Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Auntaya Wilder

Elmwood Park

Summary

Professional and driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships, and works to understand potentially conflicting points of view. Held several positions in the healthcare sector, demonstrating a strong background in claims processing, billing, collections, guest services, and health outreach.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Claims Specialist

Medtrx Healthcare Solutions
Paramus
11.2022 - Current
  • Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
  • Processed payments for valid claims according to established procedures.
  • Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
  • Collected payments, processed receipts and informed policyholders of outstanding balances.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.

Billing Coding Specialist

Regional Cancer Centre
Hackensack
06.2020 - 11.2022
  • Assisted with training new staff members on proper coding procedures.
  • Monitored customer account details for non-payments, delayed payments, and other irregularities.
  • Provided support to other departments as needed regarding insurance inquiries or payment issues.
  • Updated patient demographic information, insurance details, financial data, as necessary.
  • Generated and distributed month-end statements for customers and resolved related concerns.
  • Resolved discrepancies between billed amounts and actual payments from insurers.

Health Outreach Specialist

NY Health & Hospitals Corp.
Newark
09.2019 - 05.2020
  • Worked with state clients and stakeholders to shape procurements and identify opportunities for value added services.
  • Conducted and coordinated health needs assessments and other public health surveys.
  • Boosted community members' health knowledge through participation in health events and fairs.
  • Provided DHS (Department of Health Services) with corrective action plans.
  • Supported community and government agencies with health-related media content.
  • Screened clients for variety of health risk factors to make appropriate referrals.

Education

Some College (No Degree) - Medical Billing & Coding

Lincoln Technical Institute
Paramus, NJ
06-2022

High School Diploma -

Lodi Highschool
Lodi, NJ
06-2013

Skills

  • Claims processing
  • EPIC Systems
  • Payment reconciliation
  • Medical coding
  • Insurance verification
  • Regulatory compliance
  • Customer service

Certification

  • Medical Billing and Coding
    December 2022 to Present
    Lincoln Technical Institute Graduate

Timeline

Claims Specialist

Medtrx Healthcare Solutions
11.2022 - Current

Billing Coding Specialist

Regional Cancer Centre
06.2020 - 11.2022

Health Outreach Specialist

NY Health & Hospitals Corp.
09.2019 - 05.2020

Some College (No Degree) - Medical Billing & Coding

Lincoln Technical Institute

High School Diploma -

Lodi Highschool