Shamecka Ganzy
Columbia,SC
Summary
I am a detail-oriented Fiscal Analyst successful at controlling expenses by conducting comprehensive analyses of diverse data and making accurate projections. I am also knowledgeable about accounting functions, fiscal requirements and capital expenditures. I have over 20 years of experience providing customer service in various roles. My goal is to seek and maintain a full-time position that offers professional challenges utilizing interpersonal and problem-solving skills while also allowing me to achieve high levels of success.
Overview
18
18
years of professional experience
Work History
Accountant/Fiscal Analyst II
SCDHHS-BabyNet
01.2021 - Current
- Provide billing support and training to BabyNet providers
- Create and maintain accounting records
- Prepare provider payments using automated integrated systems
Virtual Service Representative
RevClaims
01.2020 - 01.2022
- Gather information needed to process healthcare claims
- Data entry
- Make outbound calls to patients, adjuster’s, employers and other applicable parties
- Maintain full-functioning home-based office.
Accountant/Fiscal Analyst II
SCDDSN
01.2019 - 01.2021
- Review provider invoices to verify accuracy of data reported
- Verify all payment requests comply with prevailing contractual agreements and make appropriate adjustments to the requested payments
- Coordinate with Waiver Department to prepare waiver checklists for Private Vehicle and Environmental Modifications
- Communicate with SC Regional Centers contact personnel to receive turn-around documents by required deadline from BCBSSC.
Fiscal Technician II SCDDSN
01.2015 - 01.2019
- Accessed remittance advices for posting of payments in medical management system
- Documented Medicaid payments in Excel spreadsheet
- Promptly reviewed, analyzed, and processed variety of invoices using the SCEIS system
- Filed documentation to support the billing department.
Member Service Representative II
BlueCross BlueShield of SC
01.2008 - 01.2015
- Assisted members of major groups with claim status, payment information and benefit questions according to their group plan
- Assisted with adjudication of problem claims
- Completed and submitted accident questionnaires from members
- Created explanation of coverage and denial letters
- Offered customer service while maintaining quality/quantity standards guidelines
- Maintained full-functioning home-based office.
Managed Care Support Technician
BlueCross BlueShield of SC
01.2006 - 01.2008
- Performed timely entry and payment of medical bills utilizing the Fair Issac (CompAdvisor) repricing system
- Maintained production level and produced nominal errors
- Entry
- Repriced all VOSC medical bills with BCBSSC repricing system
- Provided professional customer service to providers.
Education
High School Diploma -
WJ Keenan High School
Bachelor of Arts - Business Administration
Southern New Hampshire University
09.2023
Associate of Science - Accounting
Southern New Hampshire University
03.2019
Associate of Science - Healthcare Reimbursement
Virginia College
09.2015
Skills
- Customer Satisfaction
- Oral Presentations
- Account and Ledger Reconciliations
- Investigating Variances
Additional Information
- PERSONAL ACCOMPLISHMENTS , Dean’s List – multiple semesters Member of National Society of Leadership & Success
Timeline
Accountant/Fiscal Analyst II
SCDHHS-BabyNet
01.2021 - Current
Virtual Service Representative
RevClaims
01.2020 - 01.2022
Accountant/Fiscal Analyst II
SCDDSN
01.2019 - 01.2021
Fiscal Technician II SCDDSN
01.2015 - 01.2019
Member Service Representative II
BlueCross BlueShield of SC
01.2008 - 01.2015
Managed Care Support Technician
BlueCross BlueShield of SC
01.2006 - 01.2008
High School Diploma -
WJ Keenan High School
Bachelor of Arts - Business Administration
Southern New Hampshire University
Associate of Science - Accounting
Southern New Hampshire University
Associate of Science - Healthcare Reimbursement
Virginia College
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