Ashley Williams
Rockville,MD
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
I have been in the Medical Industry for 14 years and I have been able to not only see the Nursing aspect but also the Billing aspect as well. Having this kind of experience in not only the nursing side but also the billing side has provided me with a deep understanding/knowledge on both the Nursing and Medical Billing aspect, which in return has allowed me to to fully understand and solve problems to benefit the patient while also ensuring providers are reimbursed.
Overview
15
15
years of professional experience
Work History
Patient Accounting Supervisor
Global Reimbursement Consultants
10.2018 - Current
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
- Monitored workflow to improve employee time management and increase productivity.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Liaised between patients, insurance companies, and billing office.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Delivered timely and accurate charge submissions.
- Adhered to established standards to safeguard patients' health information.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Maintained accuracy, completeness, and security for medical records and health information.
- Followed up with medical staff regarding missing information in patient records.
- Verified accuracy of patient information in medical records.
- Tracked and monitored requests for medical records release.
- Followed exact procedures for handling transfers and other releases of medical records.
- Transcribed and entered patient medical information into electronic medical records systems.
- Assisted in preparation of medical reports for external parties.
- Researched and resolved medical record discrepancies.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Developed and implemented new filing system for medical records to improve efficiency.
- Verified accuracy of accounts payable payments, re
- Monitored outstanding invoices and performed collections duties.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
- Responded to customer concerns and questions on daily basis.
- Collaborated with customers to resolve disputes.
- Maintained accurate records of customer payments.
- Utilized various software programs to process customer payments.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Reconciled accounts receivable to general ledger.
- Analyzed, researched and resolved payment claims within required timeframes.
- Interacted with law enforcement agencies, merchants and persons of interest to obtain and review dispute information.
- Adhered to department processes, procedures and goal expectations for case investigations.
- Used sound judgment and available resources to make well-informed decisions for case approval or denial.
- Advised parties on dispute resolution processes, policies and procedures, helping disputants make informed choices.
- Researched and analyzed individual parties' positions to understand dispute background.
- Analyzed existing systems and databases and recommended enhancements to solve business needs
- Collaborated with upper management to drive strategy and implement new processes.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Gathered demographic and insurance information to register patients for medical appointments.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Secured patient privacy by learning and following HIPAA regulations to keep organization compliant with relevant laws.
- Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
- Set up patients in system by documenting key data, confirming eligibility, and verifying insurance benefits.
- Accurately inputted patient and insurance information into company's computer system using EPIC Billing System.
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Provided counseling to help patients navigate financial assistance programs for uncovered bills.
- Upheld HIPAA regulations and standards for protecting patient information.
- Retrieved medical data for physicians and patients.
- Studied and researched various medical terms as well as software and coding systems.
Advanced Cardiac Care Technician
WVU East Healthcare Berkeley
04.2011 - 04.2018
- Obtained patient vital signs and reported results to staff nurse or physician, noting changes from prior measurements.
- Answered patient assistance calls, assessed needs, and offered qualified support.
- Collected and transported specimens to prepare for lab testing.
- Responded to patient emergencies with immediate care and notified clinicians to provide comprehensive assistance.
- Supported patient admissions, discharges, and transfers to promote team productivity.
- Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.
- Maintained clean and safe environment to promote patient safety and comfort.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Assisted in transferring patients, beds and patient care equipment to other rooms adhering to necessary safety precautions.
- Organized and replenished unit supplies to maintain team readiness for expected demands.
- Helped patients maintain healthy skin by checking wounds, assessing integrity, and bathing bedbound individuals.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Applied oxygen via nasal cannula, simple masks and nebulizer masks under direction of nurse in charge.
- Documented patient information and care activities in electronic health record.
- Used principles of growth and development to provide age-specific treatment and care.
- Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
- Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks.
- Reduced risks of patient infection and cross-contamination by cleaning and sterilizing equipment.
- Facilitated personal hygiene management, feeding and ambulation.
- Upheld infection control and prevention policies across different patient-facing areas.
- Observed patients under care conditions to help identify symptoms, responses to treatments and progress with goals.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
- Monitored patient specimen samples and test results to effectively alert supervisors of potentially unhealthy changes.
- Monitored patients' heart rhythms and functions through cardiac monitoring strips.
- Interpreted tests and identified arrhythmias and heart abnormalities on patient's EKG and reported to cardiologist.
- Trained and supervised new cardiac monitor technicians on best practices and safety measures.
- Closely monitored patient condition during tests and alerted cardiac nurse if patient became stressed or conditioned worsened.
- Reviewed patient medical history, previous cardiac tests completed and prior surgeries performed.
- Maintained accurate and detailed records of patient information and treatments.
- Cleaned and sterilized equipment after each appointment, changed batteries and checked for malfunctions.
- Administered testing with electrocardiogram for patients experiencing events and as screening tool.
- Communicated with healthcare workers and physicians concerning test results.
- Initiated CPR for patients in cardiac failure, responding to hospital crisis codes.
- Provided instruction on Holter monitor and connected patient to analyzer.
- Monitored patient activity during stress test to record data.
- Edited final test results to provide to physician for analysis.
- Transcribed physician interpretations to maintain electronic records for cosign by attending doctor.
- Supported healthcare team by maintaining responsibility for electrocardiogram monitoring, defibrillation and cardio rehabilitation training.
- Employed specialized procedural knowledge and equipment to test and document patient cardiac activity.
- Utilized stethoscopes, thermometers and sphygmomanometers to meet patient needs and prescribed medical therapies.
- Maintained and adjusted cardiology and pulmonary equipment.
Certified Nursing Assistant
Willow Tree Manor
01.2009 - 04.2011
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Participated in fun group activities with patients to boost mood, improve overall memory, and provide light entertainment.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Oversaw and maintained patients' rooms, group living areas, and nurse stations.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks.
- Changed linens in rooms, keeping spaces fresh and clean for patient health and satisfaction.
- Helped patients with self-feeding and assisted feeding, based on individual needs.
- Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
- Facilitated personal hygiene management, feeding and ambulation.
Education
Nursing
Pikes Peak Community College
Colorado Springs, COSkills
- Staff Management
- Strategic Planning
- Data Analytics
- Process Improvement
- Financial Management
- Training and Mentoring
- Process Monitoring and Improvement
- Bill Payment
- Medicare and Medicaid Process
- Accounts Payable
- Claims Processing
- Billing and Collection Procedures
- Multitasking and Organization
- CMS-1500 Billing Forms
- Insurance Claims
- Knowledgeable in EPIC System and Cedar Platform
- Medical Terminology
- Critical Thinking
- Data Analysis
- Data Entry
Timeline
Patient Accounting Supervisor
Global Reimbursement Consultants
10.2018 - Current
Advanced Cardiac Care Technician
WVU East Healthcare Berkeley
04.2011 - 04.2018
Certified Nursing Assistant
Willow Tree Manor
01.2009 - 04.2011
Nursing
Pikes Peak Community College