Brandi Williams
Atlanta,GA
Summary
Offering strong analytical abilities and dedication to learning and development in insurance verification environment. Brings solid understanding of administrative processes and accuracy in data entry, with ability to quickly grasp new systems and procedures. Ready to use and develop skills in communication and problem-solving in the Quality Improvement Specialist role.
Overview
14
14
years of professional experience
Work History
Insurance Verification Specialist
Northside Hospital
09.2019 - 11.2024
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Trained new staff on current, correct insurance verification procedures.
- Updating patient information/keeping records
Customer Service Representative/Provider Services Representative
Aerotek/Ambetter From Peachstate Health Plan
09.2018 - 09.2019
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Answering questions about insurance claims and requirements.
- Provided plan eligibility information, reviewing plan rules, benefit inquiries, authorization and claims status, and addressing any complaints or issues the member is having in accessing healthcare.
Medicaid Choice Counselor/Customer Service Representative
Randstad Staffing/Maximus
10.2015 - 09.2018
- Responsible for assisting potential members through the benefit enrollment process.
- Reviews information for potential Medicaid recipients to ensure accuracy and completion.
- Responds to customer inquiries received by telephone, Interactive Voice Response (IVR), or web based portal regarding information on programs and services.
- Responds to incoming customer calls and assists enrollees in completing Medicaid eligibility new and renewal applications.
- Maintains updated knowledge of all Louisiana GNOCHC, CCN, or alternative Medicaid managed care program information, policies, procedures, and program changes.
- Addresses customer inquiries and resolve concerns to ensure customer satisfaction.
- Refers customers to other community resources to departments for assistance.
- Follows standard operating procedures to ensure consistency and accuracy
- Escalates unresolved concerns to senior team members as needed.
Customer Service/Cashier
Walmart
09.2011 - 04.2012
- Maintained a clean and organized workspace, promoting a welcoming environment for customers.
- Handled high-pressure situations calmly, maintaining composure during busy periods or difficult interactions.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Processed customer orders and accurately handled payment transactions.
- Mentored new associates and helped them acclimate to their new responsibilities.
- Resolved customer complaints with professionalism and empathy, resulting in increased customer loyalty.
- Promoted a positive shopping experience by greeting customers warmly upon entry and providing assistance as needed.
- Counted money in drawers at beginning and end of each shift.
Patient Service Coordinator
Dr. Fray Marshall
09.2010 - 11.2011
- Managed sensitive patient data with strict adherence to HIPAA regulations, ensuring privacy and confidentiality at all times.
- Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
- Responded effectively to challenging situations involving distressed or dissatisfied patients while maintaining a calm demeanor and positive attitude.
- Scheduled appointments to enter appointment date and time into computerized scheduler.
- Identified valid insurance providers and verified each patient’s active insurance coverage.
Education
High School Diploma -
Westlake High School
Atlanta, GASkills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Data entry proficiency
- Coverage and authorizations
- Communication and interpersonal skills
- Coordination and scheduling
- Medical billing
- Insurance billing
Accomplishments
- Consistently achieved Employee of the month by completing verification tasks with accuracy and efficiency.
Timeline
Insurance Verification Specialist
Northside Hospital
09.2019 - 11.2024
Customer Service Representative/Provider Services Representative
Aerotek/Ambetter From Peachstate Health Plan
09.2018 - 09.2019
Medicaid Choice Counselor/Customer Service Representative
Randstad Staffing/Maximus
10.2015 - 09.2018
Customer Service/Cashier
Walmart
09.2011 - 04.2012
Patient Service Coordinator
Dr. Fray Marshall
09.2010 - 11.2011
High School Diploma -
Westlake High School
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