Samantha Boras Email and Phone Number
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Samantha Boras personal email
Samantha Boras is a Claims Quality Control Auditor at Beacon Health Options at Strategic Solutions Management Consultants. She possess expertise in psychology, spss, quantitative research, problem solving.
Strategic Solutions Management Consultants
View- Website:
- strategicsolutionsmgmt.com
- Employees:
- 17
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Billing SpecialistStrategic Solutions Management Consultants Feb 2021 - Present
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Claims Quality Control AuditorBeacon Health Options Nov 2018 - Feb 2021Latham, New York, United StatesI advocate for the best quality of life for our clients. As a claims quality control auditor, I amplify the existing business processes by providing specialized insights in claim reviews, investigations and audits. My duties and accomplishments include the following:✓ Assess the accuracy of all claim line information in prepay and post-pay status while investigating discrepancies. ✓ Audit and generate data in excel spreadsheets while analyzing financial processes from external and internal sources. ✓ Facilitate coaching, mentoring, and feedback among employees to systematize workstream in the claims department. ✓ Conduct a proficient claim analysis based on the documents and processes executed by medical coders and billers. -
Claims SpecialistBeacon Health Options Oct 2018 - Nov 2018Latham, New York, United StatesPrior to accepting a position in the Quality Control department, I was promoted to a claims specialist. As a claims specialist, I accurately managed claim-related requests, utilizing computer systems on claims adjudication and payment authorization. My duties and accomplishments included the following:✓ Duly recognized for proficiently demonstrating expertise in trainings and achieving key performance indicators.✓ Analyzed incidents involving complicated claims, ensuring strict compliance with company policies and processes.✓ Supported learning grounds for new claim specialists while sharing strategies for claim handling and quality work.
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Claims Processor IiBeacon Health Options Apr 2016 - Oct 2018Latham, New York, United StatesContinuously aiming for professional development has fueled my vision of taking greater responsibilities to augment healthcare services. As a claims processor II, I promptly adjudicated HCFA-1500 and UB-04 claims, including coordination of benefits claims, exceeding accuracy and quality standards.My duties and accomplishments included the following:✓ Investigated and resolved claim issues by coordinating with correct departments to identify improvement opportunities.✓ Assigned as Claims Processor II after demonstrating reliability and keen attention to detail in adding data into the system.✓ Exceeded quality and quantity standards in evaluating data accuracy and quality, maintaining information credibility.
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Customer Service Representative IiDavis Vision Aug 2014 - Apr 2016Latham, New York, United StatesEnsuring customer satisfaction and exceeding performance standards inspired me to grow professionally while mastering the skills in dealing with diverse personalities. As a customer service representative II, I directed inbound calls regarding vision insurance benefits, eligibility, and medical optometry claims from high-profile groups. My duties and accomplishments included the following:✓ Selected to be cross-trained to take calls and answer specialized billing questions and medical optometry concerns. ✓ Immediately promoted to Customer Service Representative II after consistently boosting call flow and operations. ✓ Assisted members or providers with filing appeals while resolving conflicts through mutually beneficial agreements.✓ Ensured premium customer satisfaction by promptly remediating appeals, grievances, claims, and provider relations. -
PartnerStewart'S Shops Jan 2012 - Jun 2013
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Work StudyGreen Mountain College Aug 2011 - Dec 2011
Samantha Boras Skills
Samantha Boras Education Details
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Health Information/Medical Records Technology/Technician -
Shaker High SchoolLiberal Arts And Sciences/Liberal Studies
Frequently Asked Questions about Samantha Boras
What company does Samantha Boras work for?
Samantha Boras works for Strategic Solutions Management Consultants
What is Samantha Boras's role at the current company?
Samantha Boras's current role is Claims Quality Control Auditor at Beacon Health Options.
What is Samantha Boras's email address?
Samantha Boras's email address is sa****@****ons.com
What schools did Samantha Boras attend?
Samantha Boras attended Hudson Valley Community College, Green Mountain College, Shaker High School.
What skills is Samantha Boras known for?
Samantha Boras has skills like Psychology, Spss, Quantitative Research, Problem Solving.
Who are Samantha Boras's colleagues?
Samantha Boras's colleagues are Judy Schindler, Taylor Newberry, Patricia Yusaitis, Christine Cottone, Cpc-A, Mattie Whitman, Jessica Lacey, Deborah Rosebrook-Paige, Cpc, Cppm, Crc.
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