Alicia Williams

· Responsible for reviewing hospital claims to verify proper reimbursement and work with stakeholders to resolve issues and optimize reimbursement processes while adhering to regulatory guidelines and organizational policies.

· Utilize company best practices along with technology enabled worklist and other internal tools to identify discrepancies between reimbursement and actual reimbursement amounts from insurance carriers.

· Demonstrate a commitment to upholding ethical standards and compliance with relevant regulations and guidelines in all reimbursement optimization activities.

· Actively participate in discussions, meetings, and brainstorming sessions where team members contribute insights and suggestions for improving processes.

· Investigate reasons for discrepancies, such as payment variances, coding errors, billing discrepancies, or incorrect application of payer policies.

· Contact insurance companies to obtain missing information, explain and resolve underpayments and arrange for payment or adjustment processing on behalf of client.

· Prepare and submit correspondence such as letters, emails, faxes, online inquiries, appeals, adjustments, reports and payment posting.

· Maintain through documentation, including root cause of underpayment issues, trends, outcomes, and lessons learned to support ongoing improvement efforts and knowledge sharing within the organization.

• Reduced collection time for outstanding invoices by closely monitoring aged accounts and maintaining frequent communication with clients.
• Participated in the month-end close process, ensuring accurate reporting of accounts receivable balances and timely submission of data for financial statements.
• Collected, compiled and analyzed data to prepare customer invoices per contractual requirements.
• Analyzed aging reports to identify trends and patterns causing missed collections.
• Responsible for timely and accurate billing: electronic claim submission, paper submission, secondary payers and any rebilling needed.
• Review and process all patient information for accurate and complete demographic information. Prepares and maintains spreadsheets related to documentation request needed within the billing department to help resolve outstanding issues.
• Processes all Insurance and patient refunds on a weekly basis for all clients. Review and manage all rejection reports when available.
• Follows all delinquent third party and self-pay accounts maintaining clear records of follow-up activity. Responds to all third party and patient inquiries, including telephone calls and written correspondence.
• Review all electronic and manual payments posted to all patient accounts per explanation of benefits giving from the insurance company. As well as take adjustments and make corrections to accounts for previous transactions done.

• Processed billing transactions to maintain accurate financial records.
• Improved billing efficiency by streamlining invoice generation processes.
• Resolved billing discrepancies to ensure customer satisfaction.
• Managed accounts receivable for timely collection of payments.
• Responsible for timely and accurate billing: electronic claim submission, paper submission, secondary payers and any rebilling needed.
• Review and process all patient information for accurate and complete demographic information. Prepares and maintains spreadsheets related to documentation request needed within the billing department to help resolve outstanding issues.
• Post electronic and manual payments to all patient accounts per explanation of benefits giving from the insurance company. As well as take adjustments and make corrections to accounts for previous transactions done.
• Processes all Insurance and patient refunds on a weekly basis for all clients. Review and manage all rejection reports when available.
• Follows all delinquent third party and self pay accounts maintaining clear records of follow-up activity. Responds to all third party and patient inquiries, including telephone calls and written correspondence.