Amber Williams
Chattanooga,TN
Summary
Results‑driven professional with over 10 years of experience in operations, administrative support, and customer service. Known for strong organization, attention to detail, and the ability to manage multiple priorities while meeting deadlines.
Overview
12
12
years of professional experience
Work History
Individual Sales Support TTE
Blue Cross Blue Shield of TN
04.2024 - Current
- Act as a lead resource for escalated and complex broker and member issues
- Design, produce, and sustain training resources to enhance team knowledge and uniformity
- Maintain ongoing Medicare and product compliance by tracking policy updates
- Maintain and update the team Community Page with accurate, compliant guidance
- Led team meetings to share updates, reinforce expectations, and support team alignment
- Execute monthly focused feedback coaching, reviewing missed opportunities through live monitoring, sharing insights with team
Individual Sales Support Representative
Blue Cross Blue Shield of TN
04.2024 - 04.2025
- Receive, investigate, and resolve inquiries timely and accurately, clearly documenting all communications.
- Answer basic inquiries and resolve routine problems regarding products and services via calls, email, or internet chat.
- Perform contract administration support and resolve contract related issues.
- Handle customer service inquiries and problems of brokers around benefits, eligibility, and billing.
- Utilize Facets, Sales Logix, and Travis to correspond with members, groups, brokers and applicants regarding application, policies, and billing status.
- Maintain full current knowledge of BCBST individual under 65, Marketplace, Medicare supplement and Advantage products.
Pre-Authorization Representative
Common Spirit
11.2022 - 03.2024
- Responsible for ensuring the necessary pre-certifications are obtained to receive proper reimbursement for scheduled cardiac imaging performed.
- Responsible for obtaining all pre-authorizations for planned outpatient cardiac imaging ordered by Chattanooga Heart Institute providers throughout the practice.
- Interact with coding staff to ensure that medical necessity requirements are met.
- Ensure timely updates of payer coverage.
- Track and reconcile pre-authorization denials for process improvement.
- Notify Manager/Director of documentation improvement opportunities.
- Utilize payer website to obtain precertification electronically or via phone call per company guidelines.
- Interact with physicians and assist with peer-to-peer calls.
- Provide timely and accurate feedback to Manager - Revenue Cycle should precertification issues arise.
- Provide timely and accurate precertification approval information to the hospital prior to patient appointments.
- Responded promptly to all inquiries from providers, patients, payers, regarding authorization status updates.
Registrar/Insurance Verification Representative
Park Ridge Medical Center
10.2020 - 11.2022
- Professionally handle incoming telephone calls or inquiries from provider office
- Verify all insurance and obtain pre-certification/authorization.
- Calculate and collect patient liable amount.
- Assign Insurance Plans accurately.
- Verify medical necessity for Medicare A B patient's by processing CPT and diagnosis code into ECare Next
- Ensure that all necessary signatures are obtained for treatments.
- Answer any questions and explain policies clearly.
- Identify gaps in existing processes and procedures and provide recommendations for improvement.
- Registering and admitting patients for hospital services.
- Coordinating with medical staff, billing and other departments.
- Implemented process improvements that reduced patient wait times and increased accuracy in data entry.
Account Support Specialist
Well Path
06.2018 - 06.2019
- Coordinate & Schedule patient off-site medical referrals w/ the appropriate contracted specialty providers.
- Accurately and consistently enter all related data into the patient management platform.
- Ensure scheduling and medical records management compliance in strict accordance with client contracts.
- Assist with department projects and implementation of best practices.
- Perform administrative duties such as data entry and filing documents.
- Answer telephone, relay messages, and transfer calls as appropriate
- File loose documentation generated from inside and outside the institution such as laboratory reports, radiology results, completed consultant reports, medication administration records, etc.
- Demonstrate excellent communication abilities in both verbal and written forms when interacting with clients.
Individual Sales Support
Blue Cross Blue Shield of TN
03.2014 - 06.2018
- Receive, investigate, and resolve inquiries timely and accurately, clearly documenting all communications.
- Answer basic inquiries and resolve routine problems regarding products and services via calls, email, or internet chat.
- Perform contract administration support and resolve contract related issues.
- Handle customer service inquiries and problems of brokers around benefits, eligibility, and billing.
- Utilize Facets, Sales Logix, and Travis to correspond with members, groups, brokers and applicants regarding application, policies, and billing status.
- Maintain full current knowledge of BCBST individual under 65, Marketplace, Medicare supplement and Advantage products.
- Single point of contact for group administrators and Brokers to assist with benefits, eligibility, and claims.
Education
High School Diploma -
Ooltewah High School
05-2010
Skills
- Customer Service
- Authorization Input
- Appointment Scheduling
- Effective conflict resolution
- Innovative problem resolution
- Proficient in verbal and written expression
- Effective multitasking
- Strong attention to detail
- Team leadership
- Cross-functional teamwork
- Strong organizational abilities
Timeline
Individual Sales Support TTE
Blue Cross Blue Shield of TN
04.2024 - Current
Individual Sales Support Representative
Blue Cross Blue Shield of TN
04.2024 - 04.2025
Pre-Authorization Representative
Common Spirit
11.2022 - 03.2024
Registrar/Insurance Verification Representative
Park Ridge Medical Center
10.2020 - 11.2022
Account Support Specialist
Well Path
06.2018 - 06.2019
Individual Sales Support
Blue Cross Blue Shield of TN
03.2014 - 06.2018
High School Diploma -
Ooltewah High School