SAMETRA LEWIS
Nesmith,SC
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
17
17
years of professional experience
Work History
Claims Processor
MUSC
09.2021 - Current
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Identified fraudulent claims through thorough investigation and documentation of findings.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Developed strong relationships with healthcare providers and insurance agents to facilitate seamless communication during the claims process.
- Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
Claims Processor
South Carolina Department Of Mental Health
07.2007 - 08.2021
- Enhanced claim processing efficiency by implementing new software and streamlining procedures.
- Reduced claim processing time for faster customer service and improved satisfaction rates.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Identified fraudulent claims through thorough investigation and documentation of findings.
- Maintained detailed records of all processed claims for easy retrieval during audits or disputes.
- Apply NPI for Provider
- Give access to Medicare and BCBS provider Portal
Education
High School Diploma -
Kingstree Senior High School
Kingstree, SC06.1993
Skills
- Transactions Reconciliation
- Claims Review
- Regulatory Compliance
- Claims
Timeline
Claims Processor
MUSC
09.2021 - Current
Claims Processor
South Carolina Department Of Mental Health
07.2007 - 08.2021
High School Diploma -
Kingstree Senior High School
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SAMETRA LEWISSAMETRA LEWIS
Claims Processor at MUSCClaims Processor at MUSC