Erica Blunt
Atlanta,Georgia
Summary
Experienced with claims benefit evaluation, delivering precise and timely claims processing. Utilizes analytical skills and problem-solving to manage claims effectively. Track record of strong communication and collaboration, ensuring efficient workflow and client satisfaction.
Overview
10
10
years of professional experience
Work History
Claim Benefit Specialist
Cancer Treatment Centers of America
12.2021 - 09.2025
- Interpret and verify member health plan benefits
- Navigate and utilize multiple systems and platforms efficiently .
- Evaluate claim submissions
- Identify opportunities for cost-effective claim management
- Render informed claim payment determinations
- Process claims with precision and accuracy
- Collaborated with healthcare providers to resolve discrepancies in patient claims processing.
- Analyzed complex benefit claims to ensure compliance with policies and regulations.
- Managed approximately 70 to 80 incoming calls, emails per day from customers.
- Coordinated benefit verifications, enhancing communication between patients and insurance providers.
Medical Billing Specialist
Rehabilitation Hospital
04.2018 - 11.2021
- Processed medical claims with precision, ensuring compliance with rehabilitation billing regulations.
- Reviewed and corrected billing discrepancies to enhance revenue cycle accuracy.
- Review and manipulate charges from interfaced files to ensure timely and accurate charge for billing.
- Run and audit various reports to ensure all required billing information has been received accurately.
- Create daily charge file from lab application software to ensure proper charge.
- Schedule appointments and communicate outstanding billing issues with clinical staff and or provider.
- Managed approximately 80 calls and emails from customers per day.
Call Center Data Entry
Staffing Agency
06.2015 - 04.2018
- Entered and maintained high volumes of data accurately in company databases.
- Reviewed and verified information for consistency, identifying discrepancies for correction.
- Implemented process improvements to enhance data entry efficiency and accuracy.
- Trained new hires on data entry procedures and best practices for optimal performance.
- Utilized advanced spreadsheet functions to manage and analyze data sets effectively.
- Managed approximately 70 incoming calls and emails per day from customers.
- Utilized CRM software to track customer interactions and streamline service processes.
- Resolved customer inquiries through effective communication and problem-solving techniques.
Education
High School Diploma -
North Atlanta High
Atlanta, GA05.2002
Skills
- File organization
- Scheduling and calendar management
- Data entry
- Microsoft office (Excel, Word, Google Sheets)
- Attention to Detail
- Data Entry
- Technical Skills
- Typing Speed and Accuracy (40-60 WPM)
- CRM systems (Salesforce)
- Claims adjustment
- Appointment scheduling
- Document review
Languages
English
Native or Bilingual
Timeline
Claim Benefit Specialist
Cancer Treatment Centers of America
12.2021 - 09.2025
Medical Billing Specialist
Rehabilitation Hospital
04.2018 - 11.2021
Call Center Data Entry
Staffing Agency
06.2015 - 04.2018
High School Diploma -
North Atlanta High