Susan Carter
Mayfield Heights,OH
Summary
Proficient claims associate skilled in handling high volumes of claims. Processes adjustments based on identifiable liability and compensability. Supports work of senior team members by organizing documentation and assisting on complex cases.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Documentation Processor
Proctor Loan Protector
Solon, OH
02.2022 - Current
- Assisted in training new staff members on proper document handling procedures.
- Audited existing files for accuracy, completeness, and consistency with established standards.
- Reviewed and processed documents for accuracy, completeness, and compliance with established guidelines.
- Developed strategies for improving the efficiency of document processing operations.
- Identified discrepancies in documents and worked with clients to resolve them promptly.
- Ensured compliance with applicable laws and regulations regarding document management.
- Entered data from source documents into designated fields within databases or spreadsheets accurately.
Team Leader
CGI Federal
Cleveland, OH
12.2010 - 12.2020
- Held weekly staff meetings to review project updates, discuss issues, and brainstorm solutions.
- Monitored daily workflow to ensure adherence to established policies and procedures.
- Conducted regular performance reviews to assess individual team member progress.
- Created training materials and conducted group trainings on new processes or procedures.
- Participated in regular meetings with senior leadership to provide updates on team progress.
- Created digital records of paper documents using specialized scanning software.
- Scanned documents and images into computer systems accurately and efficiently.
- Trained new employees on the correct use of scanners, imaging software programs.
- Processed large volumes of incoming documents in a timely manner while ensuring accuracy standards were met.
- Located missing records by searching files or contacting individuals assigned to records.
- Implemented strategies for improving the efficiency of document indexing processes.
Customer Service Representative & Sales
AT&T
Cleveland, Ohio
04.2000 - 04.2008
- Resolved complex problems by working with other departments to provide solutions that meet customer needs.
- Developed strong relationships with customers by providing personalized assistance and support.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Identified opportunities for upselling additional products or services based on customer needs.
- Answered customer inquiries and provided accurate information regarding products and services.
- Resolved customer complaints promptly and efficiently.
- Provided excellent customer service to resolve customer complaints in a timely manner.
Education
Certificate - Professional Medical Coding
Cuyahoga Community College
Cleveland, OH09-2021
Some College (No Degree) - Business Administration
Cuyahoga Community College
Cleveland, OHSkills
- Multitasking and Time Management
- Knowledge of medical terminology
- Highly effective communication
- Team Building Leadership
- Extensive Organizational Skills
- Claims Handling
- CPT and HCPCS coding
- Problem Resolution
- Healthcare knowledge
- Medical Coding
- HIPAA Regulations
- Medical Records Management
Certification
- Lean six sigma
- Comprehensive Medical Coding AApc
Timeline
Documentation Processor
Proctor Loan Protector
02.2022 - Current
Team Leader
CGI Federal
12.2010 - 12.2020
Customer Service Representative & Sales
AT&T
04.2000 - 04.2008
Certificate - Professional Medical Coding
Cuyahoga Community College
Some College (No Degree) - Business Administration
Cuyahoga Community College
- Lean six sigma
- Comprehensive Medical Coding AApc
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