Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shantelle S. Spencer

Camden

Summary

Detail-oriented Healthcare Operations, Medical Records, and Document Management Specialist with 8+ years of experience supporting reimbursement review, medical records retrieval, claims workflows, billing support, and high-volume documentation. Skilled in creating, revising, reformatting, and managing confidential documents using Microsoft Office, CRM platforms, and PDF tools. Proven ability to troubleshoot document inconsistencies, coordinate special projects, and maintain accuracy, compliance, and turnaround standards in remote environments.

Overview

13
13
years of professional experience

Work History

Healthcare Cost Management & Claims Review Specialist

Medi-Share (Christian Care Ministry)
09.2023 - 02.2026
  • Managed structured post-payment review cases within Salesforce CRM and maintained complete, accurate documentation for each case.
  • Retrieved, reviewed, validated, and organized medical records, billing statements, and EOB documentation to support claim accuracy and reimbursement review.
  • Created, revised, reformatted, and tracked time-sensitive case documentation, provider correspondence, and internal workflow notes.
  • Utilized Microsoft Excel and document management systems to monitor case status, maintain reporting accuracy, and support special projects.
  • Identified and resolved documentation inconsistencies while ensuring compliance with HIPAA and internal quality standards.
  • Exceeded 100% productivity metrics while maintaining quality assurance standards in a remote environment.

Oncology Case Management & Patient Advocacy Specialist

Oncology Advocate | Cigna
01.2022 - 08.2023
  • Managed complex member healthcare cases involving claims, authorizations, billing concerns, and detailed case documentation.
  • Coordinated with providers for medical records retrieval, insurance verification, and claim follow-up activities.
  • Documented thorough case notes in CRM systems to ensure continuity of care and timely handoff across teams.
  • Assisted members with benefit explanations, billing questions, and payment guidance while maintaining confidentiality.

Customer Account Resolution & Billing Specialist

American Express
06.2021 - 12.2021
  • Handled 60+ daily inbound calls related to billing disputes, payments, and account resolution.
  • Processed payments, updated account documentation, and resolved discrepancies with strong attention to detail.
  • Maintained accurate CRM records and protected confidential customer information in a regulated environment.

Clinical Research Patient Recruitment Coordinator

Biocentric Clinical Research
West Columbia
05.2013 - 03.2019
  • Scheduled patient appointments, completed pre-screening interviews, and verified eligibility and insurance information.
  • Maintained, organized, and updated confidential patient records and research documentation.
  • Coordinated patient logistics and administrative support for clinical research activities and special projects.

Education

High School Diploma -

Olympia High School
Orlando, FL

Skills

  • Document creation and editing
  • Spreadsheet and chart preparation
  • Report generation and formatting
  • PDF editing and conversion
  • Quality assurance and review
  • Medical records management
  • Salesforce and CRM documentation
  • Claims analysis and resolution
  • Administrative and project support
  • Insurance verification processes
  • Workflow management for time-sensitive tasks
  • HIPAA compliance adherence
  • Confidential document handling
  • High-volume case management
  • Microsoft Office proficiency (Word, Excel, Outlook, PowerPoint)
  • Typing speed of 75 WPM
  • Zendesk support expertise
  • Laserfiche document management
  • Adobe Acrobat proficiency

Timeline

Healthcare Cost Management & Claims Review Specialist

Medi-Share (Christian Care Ministry)
09.2023 - 02.2026

Oncology Case Management & Patient Advocacy Specialist

Oncology Advocate | Cigna
01.2022 - 08.2023

Customer Account Resolution & Billing Specialist

American Express
06.2021 - 12.2021

Clinical Research Patient Recruitment Coordinator

Biocentric Clinical Research
05.2013 - 03.2019

High School Diploma -

Olympia High School
Shantelle S. Spencer