ALANDRIA WILKINS

Arrive patients and obtain demographics

• Provided exceptional customer service to patients, addressing concerns and answering questions regarding the admissions process.
• Greeted and assisted patients with check-in procedures.
• Verified patient insurance eligibility and entered patient information into system.
• Followed document protocols to safeguard confidentiality of patient records.
• Processed payments using cash and credit cards, maintaining accurate records of transactions.
• Offered simple, clear explanations to help clients and families understand hospital policies and procedures.

• Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management
• Serves as the practice expert and go-to person for all coding and billing processes
• Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection
• Analyzes billing and claims for accuracy and completeness; submits claims to proper insurance entities and follows up on any issues
• Follows up on claims using various systems
• Prepares and analyzes accounts receivable reports, and weekly and monthly financial reports
• Audits current procedures to monitor and improve efficiency of billing and collections operations
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements
• Analyzes trends impacting charges, coding, collection, and accounts receivable and takes appropriate action to realign staff and revise policies and procedures
• Supervises billing office personnel, which includes work allocation, training, and being available for staff needs
• Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques
• Coordinates team member time off in a manner that does not negatively impact necessary daily functions

• Responsible for capturing and documenting all pertinent patient demographic, subscriber, and insurance information
• Obtains complete and accurate insurance information; completes insurance verification
• Reviews work and assures accuracy in all aspects of the position
• Responsible for assessing and collecting financial liabilities prior to service when applicable
• Scans appropriate data into Document Management System
• Identifies patient's history in all Patient Access Systems
• Confirms and updates EHR system with pre-certification information
• Performs medical necessity checks on all appointments
• Obtains and accurately completes MSP forms when applicable
• Demonstrates ability to complete and explain all registration related consents and other documents
• Prepares patient packets for next day's scheduled procedures.

• Managed the daily operations of a group home for adults with intellectual/developmental disabilities
• Led a staff of direct support professionals
• Implemented and enhanced supports through the development of support plans
• Provided a high quality of services aimed at supporting individuals to develop independent life skills and lead healthy and rewarding lives as active members of their community.

• Greeted patients as they arrived into the facility and provided them with appropriate information
• Answered telephone and guided callers regarding medical procedures
• Scheduled and rescheduled patients' appointment Provided medical billing and coding duties
• Prepared patients for medical procedures
• Obtained patients' information and recorded it in the database
• Managed filing and record keeping activities
• Updated patients' insurance information
• Assisted doctors by providing limited procedural support
• Obtained and processed new patients' referrals
• Took and recorded patients' demographic location information
• Initiated and maintained correspondence with patients and families
• Liaised with insurance companies
• Verified clients' insurance information.

• Responsible for maintaining a safe and fun environment for young children to preteens
• Duties included coming up with creative and educational activities, preparing and serving snacks to children, and maintaining a clean environment for the children.