Samantha Gattis
Chattanooga
Summary
Dynamic and results driven customer service professional with expertise in claims management, specializing in claim investigation, adjustments, and overpayment review within Facets and Agent Workspace. Recognized for exceptional attention to detail and effective communication skills that foster positive relationships with clients in the medical industry. Collaborative team player with a proven track record of enhancing customer satisfaction while driving process optimization and efficiency. Committed to contributing to organizational success through quality service delivery and a proactive approach to problem solving.
Overview
10
10
years of professional experience
Work History
Consumer Advisor
BlueCross BlueShield of Tennessee Inc.
09.2024 - Current
- Assisted customers with inquiries regarding health insurance plans and benefits.
- Resolved customer issues through effective communication and problem solving techniques.
- Educated members on policy details and claims processes for better understanding.
- Managed high volume calls while maintaining professionalism and empathy.
- Collaborated with internal teams to gather necessary information for claims resolution.
- Managed escalated claims issues, providing solutions to complex customer concerns.
Landscaper
Appalachian Land Design
08.2022 - 06.2024
- Implemented and maintained custom landscaping plans for residential and commercial properties, including Silicon Ranch Solar Company, throughout the Southeast region.
- Collaborated with landscape designers and clients to ensure project goals were met and exceeded through effective communication and teamwork.
- Operated and maintained various landscaping equipment and machinery to efficiently complete projects on time and within budget.
- Maintained weekly feeding and care routines for a flock of 50+ sheep at a local solar farm, ensuring their health and well-being.
- Implemented pasture rotation schedule to optimize grazing and maintain high-quality forage for the sheep.
- Conducted regular health checks and administered vaccinations as needed, resulting in minimal instances of illness within the flock.
Practice Manager/Insurance Coordinator
Riverbend Oral Surgery
12.2019 - 08.2022
- Managed daily operations of a busy medical practice, including scheduling appointments, overseeing billing and collections, and ensuring compliance with insurance regulations.
- Recruited, trained, and supervised a team of 4 dental assistants and 3 front office staff, fostering a positive work environment and promoting professional growth.
- Administered insurance claims processes from start to finish, including reviewing policies, gathering necessary documentation, and submitting claims to insurance carriers.
- Conducted insurance verifications and obtained pre-authorizations for medical procedures, ensuring timely and accurate processing of claims.
- Collaborated with healthcare providers and patients to resolve insurance-related issues and provide guidance on coverage and benefits.
- Managed patient inquiries and concerns with empathy and professionalism, resulting in increased patient satisfaction ratings.
Spa Manager
Skin And Brow Room
07.2018 - 12.2019
- Developed and implemented new spa service offerings, resulting in a 20% increase in revenue within the first year.
- Managed a team of 15 staff members and modeled in providing exceptional customer service and maintaining a clean and organized spa environment.
- Oversaw inventory management, ordering supplies and products as needed to maintain optimal stock levels and minimize waste.
- Managed social media accounts to create promotional campaigns and events, driving customer engagement and increasing spa memberships by 30%.
Administrative Assistant
Town Of Kenneth City
11.2016 - 04.2018
- Provided exceptional customer service by promptly responding to inquiries and handling requests from clients and vendors.
- Managed executive calendars, scheduled meetings, and coordinated travel arrangements for a team of 10 senior leaders, ensuring efficient communication and organization.
- Prepared and proofread correspondences, reports, and presentations with a high level of accuracy and attention to detail.
- Leveraged a typing speed of 60 WPM to efficiently document meeting minutes, resulting in a 40% reduction in post-meeting administrative time.
- Facilitated communication between departments by relaying messages, responding to inquiries, and coordinating interdepartmental meetings.
Education
Bachelor of Science - Psychology
The University of Tennessee Chattanooga
Chattanooga, TNSkills
- Systems & Tools
- Facets
- Agent Workspace (AW)
- Workday
- Microsoft Office (Word, Excel, Word, Outlook)
- Claims & Research
- Claim investigation and analysis
- Claim adjustments
- Overpayment review / Enterprise Claims Recovery support
- Coordination of Benefits (COB) knowledge
- Documentation and case summarization
- Professional
- Attention to detail
- Time management
- Independent decision-making
- Written and verbal communication
Timeline
Consumer Advisor
BlueCross BlueShield of Tennessee Inc.
09.2024 - Current
Landscaper
Appalachian Land Design
08.2022 - 06.2024
Practice Manager/Insurance Coordinator
Riverbend Oral Surgery
12.2019 - 08.2022
Spa Manager
Skin And Brow Room
07.2018 - 12.2019
Administrative Assistant
Town Of Kenneth City
11.2016 - 04.2018
Bachelor of Science - Psychology
The University of Tennessee Chattanooga