Summary
Overview
Work History
Education
Skills
Timeline
Generic

Natasha Abraham

Florence,SC

Summary

Driven professional with a robust background in healthcare claims and appeals, notably with Blue Cross Blue Shield. Excelled in processing over fifty Medicaid Appeals Part B Claims, showcasing expertise in healthcare benefits and exceptional documentation skills. Renowned for outstanding case management abilities and a keen listener, consistently delivering results that exceed employer expectations.

Overview

8
8
years of professional experience

Work History

Research Specialist

Assurant
03.2017 - Current

Providing front line, direct contact with clients and customers. This is done through receiving or placing telephone calls, in addition to working faxes, electronic methods (e-mail & system of record task assignments), correspondence, mail, express delivery, reports, and project assignments.

Uses computerized system for tracking, information gathering and/or trouble shooting the items raised by the client/customer. Recognizes consistent problem areas and reports to higher level for action.

Seeks to retain account and/or suggest and encourage use of other services and products. Depending on area may promote and sell products and/or services and enter or confirm sales. Responds in a timely manner.

Follow standard procedures and policies with more senior levels using greater latitude and judgment in responding to customers. Provide collateral protection services by ensuring all customers are adequately insured as well as adding lender place insurance for uninsured customers.

Service Representative

S3 Shared Service Solutions
12.2023 - 02.2024
  • Maintained productivity and quality standards at all times.
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Consistently demonstrated a strong work ethic, arriving punctually for shifts and maintaining focus on providing top-tier service throughout entire workday.
  • Maintained comprehensive knowledge of company products and services, ensuring accurate information was relayed to customers at all times.


Medicare Appeals (Contract Position)

Federal Hearings & Appeals
05.2022 - 08.2022

Process over fifty Medicaid Appeals Part B Claims

Write letter templates on claims that are dismiss or denied

Process Claims that are aging or claims that will age

Providing information to customers about their Medicare plans and coverage options.

Reviewing applications to determine if applicants are eligible for coverage.


Claims Processor (Contact Position)

Blue Cross Blue Shield
03.2016 - 03.2017

Answered inquiries from providers on the subject of claims , eligibility, covered benefits and approval status for veterans.

Read and assessed medical documents

Managed and process claims for veterans

Documented all activities through CRM

Answered telephone calls promptly and in an appropriate manner.


Education

No Degree - Sociology And Anthropology

South Carolina State University
Orangeburg, SC
05.2026

High School Diploma -

Hannah-Pamplico High School
Pamplico, SC
05.2005

Skills

HealthCare Benefits

Claim Billing

Docuemntation

Email & Fax

Legal Documentation

Payroll & Payroll Processing

Policies

Sales

Proficient Typing

Case Management

Data Entry

Good listening Skills

Timeline

Service Representative

S3 Shared Service Solutions
12.2023 - 02.2024

Medicare Appeals (Contract Position)

Federal Hearings & Appeals
05.2022 - 08.2022

Research Specialist

Assurant
03.2017 - Current

Claims Processor (Contact Position)

Blue Cross Blue Shield
03.2016 - 03.2017

No Degree - Sociology And Anthropology

South Carolina State University

High School Diploma -

Hannah-Pamplico High School
Natasha Abraham