Overview
Work History
Education
Skills
Certification
Timeline
Generic

Aliyah Williams

Ft. Pierce,FL

Overview

4
4
years of professional experience
1
1
Certification

Work History

Refund Specialist

Vero Orthopaedcis
08.2023 - Current
  • Review insurance policies, patient records, and payment data to determine the proper reimbursement amounts for healthcare services.
  • Analyze and document significant information before using it to calculate precise reimbursement amounts.
  • Assess claims and payments for accuracy while making sure all applicable laws and guidelines are followed.
  • Analyze bank statements and daily transactions, making sure that every payment is correctly recorded, processed, and reconciled.
  • Oversee daily bank deposits, which pertains to the collecting, counting, and balancing of substantial quantities of money obtained from the workplace i.e. credit cards, checks, ACH payments, and petty cash.
  • Assist Head of Finance with account analysis, problem-solving, and month-end closing to assure financial accuracy.
  • Create financial spreadsheets and reports for financial assessment.
  • Import daily revenue journal entries into general ledger system.

Medical A/R Specialist

Vero Orthopaedcis
09.2022 - 08.2023
  • Process and post patient payments.
  • Meet with patients/families to assist with payment arrangements or questions regarding bills i.e. charges, payments, and adjustments.
  • Process accounts for bad debt placement or legal collection action.
  • Approximately 20 inbound calls, emails, and faxes from patients and insurance companies were managed daily.
  • Follow up on open balances listed on monthly A/R and payer follow-up reports to resolve denied claims.

Authorization Representative

Cleveland Clinic
08.2021 - 09.2022
  • Provide accurate and complete data input for pre-certification requests.
  • Review structured clinical data, match it against specified medical terms and diagnoses or procedure codes.
  • Enter patient insurance, authorizations, and billing data into EMR and billing systems accurately.
  • Use charge master to calculate daily patient due amounts for practice and provide out-of pocket cost estimates to patients.

Education

Master's degree - Information Systems

Nova Southeastern University
Tampa, FL
12.2024

Bachelor's Degree - Health Science

University of South Florida
Tampa, FL
08.2020

Skills

  • Microsoft Office products (Excel, Word, PowerPoint)
  • ICD-9/ICD-10/CPT
  • Medical Billing
  • Data/Journal entry
  • EPIC
  • Nextgen Healthcare
  • Sage Intacct
  • SQL
  • Analytical Skills
  • General ledger accounting
  • Multitasking
  • Audit compliance

Certification

Certified Revenue Cycle Representative

June 2023 to May 2026

CRCR, HFMA

Timeline

Refund Specialist

Vero Orthopaedcis
08.2023 - Current

Medical A/R Specialist

Vero Orthopaedcis
09.2022 - 08.2023

Authorization Representative

Cleveland Clinic
08.2021 - 09.2022

Bachelor's Degree - Health Science

University of South Florida

Master's degree - Information Systems

Nova Southeastern University

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Aliyah Williams