Shericka C. Williams
Kings Mountain,NC
Summary
Resourceful Claims Representative known for high productivity and efficient task completion. Specialized skills include claim investigation, negotiation, and customer service. Excel in communication, empathy, and problem-solving to effectively manage claims and support policyholders. Committed to delivering accurate and timely resolutions in fast-paced environments. Experienced in processing claims in high-volume environments. Successful at managing the complete claims process with minimal direction. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
9
9
years of professional experience
Work History
Medical Scheduler
Optum360 United Health Group
10.2023 - Current
- Processed incoming referrals for new patients, verifying insurance information and scheduling appointments accordingly.
- Updated physician schedules on a daily basis based on changes made by providers throughout the day.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Answered incoming calls from patients inquiring about their upcoming appointments or requesting changes to existing ones.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Claims Representative
Omni Interactions
Remote
08.2018 - 10.2023
- Corresponded with insured or agent to obtain information or inform of account status or changes.
- Accurately processed large volume of medical claims every shift.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
- Monitored emails from customers requesting updates on their pending claims status.
- Exceeded customer satisfaction by finding creative solutions to problems.
Claims Assistant
Telerx
03.2016 - 08.2018
- Reviewed documentation and accounts to gain full picture.
- Communicated effectively with policyholders, providing updates and explaining the claims process clearly.
- Handled modification and updating of policies.
- Ensured compliance with HIPAA regulations when dealing with confidential patient information.
- Verified details with policyholders and requested additional information.
Education
High School Diploma -
Continental Academy
06-2009
Skills
- Customer service
- HIPAA compliance
- Multi-line telephone system control
- Allocating claims
- Medical terminology
- Patient scheduling
- Attention to detail
- Clerical skills
- Telephone etiquette
- Adaptability and flexibility
- Multitasking Abilities
Timeline
Medical Scheduler
Optum360 United Health Group
10.2023 - Current
Claims Representative
Omni Interactions
08.2018 - 10.2023
Claims Assistant
Telerx
03.2016 - 08.2018
High School Diploma -
Continental Academy
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