Shamekia Williams
Granite City
Summary
Dynamic professional with extensive experience at HCSC - Blue Cross Blue Shield of Illinois, excelling in claims analysis and processing. Proven ability to enhance efficiency and compliance through effective communication and streamlined workflows. Skilled in Microsoft Office and fostering collaboration among teams, ensuring timely resolutions and superior service delivery.
Overview
14
14
years of professional experience
Work History
Claims Technician
HCSC - Blue Cross Blue Shield of Illinois
07.2024 - Current
- Processed claims accurately and efficiently, ensuring compliance with company policies and regulations.
- Reviewed documentation for completeness, identifying discrepancies to facilitate timely resolution.
- Utilized claims processing software to input data and track claim status effectively.
- Communicated with healthcare providers and policyholders to gather necessary information for claims evaluation.
HR Administrative Assistant
Agency For Community Transit
03.2024 - 07.2024
- Assisted in onboarding processes for new employees, ensuring a smooth transition into company culture.
- Managed scheduling of interviews and meetings, optimizing time for HR staff and candidates.
- Maintained employee records and files, ensuring accuracy and compliance with company policies.
- Supported recruitment efforts by posting job openings on various platforms and screening resumes.
Lead Authorization Specialist
Saint Louis University
05.2017 - 10.2021
- Managed patient authorization processes to ensure compliance with healthcare regulations and policies.
- Collaborated with healthcare providers to gather necessary documentation for timely authorizations.
- Streamlined authorization workflows, enhancing efficiency and reducing processing times.
- Trained and mentored junior staff on best practices in authorization procedures and systems.
Office Service Representative
South County Health Center
06.2011 - 05.2017
- Coordinated office supply inventory management, ensuring timely procurement and cost-effective solutions.
- Implemented streamlined filing systems, enhancing document retrieval efficiency and reducing processing times.
- Managed incoming communications, prioritizing tasks for optimal response and workflow organization.
- Trained new staff on office protocols and software applications, fostering a collaborative work environment.
Education
Organizational Leadership & Technology
Saint Louis University
St. Louis, MO12-2022
Skills
- Claims analysis
- Claims processing
- Microsoft office
- Liability determination
cygendivine.com
cygendivine.com is my website that I built. I utilized my skills and applied my knowledge.
Timeline
Claims Technician
HCSC - Blue Cross Blue Shield of Illinois
07.2024 - Current
HR Administrative Assistant
Agency For Community Transit
03.2024 - 07.2024
Lead Authorization Specialist
Saint Louis University
05.2017 - 10.2021
Office Service Representative
South County Health Center
06.2011 - 05.2017
Organizational Leadership & Technology
Saint Louis University
Similar Profiles
Sana AmjadSana Amjad
Senior HRBP at HCSC - Blue Cross Blue Shield of IllinoisSenior HRBP at HCSC - Blue Cross Blue Shield of Illinois
Nikki SiegmundNikki Siegmund
UM at HCSC - Blue Cross Blue Shield of IllinoisUM at HCSC - Blue Cross Blue Shield of Illinois
Sary PerezSary Perez
Quality Control and Coaching Associate at HCSC - Blue Cross Blue Shield of IllinoisQuality Control and Coaching Associate at HCSC - Blue Cross Blue Shield of Illinois
Tammy WareTammy Ware
Customer Service Representative at AAA Auto Club GroupCustomer Service Representative at AAA Auto Club Group
Monica BrendelMarshMonica BrendelMarsh
Senior Executive Recruiter/.Perm Division Trainer at LGC HospitalitySenior Executive Recruiter/.Perm Division Trainer at LGC Hospitality