Sandra M. Lewis

Phoenix, AZ ***** 623-***-**** ad2zct@r.postjobfree.com

Objective Seeking a challenging position with a progressive organization that will utilize my skills and experience, with the potential for professional growth through hard work and proven results

Education

• TAD Training Center Phoenix, AZ March 1998

• Customer Service/Call Center Training Phoenix, AZ March 1998

• Glendale Community College/Computer Skills Glendale, AZ May 2002

• Apollo/Carrington College/ Medical Billing/Coding Specialist Phoenix, AZ March 05 – Feb 06

• General Education Diploma Whittier, CA Oct 2013

Experience

Centene / Claims Analyst/ Tempe, AZ Oct 2018 to Dec/2023 Process pended medical claims, verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility Ensure payments and/or denials are made in accordance with company practices and procedures, if additional information is needed, or if claim should be denied. Trained to process SNF claims with timely precision per Health plan guidelines. Trained in COB and DSNP and Medicaid and Medicare per Health Plan guidelines per Workflows given.

Health Choice Claim Processor Phoenix, AZ Sep 2014 to Current/Dental Processed medical claims for Humana and then moved to HCA for data entry, worked off of reports and assisted with other duties as needed. Currently processing dental claims ensuring all claims are processed in a timely manner. Additionally I am currently assisting HCA supervisor with Dental team member’s with questions, creating step by step job aids, assisting with work pass out, and coordinating data entry work for the team. Coventry Healthcare Technical Claims Specialist Scottsdale, AZ June 2006 to June 2011 Process and Price Electronic and paper claims for mail handlers benefit plan, Data entry claims when needed, and work on various reports as asked by Supervisor. I transferred to another team where I answered client emails in a timely manner, resolved issues, and responded to client with answer. Duties also included forwarding demographic emails to correct departments, processed and priced worker comp claims and assisted team with various other duties. Additionally, I assisted with reports and data entry as well as mentored new team members.