Sheronda Bennett
Farmington Hills,Mi
Summary
Detail-oriented professional with 4.5+ years of experience and a proven knowledge of data collection and analysis, electronic claims processing, and recordkeeping. Aiming to leverage my skills to successfully fill the Claims Specialist role at your company.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Claims Representative II
Elevance Health Insurance
Dearborn, Michigan
05.2023 - Current
- Developed strategies to reduce the number of denied or delayed claims within assigned portfolio.
- Ensured timely submission of required documentation from claimants prior to approval of payment.
- Analyzed trends in claim denials or delays to identify areas for improvement within the organization.
- Documented changes in claim statuses using specialized software systems.
- Maintained up-to-date knowledge of current medical terminology, coding systems, billing practices.
Auto Claims Specialist
Mazda Automotive
05.2021 - 04.2023
- Analyze information in order to evaluate assigned claims to determine the extent of loss
- Audit claims for approval
- Processing claims in a timely matter
- Verifying appropriate documents has been received
- Validating claims to prevent fraud
- Audited claim files for accuracy and completeness prior to submission.
Medical Billing & Coding
CVS Health Caremark
12.2019 - 04.2021
- Perform ongoing analysis of medical record charts for the appropriate coding compliance
- Research and resolution of coding projects as assigned
- Working knowledge of ICD coding, CPT coding and HCPC coding
- Knowledge of medical terminology
- Investigated discrepancies in medical billing and coding to identify errors or irregularities.
- Collaborated with clinicians, billing staff, administrators and other stakeholders regarding coding matters.
- Reviewed medical records for accuracy and completeness prior to submitting them for billing purposes.
Medical Biller
Hegira Systems
Livonia, MI
08.2017 - 09.2019
- Prepared and submitted claims to insurance companies electronically and manually
- Maintained current working knowledge of CPT and ICD-10 coding principles
- Process and record new insurance policies and claims
- Retrieve patient medical records for physicians, technicians, or other medical personnel
- Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered
Education
Associate of Applied Science - Medical Billing
ROSS MEDICAL CENTER
11.2014
Skills
- Computer proficiency
- Auditor
- Analytical and problem solving
- Microsoft Office
- Communication Skills
- Leadership Experience
- Title Specialist
- Data analysis
- Claims investigation
- Documentation review
- Insurance claims review
- File management
Certification
Medical Billing Administrative Specialist
References
References available upon request
Timeline
Claims Representative II
Elevance Health Insurance
05.2023 - Current
Auto Claims Specialist
Mazda Automotive
05.2021 - 04.2023
Medical Billing & Coding
CVS Health Caremark
12.2019 - 04.2021
Medical Biller
Hegira Systems
08.2017 - 09.2019
Associate of Applied Science - Medical Billing
ROSS MEDICAL CENTER