Sharmaine Anders
Franklinton
Summary
Reliable and detail-oriented administrative support professional with over 5 years of experience in non-phone roles including claims resolution, data entry, and medical billing. Skilled in analyzing documentation, verifying accuracy, processing high volumes of information, and maintaining strict confidentiality. Strong understanding of healthcare systems, insurance plans, and billing procedures. Thrives in focused, independent work environments.
Overview
8
8
years of professional experience
Work History
Claims Resolution Specialist
Cigna
03.2021 - 03.2025
- Researched and resolved medical and pharmacy claim discrepancies without direct customer contact
- Entered and updated patient, provider, and claim data with a focus on accuracy and compliance
- Reviewed diagnosis and procedure codes for completeness and alignment with plan guidelines
- Drafted written responses for appeals and denials
Healthcare Support Analyst
Alorica
06.2019 - 03.2021
- Processed claim submissions, adjustments, and prior authorizations through online portals
- Reviewed documentation and managed workflow in an internal ticketing system
- Conducted internal audits to ensure proper application of benefits and billing rules
- Worked independently with minimal supervision in a metrics-driven environment
Claims Data Entry Clerk
Navient
02.2017 - 06.2019
- Input high volumes of claim and financial data accurately into processing systems
- Generated daily logs and reports to track progress and identify discrepancies
- Supported internal departments by providing detailed documentation for audits and appeals
Education
High School Diploma - Medical Terminology, Medical Billing & Coding, Claims Adjudication
Franklinton High School
Franklinton, La05.2010
Skills
- Medical Claims Processing
- Data Entry & Accuracy
- Medical Billing & Reimbursement
- Insurance Verification & Denial Resolution
- EOB Review & Payment Posting
- HIPAA Compliance
- Excel
- Microsoft Office Suite
- Google Workspace
- EMR Systems (Epic, Medisoft, etc)
- Attention to Detail
- Written Correspondence
- Documentation Review
- Deadline Management
Timeline
Claims Resolution Specialist
Cigna
03.2021 - 03.2025
Healthcare Support Analyst
Alorica
06.2019 - 03.2021
Claims Data Entry Clerk
Navient
02.2017 - 06.2019
High School Diploma - Medical Terminology, Medical Billing & Coding, Claims Adjudication
Franklinton High School