Ericka Cherry
Columbia,SC
Summary
Highly-competent and dedicated Insurance Specialist with over 4+ years of experience
in handling insurance coverage, explaining policies, ensuring proper payments or
reimbursements of the clients. Adapt at coordinating between the medical health
center and the policy provider to give a hassle-free customer service to the client using
exceptional communication as well as organization skills.
Overview
8
8
years of professional experience
Work History
Claim Specialist
Advanced Diabetes Supply
Columbia, SC
07.2022 - Current
- Completed appeals and filed and submitted claims.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Posted charges, payments and adjustments.
- Applied HIPAA privacy and security regulations while handling patient information.
- Reviewed claims for coding accuracy.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Submitted claims to insurance companies.
- Checked claims coding for accuracy with ICD-10 standards.
- Made outbound calls to insurance companies, patients and physicians to perform eligibility checks for patients.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Responded to billing questions by researching information.
- Answered inbound customer calls and responded to inquiries.
- Discussed and set up payment plans for services.
Remote Intake Specialist
Adapt Health
Columbia, SC
03.2022 - 06.2022
- Managed high volumes of inbound and outbound calls in fast-paced environment to build, cultivate and establish lucrative client relationships.
- Participated in ongoing training and compliance activities.
- Maintains all patient records in accordance with HIPPA guidelines.
- Meets specified sales targets and goals.
- Actively listens to patients and handle stressful situations with compassion and empathy always striving to meet patient needs.
- Process orders, route calls to appropriate resources, and follow up on customer calls where necessary.
- Identify trends and providing feedback and education to internal and external customers on compliant documentation requirements for services provided.
Remote Customer Service Advocate II
Blue Cross and Blue Shield
Columbia, SC
08.2021 - 02.2022
- Asked probing questions and offered solutions to resolve customer issues.
- Attended training and educational seminars to enhance knowledge and credentials.
- Answered insurance-related questions and discussed product offerings with prospective customers to meet unique needs.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Handled client inquiries with exceptional professionalism and enthusiasm.
- Evaluated benefits for each caller to determine service needs and address concerns.
Senior Application Specialist
Vision Property Management
Columbia, SC
07.2016 - 10.2019
- Work with customers to provide knowledge and understanding of property lease-to-own options.
- Process applications in a timely manner; approving and denying applications based on income and credit.
- Accurately process and run daily and monthly reports on properties and application statuses.
- Coordinate with investors to present offers and close deals, in a timely and efficient manner.
- Process settlement statements and closing disclosure forms for clients.
Education
Certificate in Medical Billing and Coding -
Southeastern College
2021
High School Diploma -
Crestwood High
2003
Skills
- Billing/Marketing
- Medicare/Medicaid
- Noridian, MyCGS, HDMS, Pecos, Denials
- Excel, Sharepoint, Cerner, Triage, Sales, IVR
- Claims
- Medical Coding
- 10-Key Adding
- Accounts Payable/Accounts Receiving
- Inpatient Coding
- ICD-10, ICD-9-CM, CPT & HCPCS II Experience
- Abstracting Medical Records (EHR)
- Medical Terminology Skills
- Proficient in Microsoft Office
- Medical Reimbursement
- Insurance Verification
- Patient Scheduling
- Medical Records Management
- HIPAA Compliance
- Training and Management
- Appointment Scheduling
- Accurate & Efficient
- Accounts Payable
- CMS-1500 Forms
- Work From Home Experience
- Billing
- Closing
- CPT
- Credit
- Clients
- Dependable
- Forms
- Insurance
- Medical Billing
- Medical Terminology
- Microsoft Office
- Problem Solver
- Coding
- Scheduling
- Phone
Timeline
Claim Specialist
Advanced Diabetes Supply
07.2022 - Current
Remote Intake Specialist
Adapt Health
03.2022 - 06.2022
Remote Customer Service Advocate II
Blue Cross and Blue Shield
08.2021 - 02.2022
Senior Application Specialist
Vision Property Management
07.2016 - 10.2019
Certificate in Medical Billing and Coding -
Southeastern College
High School Diploma -
Crestwood High
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