Andrea Surratt
Charlotte
Summary
Detail-oriented Claims Processor with 10 years of experience reviewing, processing, and adjudicating insurance claims in compliance with company policies and regulatory guidelines. Proven ability to maintain accuracy, meet productivity targets, reduce claim errors, and provide excellent customer service. Proficient in claims management systems, medical terminology, and data analysis.
Overview
14
14
years of professional experience
2
2
Certifications
Work History
Claims Processor
Charlotte Dermatology
Charlotte
10.2019 - Current
- Reviewed and processed an average of 80-100+ claims per day while maintaining 98% accuracy
- Verified policy coverage, eligibility, and claim documentation for compliance
- Applied CPT, ICD-10, and HCPCS codes to ensure accurate reimbursement
- Investigated and resolved claim discrepancies, denials, and appeals
- Ensured compliance with HIPAA, CMS, and company regulations
- Collaborated with providers, members, and internal departments to resolve issues
- Reduced claim processing errors by 99% through quality control reviews
Claims Specialist
Defy Medical
Tampa
05.2016 - 10.2019
- Entered and validated claim data into claims management systems.
- Identified missing or incorrect information, and requested documentation.
- Processed medical claims according to policy guidelines
- Met strict productivity and turnaround time requirements
- Maintained detailed records and documentation for audits
Claims Analyst
LabCorp
Charlotte
03.2012 - 05.2016
- Reviewed claim submissions for accuracy and completeness.
- Collaborated with healthcare providers to resolve claim discrepancies.
- Communicated with clients regarding claim status and required documentation.
- Conducted investigations to gather evidence in support of claims resolution.
- Reviewed coverage determinations, investigated and evaluated claims and negotiated settlements.
- Reviewed customer claims, identified discrepancies and determined appropriate course of action.
Education
Associate of Science - Medical Technology
Gaston College
Dallas, North Carolina, NC12-2012
Skills
- Claims processing
- Claims adjudication
- CPT coding
- Medical terminology
- Payments posting
- Medical billing
- Claim investigation
- Claims review
- Denials
- ICD-10
- HCPCS
- Claims software
Certification
Certified Medical Reimbursement Specialist
Timeline
Claims Processor
Charlotte Dermatology
10.2019 - Current
Claims Specialist
Defy Medical
05.2016 - 10.2019
Claims Analyst
LabCorp
03.2012 - 05.2016
Associate of Science - Medical Technology
Gaston College