Anecia Williams
Summary
Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries, and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Care Coordinator
Heartshare Human Services of NY
Queens, NY
06.2022 - 12.2023
- Maintained awareness of government regulations, health insurance changes and financing options.
- Monitored and evaluated patient progress, adjusting treatment plans as needed.
- Responded promptly to inquiries from patients regarding their care plans.
- Provided case management services to ensure the delivery of quality care.
- Provided crisis intervention services when needed.
- Conducted initial assessments and evaluations of patient's needs.
- Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.
- Actively participated in staff meetings discussing best practices in patient care coordination.
Care Coordinator
ArchCare at Terence Cardinal Cooke Health Care Center
New York, NY
01.2016 - 05.2018
- Maintained awareness of government regulations, health insurance changes and financing options.
- Monitored and evaluated patient progress, adjusting treatment plans as needed.
- Responded promptly to inquiries from patients regarding their care plans.
- Provided case management services to ensure the delivery of quality care.
- Developed medical programs that promoted community health and research.
- Coordinated work activities and scheduling of medical, nursing and physical plant staff.
- Investigated and reported issues relating to patient care and conditions which might hinder patient well-being.
- Maintained records management system to process personnel information and produce reports.
Intake Specialist
Dental Smart
Maiden, MA
12.2013 - 12.2014
- Collected revenue by reminding delinquent accounts, notifying customers of insufficient payments.
- Corresponded with hospitals and medical offices regarding incoming home health referrals.
- Monitored progress of clients throughout the course of treatment and adjusted treatment plans accordingly.
- Communicated regularly with clinical staff regarding client progress and changes in condition or behavior.
- Adhered to ethical standards outlined by regulatory bodies governing the practice of social work.
- Ensured that all necessary paperwork was completed accurately before discharge from program.
- Investigated insurance policies to determine claim eligibility and processed files in accordance with instructions.
- Facilitated group therapy sessions focused on relapse prevention techniques and coping skills development.
Claims Processor
MediTech Health Services
Miami, FL
09.2012 - 07.2013
- Analyzed contracts and claim systems to apply appropriate benefit amounts.
- Maintained accurate records of all processed claims in accordance with departmental requirements.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
- Handled billing related activities focused on medical specialties.
- Collaborated with fellow team members to manage large volume of claims.
Reimbursement Specialist
Capital One
Montego BAy, Jamaica
04.2011 - 07.2012
- Created detailed spreadsheets documenting all reimbursements made by the organization.
- Computed credit terms, discounts and shipment charges for goods or services to complete billing documents.
- Determined medical necessity, using individual insurance carrier regulations.
- Completed efficient drop and bulk filing to maintain well-organized and easily accessed systems
- Maintained a database of all reimbursements, payments, and other transactions.
Education
HHA Certification
Celeste Training School
Ny 07-2023
CNA
RUBIES ACADAMY
Fort Lauderdale, FL04-2022
Associate of Science - Hotel And Motel Management
Western Hospitality Institute
Jamaica W.I06-2019
High School Diploma -
Anchovy High School
Jamaica W.I07-2005
Skills
- Progress Monitoring
- Written Communication Skills
- Medical Terminology
- Claims Processing
- Organizational Standards
- Strategic Planning
- Quality Assurance
- Care Planning
- Organizational Skills
- Goal Setting
- Scheduling
- Documentation
- Microsoft Office
- Google Suite
- Communication
Affiliations
- Community Services
- Dance Coordinator for kids
- swimming
- Music Lover
Certification
- HHA
- Certified Nursing Assistant
- CPR/AED
- Heart of Service Certification
Languages
English
Professional
References
References available upon request.
Timeline
Care Coordinator
Heartshare Human Services of NY
06.2022 - 12.2023
Care Coordinator
ArchCare at Terence Cardinal Cooke Health Care Center
01.2016 - 05.2018
Intake Specialist
Dental Smart
12.2013 - 12.2014
Claims Processor
MediTech Health Services
09.2012 - 07.2013
Reimbursement Specialist
Capital One
04.2011 - 07.2012
HHA Certification
Celeste Training School
CNA
RUBIES ACADAMY
Associate of Science - Hotel And Motel Management
Western Hospitality Institute
High School Diploma -
Anchovy High School
- HHA
- Certified Nursing Assistant
- CPR/AED
- Heart of Service Certification
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