Summary
Overview
Work History
Education
Skills
Work Availability
Quote
Timeline
BusinessAnalyst
Sherry Lewis

Sherry Lewis

Lancaster,TX

Summary

Support day-to-day program operations with expertise in records management and resource coordination. Skillfully meet diverse needs and address issues to maintain efficiency and program outreach. Demonstrated success in building long-lasting relationships. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Responsible for creating streamlined resolution responses that decreased audit errors by 42% within 90 days of implementation. Instrumental in spearheading internal guidelines to be aligned with CMS policies for Botulinum Toxins, which saved thousands of dollars to cease overpaying claims in error.

Overview

26
26
years of professional experience
6
6
years of post-secondary education

Work History

Advocate Account Manager

UnitedHealthcare
12.2021 - Current

• As a resolute advocate for 5 hospital facilities find solutions tailored to meet the specific needs of the providers' claim issues.
• Provide expertise & knowledge to support a long-term collaborative relationship with UHC by sharing quarterly reports of monies gained/lost on various claim submissions to aid in contract negotiations.
• Through monthly calls, educate on new protocols, polices, and billing practices to avoid audits for Medicaid, Medicare, and Commercial plans.

Insurance Claims Specialist

LiveOps (All State)
Las Colinas, TX
04.2023 - 08.2023

• Take inbound calls from All State insurance clients to set up Auto and Property claims.

Money Center Front-End Service Associate

Wal-Mart
09.2021 - 06.2022
  • Responsible for cashing checks, dispensing money orders, and facilitating domestic and foreign money transfers for an average of 50+ customers daily.
  • As a cashier, I processed customer purchases, resolved customer disputes, and facilitated the daily board to determine breaks and lunches for associates.

Business Process Claims Analyst Sr.

UnitedHealthcare
02.2018 - 12.2021
  • Developed remediation action plans for escalated provider issues based on deep dive analyses for Medicaid & Commercial plans, and as needed adjusted claims.
  • Utilize predictive analytics to ensure that providers are not impacted by system and other claim-related issues by resolving complex claim issues promptly.

Subject Matter Expert (SME)/ Resolving Analyst

UnitedHealthcare
03.2013 - 02.2018
  • Developed effective training materials for diverse audiences resulting in improved skillsets and enhanced team performance by providing expert guidance on critical projects and strategic initiatives.
  • Streamlined processes to increase efficiency, enabling a team of 17 to complete tasks ahead of schedule, ensure high productivity and metrics were met within appeals & grievances.
  • Handled running daily reports, managing schedule adherence, and quality standards.

Part-Time Remote Reservations Representative

Hilton Hotels
07.2010 - 08.2013
  • Help customers make hotel reservations, change existing reservations, and upgrade their accommodations.

Tier 2 Technical Support Representative

AT&T Internet Services
02.2000 - 03.2012
  • Managed approximately 45 incoming calls per day providing email assistance, creating, and correcting worksheet errors, and assisting outside field technicians set up high tech routers for business class customers' internet connections.

Part-Time Patient Care Attendant

Baylor of Irving
09.1998 - 04.1999
  • Responsible for taking a patient(s) blood pressure, performing bed bath, changing bed linens, dispensing food trays, and preparing the body of recently deceased patients for viewing by the family on the Telemetry floor.

Education

Business

El Centro College
Dallas, TX
02.2006 - 12.2007

Certification in Microsoft Office And Data Entry - Business

Eastfield College
Mesquite, TX
04.1993 - 07.1993

High School Diploma -

Skyline High School
Dallas, TX
08.1988 - 05.1992

Skills

  • Medical Terminology
  • Data analysis & privacy
  • Critical thinking
  • Client relations
  • Business Analysis
  • Team Leadership
  • Process Improvement
  • Client Relationship Management
  • Cross-functional Collaboration
  • Project Coordination
  • Issue and Resolution Tracking
  • Staff Education and Training
  • Microsoft Windows and Office

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins

Timeline

Insurance Claims Specialist

LiveOps (All State)
04.2023 - 08.2023

Advocate Account Manager

UnitedHealthcare
12.2021 - Current

Money Center Front-End Service Associate

Wal-Mart
09.2021 - 06.2022

Business Process Claims Analyst Sr.

UnitedHealthcare
02.2018 - 12.2021

Subject Matter Expert (SME)/ Resolving Analyst

UnitedHealthcare
03.2013 - 02.2018

Part-Time Remote Reservations Representative

Hilton Hotels
07.2010 - 08.2013

Business

El Centro College
02.2006 - 12.2007

Tier 2 Technical Support Representative

AT&T Internet Services
02.2000 - 03.2012

Part-Time Patient Care Attendant

Baylor of Irving
09.1998 - 04.1999

Certification in Microsoft Office And Data Entry - Business

Eastfield College
04.1993 - 07.1993

High School Diploma -

Skyline High School
08.1988 - 05.1992
Sherry Lewis