Erica Spencer
Henrico,VA
Summary
An experienced professional looking to combine my many abilities and my diverse skills for a progressive facility. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
25
25
years of professional experience
Work History
Claims Examiner
Healthfirst NY
05.2022 - Current
- Reviewing and investigating claims and encounters for medical, facility, pharmacy, dental and vision services including contractual provisions and authorizations
- Handle Personal Health Information (PHI) in a professional manner
- Complete excel assigned spread sheets by the deadlines given and any additional duties assigned.
Client Services Representative
Quest Diagnostics Nichols
10.2021 - 05.2022
- Handled all customer inquiries by telephone regarding verbal reporting of results, concerns of service failures and other duties to provide customer satisfaction
- Reported laboratory results to clients using established protocols
- Knowledge of SmartSolve, PowerTerm, Optimaxx, Rightfax and OutsideView systems.
South Virginia Floater
BioReference Laboratories
02.2020 - 10.2021
- Worked in different doctor’s office drawing blood and collecting specimens from patients in a timely manner
- Traveled to different locations if needed to cover for coworkers
- Worked closely with my supervisors and helped with other tasks
- Knowledge of Athena, Greenway, DxInsight, Privia Copia, Microsoft Word & Outlook systems
- Attended annual meetings to keep up with the changes within the company.
Lead Phlebotomist
BioReference Laboratories
07.2018 - 02.2020
- Worked in one of the company's multimillion dollar Cancer Center accounts
- Helped sales reps keep account up to date
- Handled any problems regarding the account
- Knowledge of Microsoft Word and Outlook, DxInsight, Privia Copia systems.
Phlebotomist
BioReference Laboratories
10.2010 - 07.2018
- Worked in a doctor’s office drawing blood and collecting specimens from patients in a timely manner
- Knowledge of DxInsight system.
Heavy Equipment Operator
Operating Engineers
05.2005 - 09.2009
- Maintained and operated machinery such as loaders, dump trucks, rollers, lulls in the construction industry at various job sites.
Claim Examiner/File Clerk
Operating Engineers
04.2001 - 05.2005
- Processed claims using the company specific software
- Conferred with customers by phone/in person regarding their claims and benefits
- Provided office support including filing, process incoming and outgoing mail.
Customer Service/Administrator Assistant (Dental Department)
Horizon BCBS
06.1999 - 04.2001
- Handled all administrative duties including filing faxing, copying, and answering an eight line phone system
- Arranged customer meetings by phone/in person on behalf of the Director
- Managed Director’s calendar.
Education
Health Science -
Brightpoint Community College
Midlothian, VA02.2024
Medical Assistant -
CDM Institute
Wayne, NJ01.2010
Skills
- Team Collaboration
- Multitasking Abilities
- PPE use
- Insurance policy coverage knowledge
- Claims Processing
- Computer Skills
- Customer service and support
- Problem-Solving
- Team Leadership
- Claims Evaluation
- Payment Processing
- Decision-Making
Timeline
Claims Examiner
Healthfirst NY
05.2022 - Current
Client Services Representative
Quest Diagnostics Nichols
10.2021 - 05.2022
South Virginia Floater
BioReference Laboratories
02.2020 - 10.2021
Lead Phlebotomist
BioReference Laboratories
07.2018 - 02.2020
Phlebotomist
BioReference Laboratories
10.2010 - 07.2018
Heavy Equipment Operator
Operating Engineers
05.2005 - 09.2009
Claim Examiner/File Clerk
Operating Engineers
04.2001 - 05.2005
Customer Service/Administrator Assistant (Dental Department)
Horizon BCBS
06.1999 - 04.2001
Health Science -
Brightpoint Community College
Medical Assistant -
CDM Institute
Similar Profiles
Aisha ReduxAisha Redux
Service Agent at Healthfirst NYService Agent at Healthfirst NY
Sadanand KatukuriSadanand Katukuri
NA at Cognizant (Healthfirst Client - NY, US)NA at Cognizant (Healthfirst Client - NY, US)
Mauricio NavarroMauricio Navarro
Manager at HealthFirstManager at HealthFirst
ALMA ROJAS-ROBLESALMA ROJAS-ROBLES
Client Service & Administrative Specialist at Ibrow DesignerClient Service & Administrative Specialist at Ibrow Designer
Carol GothardCarol Gothard
Administrative Assistant at Virginia Association of Volunteer Rescue SquadsAdministrative Assistant at Virginia Association of Volunteer Rescue Squads