Terricina Williams
Camden
Summary
Knowledgeable and dedicated Medical Claims Processor with more than ten years' experience investigating and processing medical claims.
Overview
37
37
years of professional experience
Work History
Claims Processor ll
Blue Cross and Blue Shield
Columbia
01.2023 - Current
- Processed insurance claims accurately and efficiently for diverse healthcare services.
- Reviewed documentation to ensure compliance with company policies and regulations.
- Communicated with clients to clarify details and resolve issues regarding claims.
Patient Account Rep. / Switch Board Operator
MUSC
02.2021 - Current
- Answering incoming calls concerning payments
- Negotiating or setting satisfactory payment arrangements
- Reviewing accounts prior to write off
- Preparing accounts for the State Income Tax Interception Program
- Registration
- Direct incoming calls to the correct department
Medical Claim Processor
Blue Cross Blue Shield
03.2000 - 08.2018
- Received medical claims request by mail, telephone, or in person
- Respond to inquiries from policyholders and providers
- Filed medical claims
- Confirmed the accuracy of medical claims by contacting other medical facilities
- Determine the amount of insurance coverage for each customer
- Adjusting claims and requesting refunds
- Researched current and new medical processing laws and regulations
Workflow Clerk
Blue Cross Blue Shield
12.1988 - 03.2000
- Effectively managed a high- volume of inbound customer calls
- Organized, prepared and sorted documents for data entry staff
- Met and exceeded quality standards
Education
High School Diploma -
Camden High School
Camden, SCWork Preference
Work Type
Part TimeLocation Preference
RemoteTimeline
Claims Processor ll
Blue Cross and Blue Shield
01.2023 - Current
Patient Account Rep. / Switch Board Operator
MUSC
02.2021 - Current
Medical Claim Processor
Blue Cross Blue Shield
03.2000 - 08.2018
Workflow Clerk
Blue Cross Blue Shield
12.1988 - 03.2000
High School Diploma -
Camden High School