Medical Claims Processing, Payment Reconciliation, Health Insurance

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SHERRY TERRELL

**** ***** *****

Unit B

Suffolk, VA 23435

**************@*****.*** / +1-757-***-****

SUMMARY

Experienced professional with a background in healthcare operations, claims review, and billing support. Skilled in analyzing payment records, correcting claim discrepancies, and maintaining accurate account documentation across insurance providers. Demonstrates a strong ability to interpret explanations of benefits, reconcile overpayments, and follow up with stakeholders to ensure the resolution of billing concerns. Brings a consistent record of managing time-sensitive tasks independently, with familiarity in remote systems, and digital documentation tools. Dedicated to leveraging my expertise to drive efficiency, accuracy, and compliance while supporting the company’s long-term growth and success. SKILLS

● Medical Claims Processing

● Payment Reconciliation

● Health Insurance Verification

● Electronic Documentation Systems

● Billing and Account Management

● Customer Service and Conflict Resolution

● Regulatory Compliance

● Data Accuracy Maintenance

● Remote Administrative Support

● Cross-Departmental Communication

EXPERIENCE

Client Services & Tax Support Specialist / Regency Tax and Business Services - Portsmouth, VA 1/2021- 04/2025

● Prepared and filed accurate personal and business tax returns, ensuring compliance with federal and state regulations

● Leveraged and entered financial data in tax software to generate precise calculations

● Analyzed financial documents to identify deductions and credits, reducing client liability and maximizing refunds

● Resolved discrepancies with tax authorities and provided guidance to clients on audits and payment settlements Financial Operations Recovery Specialist I / Anthem, Inc. - Virginia Beach, VA 11/2017 - 11/2020

● Analyzed explanation of benefits, refunds, and provider claims to determine accurate payment outcomes

● Processed claim adjustments to recover payments by analyzing claim information and member data

● Communicated with providers to resolve inconsistencies in submitted claims

● Maintained compliance with internal policies and health plan regulations Premium Billing Associate / CTR Medical Staffing Group / Optima Health - Virginia Beach, VA 07/2016 - 11/2017

● Managed billing processes for Medicare, Medicaid, and commercial payers

● Audited and reconciled patient accounts for payment accuracy

● Investigated and resolved account discrepancies with customers

● Communicated with payers and patients to resolve discrepancies EDUCATION

Political #HRJ#9f979cf2-a767-4ca2-a0f3-ca8fef7a71ca# Science Coursework Virginia Commonwealth University - Richmond, VA 2004

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