DEMETRIA WILLIAMSON
**** ********* ** *********, ** C: 843-***-****
abilu2@r.postjobfree.com
PROFESSIONAL OBJECTIVE
To gain a position that will provide me the opportunity to make a strong contribution to the overall
growth of a company.
EDUCATION
HIGH SCHOOL DIPLOMA JUNE 1992
West Florence High School
Related Courses:
CPT-4
ICD-9
Medical Terminology
Pricing based on DRG
Professional claims (HCFA 1500, CMS
1500)
Institutional claims (UB-92)
Computer Skills:
Proficient in Microsoft Word, Excel, Project, Access, PowerPoint,
Experience
Customer Service Representative III for Blue Cross Blue Shield of Florence (TRICARE)
- Government subcontractor responsible for processing medical claims for active/retiree
military members in the South region.
(January 1997 - January 2010) Florence SC
Responsibilities included:
• Provided written/telephone correspondence to the members/ providers and physicians
• Medical claim review, processing and adjudication
• Researched and implemented the appropriate ICD-9 and CPT-4 codes for payment
determination
• Maintained a quality rating score of 100% based on accuracy and timeliness
• Continuously attended training on Tricare policies and procedures regarding the
healthcare field
• Coded/Keyed claims in the system and work thru to complete claim processing
• Researched new/existing provider(hospitals, physician offices, labs and clinics)
credentials and applications to assign tax identification numbers
Leadership Experience
Served as Team lead ensuring that team was current on all training and revisions received on a
constant basis, often responsible for special/bulk projects that required immediate attention.
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DEMETRIA WILLIAMSON
2322 MCELEVEEN LN Effingham, SC C: 843-***-****
abilu2@r.postjobfree.com
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