Shiphrah Israel
Wayland,MA
Summary
Certified Medical Assistant and Medical Administrative Professional with 10+ years of healthcare experience supporting patients, providers, care teams, and health plan members through clinical, administrative, and customer service operations. Experienced in insurance verification, referrals, prior authorizations, claims resolution, patient scheduling, EPIC EMR documentation, and healthcare coordination. Recognized for exceptional communication skills, attention to detail, HIPAA compliance, and delivering compassionate patient-centered service.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Front Desk Receptionist
Framingham Dermatology
Framingham, MA
04.2024 - 10.2025
- Pre-registered new patients and scheduled appointments efficiently.
- Verified insurance eligibility, referrals, and prior authorizations.
- Maintained accurate patient records within EMR systems.
- Supported prescription refill requests and patient communications.
- Managed billing inquiries and ensured smooth daily office operations.
Senior Member Service Representative
Harvard Pilgrim Health Care / Point32Health
Quincy, MA
07.2021 - 11.2023
- Provided accurate and complete information regarding member benefits, coverage, eligibility, and policy details.
- Assisted members with referrals, claims inquiries, healthcare services, and provider network information.
- Handled member complaints by providing appropriate solutions and follow-up to ensure timely resolution.
- Maintained detailed records of customer interactions, processed requests, and documented information within internal systems.
- Developed expertise in healthcare policies, procedures, and service operations to support members effectively and provide skilled team backup.
- Demonstrated advanced problem-solving skills by researching, reprocessing, and communicating complex medical insurance claims.
- Collaborated with internal departments, providers, and healthcare teams to resolve member concerns and improve service delivery.
- Maintained strict HIPAA compliance and confidentiality while handling protected health information.
Medical Administrative Assistant/Group Facilitator
Brigham and Women's Obstetrics and Gynecology
Boston, MA
03.2018 - 04.2020
- Organized group prenatal activities and managed clinic scheduling.
- Scheduled diagnostic and radiological procedures for patients.
- Managed medical records and administrative documentation.
- Procured medical and administrative supplies to ensure seamless operations.
Medical Assistant
Brigham and Women's Faulkner Hospital
Jamaica Plain, MA
11.2015 - 03.2018
- Managed and processed medical records while coordinating prescription refills.
- Assisted patients by clarifying treatment plans and medication guidelines.
- Streamlined administrative workflows for improved efficiency.
Skills
- Healthcare Benefits Administration
- Claims Resolution
- Member Services
- Insurance Eligibility Verification
- Prior Authorization Management
- Patient & Member Outreach
- EPIC EMR/EHR
- Patient Scheduling
- Referrals & Pre-Certifications
- HIPAA Compliance
- Care Coordination
- Medical Billing & Claims Support
- Microsoft Office Suite
Certification
- Certified Medical Administrative Assistant (CMAA) 10/2026 - North Shore Community College
- Certified Medical Billing and Coding Specialist 10/2026 - North Shore Community College
- Certified Medical Assistant (CMA), 2012 – The Salter School, Malden, MA
- Certified Medical Administrator, 2010 – WellSpring MediClerk Program, Gloucester, MA
Timeline
Front Desk Receptionist
Framingham Dermatology
04.2024 - 10.2025
Senior Member Service Representative
Harvard Pilgrim Health Care / Point32Health
07.2021 - 11.2023
Medical Administrative Assistant/Group Facilitator
Brigham and Women's Obstetrics and Gynecology
03.2018 - 04.2020
Medical Assistant
Brigham and Women's Faulkner Hospital
11.2015 - 03.2018