Summary
Overview
Work History
Education
Skills
Timeline
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Samantha Phillips

Fayetteville,GA

Summary

Dynamic professional with 11 years of experience in claims processing and supervision, seeking a Supervisor role. Proven track record in enhancing team efficiency and optimizing reimbursement processes, with previous supervisory roles at Summit BHC and UnitedHealth Group. Skilled in leadership, revenue cycle management, and process improvement, with expertise in HIPAA compliance and data security procedures.

Overview

12
12
years of professional experience

Work History

Senior Claims Processor/Billing Representative

Amsurg
10.2020 - Current
  • Process medical claims with precision, ensuring accurate ICD-9 and CPT coding for insurance submissions while adhering to HIPAA standards and maintaining patient confidentiality
  • Audit and optimize coding practices, enhancing billing accuracy and improving reimbursement rates
  • Manage claim forms, Explanation of Benefits (EOBs), and financial transactions for healthcare providers

Claims Supervisor

Summit BHC
07.2019 - 10.2020
  • Supervised claims processing operations, ensuring efficiency and accuracy in team outputs, while enhancing data collection procedures for improved account accuracy and reimbursement optimization
  • Developed and reported operational metrics to executive management, driving customer success

Insurance Collector

Community Health Systems
09.2017 - 07.2020
  • Verified and processed insurance claims, ensuring adherence to relevant policies and regulations
  • Investigated and resolved claim discrepancies, maintaining accurate records and databases for efficiency
  • Collaborated with healthcare professionals and patients to clarify insurance benefits and claim details

Medical Claims Supervisor

UnitedHealth Group
08.2015 - 09.2017
  • Conducted performance evaluations and provided training to improve staff competencies and efficiency
  • Processed a large volume of medical claims, ensuring accuracy and compliance with established guidelines
  • Maintained strict adherence to HIPAA regulations throughout all claims handling activities

Customer Service Representative

Asurion
04.2013 - 08.2015
  • Resolved customer inquiries efficiently and ensured follow-up for satisfactory resolutions
  • Exceeded service and sales targets through effective communication and relationship-building

Education

Bachelor of Science - Criminal Justice

Strayer University
05.2020

Skills

  • Leadership & Team Supervision
  • Revenue Cycle Management
  • Claims Processing (UB 92, HCFA 1500)
  • HIPAA Compliance
  • Performance Evaluation
  • Process Improvement
  • Insurance Claims Management
  • Data Security Procedures
  • Proficient in Epic, Emdeon, and Other Claims Processing Software
  • Expertise in Medical Terminology
  • Claims Reviews
  • Health Insurance Industry Knowledge
  • Strong Documentation and Data Entry Skills

Timeline

Senior Claims Processor/Billing Representative

Amsurg
10.2020 - Current

Claims Supervisor

Summit BHC
07.2019 - 10.2020

Insurance Collector

Community Health Systems
09.2017 - 07.2020

Medical Claims Supervisor

UnitedHealth Group
08.2015 - 09.2017

Customer Service Representative

Asurion
04.2013 - 08.2015

Bachelor of Science - Criminal Justice

Strayer University

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Samantha Phillips