Summary
Overview
Work History
Education
Skills
Courses
Timeline
Generic

Shametris Slater

Goose Creek

Summary

Medical Biller with a 5-year track record of enhancing claims-processing efficiency, and resolving disputes with insurance companies.

Demonstrates expertise in ICD-9 coding, insurance collections, and records management, optimizing workflows, and reducing aged receivables.

Known for a quality-oriented approach and strong organizational skills, I am ready to advance in a dynamic healthcare environment.

Overview

4
4
years of professional experience

Work History

Claims Processor

MUSC
05.2025 - Current
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.
  • Managed workload and priorities to meet claims processing meet deadlines.
  • Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.

Pharmacy Technician

CVS Pharmacy
11.2024 - Current
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.

Denial Specialist

Conifer Health Solutions
07.2024 - 05.2025
  • Reviewed denied claims, resolving 200+ cases monthly with a 90% success rate.
  • Collaborated with teams to reduce denial rates, improving efficiency by 18%.
  • Analyzed claim data to identify trends, enhancing process accuracy.
  • Communicated effectively with insurance providers to expedite claim approvals.
  • Analyze complex denial cases, identifying root causes and implementing corrective measures to reduce claim rejections and improve revenue cycle efficiency.
  • Resolve denied claims through meticulous investigation, documentation review, and payer negotiations, resulting in substantial recovery of previously denied reimbursements.

Denial Specialist

Ultimate Healthcare
09.2023 - 03.2024
  • Analyzed denial trends to enhance resolution strategies, reducing claim denials significantly.
  • Collaborated with billing to ensure accurate coding, minimizing future claim issues.
  • Optimized team workflows by aligning tasks with individual expertise, boosting efficiency.
  • Streamlined interdepartmental communication, accelerating denied claim resolutions.
  • Maintained industry knowledge to keep processes competitive and effective.
  • Analyzed claim denial patterns to identify root causes, implementing targeted solutions that significantly reduced denial rates and improved revenue capture.

Remote Medical Billing Specialist

Aeroflow Healthcare
06.2022 - 09.2023
  • Analyzed denied claims, optimizing resolution strategies.
  • Prioritized tasks efficiently to manage multiple responsibilities.
  • Monitored reports to identify trends and improve processes.
  • Contacted insurers and patients to recover unpaid accounts.
  • Resolved complex billing issues involving multiple providers.
  • Submitted appeals for denied claims, enhancing reimbursement rates.

Billing Administration Rep

UPA/Duke Energy
07.2021 - 03.2022
  • Managed customer accounts, ensuring data accuracy and confidentiality.
  • Compiled and analyzed data for regular reporting, enhancing decision-making.
  • Oversaw accounts receivable, ensuring prompt invoice payments and resolving discrepancies.
  • Streamlined billing processes, enhancing accuracy and efficiency in customer account management while ensuring data integrity and confidentiality.

Education

High School Diploma - undefined

Berkeley High School
Moncks Corner, SC
05.2007

Skills

  • Quality-Oriented (Experienced)
  • Team Player (Experienced)
  • Bill Payment (Experienced)
  • Accounts Payable (Experienced)
  • Account Reconciliation (Experienced)
  • Claims Review (Experienced)
  • Multitasking (Experienced)
  • Organization (Experienced)
  • Records Management (Experienced)
  • Insurance (Experienced)
  • Claims Processing (Experienced)
  • Insurance Collections (Experienced)
  • HIPAA Compliance
  • ICD-9 (Experienced)
  • Work Prioritization (Experienced)
  • Data Entry (Experienced)
  • Medicaid (Experienced)
  • Medicare (Experienced)
  • Medical Terminology (Experienced)

Courses

  • Denial Specialist at Ultimate Healthcare
  • Remote Medical Billing Specialist at Aeroflow Healthcare
  • Billing Administration Rep at UPA/Duke Energy
  • Customer Service Representative at Alorica
  • Customer Service Rep/Billing Specialist at MSN Healthcare Solutions

Timeline

Claims Processor

MUSC
05.2025 - Current

Pharmacy Technician

CVS Pharmacy
11.2024 - Current

Denial Specialist

Conifer Health Solutions
07.2024 - 05.2025

Denial Specialist

Ultimate Healthcare
09.2023 - 03.2024

Remote Medical Billing Specialist

Aeroflow Healthcare
06.2022 - 09.2023

Billing Administration Rep

UPA/Duke Energy
07.2021 - 03.2022

High School Diploma - undefined

Berkeley High School

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