridian
Summary
Strategic healthcare administrator and fraud investigator with graduate-level training in Industrial-Organizational Psychology. Expertise in system analysis, workflow optimization, and data-informed decision-making to enhance organizational effectiveness. Strong background in compliance, client experience enhancement, and managing complex operations. Aiming to leverage analytical and interpersonal skills in an HR, administrative, or program-focused role.
Overview
4
4
years of professional experience
Work History
Patient Access Representative
Clinical Health Network for Transformation
Clearwater
01.2024 - Current
- Served as primary point of contact for patients, facilitating professional communication and effectively resolving inquiries
- Managed high-volume patient intake, scheduling, and registration processes, ensuring accuracy and HIPAA compliance
- Coordinate appointment scheduling, cancellations, and follow-ups to optimize patient flow and clinic efficiency
- Verify insurance eligibility and assist patients with financial screening and support resources
- Maintain and update electronic health records (EHR), ensuring accurate documentation of insurance, demographics, and medical information
- Collaborated with clinical staff to maintain continuity of care and ensure accurate information sharing
- Demonstrate strong multitasking and problem-solving skills in a fast-paced healthcare environment
Fraud Detection Specialist
PSCU
ST. PETERBURG
03.2022 - 08.2023
- Investigated suspicious financial transactions, identifying and preventing fraudulent activity
- Analyzed account patterns and transaction histories, detecting inconsistencies in behavioral data
- Collaborated with financial institutions and internal teams, resolving fraud cases to enhance response effectiveness
- Maintained detailed case documentation and ensured compliance with regulatory standards
- Utilized critical thinking and data analysis skills to minimize financial risk and protect clients
Education
Master of Science - Master of Science in Industrial-Organizational Psy
University of Phoenix
Tempe, AZ05-2027
Bachlor of science - Human Resources Management
University Of Phoenix
Tempe, AZ05-2025
Diploma -
Meridian High School
Meridian, MS01-2007
Skills
- EHR systems
- HIPAA Compliance
- Patient Flow Management
- Healthcare Administration
- Patient relations
- Patient Screening Techniques
- Data Analysis & Problem-Solving
- Conflict Resolution
- Time management
- Interpersonal communication
- Employee performance
- Research Methods
Timeline
Patient Access Representative
Clinical Health Network for Transformation
01.2024 - Current
Fraud Detection Specialist
PSCU
03.2022 - 08.2023
Master of Science - Master of Science in Industrial-Organizational Psy
University of Phoenix
Bachlor of science - Human Resources Management
University Of Phoenix
Diploma -
Meridian High School