Summary
Overview
Work History
Education
Skills
Timeline
Generic

Erika Williams

Columbus,GA

Summary

With over a decade of expertise at Elevance/Anthem, adept in claims processing and fostering robust relationships, I've excelled in adjusting medical and dental claims across multiple states and countries. My proficiency in insurance assessment and customer communication has significantly enhanced billing accuracy and expedited payments, showcasing a unique blend of technical skill and interpersonal acumen.

Diligent [Desired Position] with strong background in evaluating and processing claims effectively. Successfully resolved numerous complex cases by applying deep knowledge of policy provisions and regulatory requirements. Demonstrated proficiency in negotiation and customer service, ensuring fair outcomes and client satisfaction.

Overview

24
24
years of professional experience

Work History

Health and Dental Claims Adjuster

Elevance/Anthem
08.2001 - Current

process and adjust medical and dental claims for members from Georgia, California, Colorado, Nevada, Virginia, New York to include foreign Countries as well. Refer received medical records for review by higher authorities Nurses/Doctors. 10 years of specialized experience which includes performing medical billing activities such as collecting claims for medical care entering and retrieving data in an automated system at a qualifying typist level 50 words per minute on a 5 minute sample with 3 or fewer errors.

Medical Insurance Collector

Columbus Regional Medical Center
06.2000 - 08.2001
  • Collaborated with healthcare providers to address discrepancies in invoices, leading to improved billing accuracy and faster payments

Maintained a high level of professionalism when interacting with patients, insurance company representatives, and colleagues to foster positive working relationships.

  • Established strong working relationships with insurance company representatives, facilitating efficient communication and prompt issue resolution.
  • Increased cash flow for the organization through diligent monitoring of insurance reimbursements and timely appeals of underpaid claims.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Processed insurance payments and maintained accurate documentation of payments.

Education

No Degree - Computer Science

Albany State University
Albany, GA

No Degree - Accounting

Columbus Technical College
Columbus, GA

High School Diploma -

Hardaway High School
Columbus, GA
06-1988

Skills

  • Claims processing
  • Insurance assessment
  • Claim investigation
  • Customer communication
  • Fraud detection
  • Policy review

Timeline

Health and Dental Claims Adjuster

Elevance/Anthem
08.2001 - Current

Medical Insurance Collector

Columbus Regional Medical Center
06.2000 - 08.2001

No Degree - Computer Science

Albany State University

No Degree - Accounting

Columbus Technical College

High School Diploma -

Hardaway High School
Erika Williams