Briana Williams
Richmond,TX
Summary
Certified Professional Coder (CPC-A #1925558 - Active) with experience in claims resolution, medical billing, insurance verification, denial management, reimbursement analysis, and healthcare revenue cycle operations. Experienced with Facets, Medisoft, and MedNet systems. Skilled in ICD-10-CM, CPT, HCPCS, HIPAA compliance, EMR systems, and medical terminology.
Overview
1
1
Certification
2
2
years of post-secondary education
14
14
years of professional experience
Work History
Claims Resolution Specialist
UnitedHealthcare / Optum
11.2022 - Current
- Investigated and resolved medical and pharmacy claim discrepancies and payment issues, ensuring accurate claims processing.
- Analyzed claim denials to identify root causes and determined appropriate corrective actions, reducing future discrepancies.
- Review claim documentation, EOBs, and reimbursement information.
- Collaborated with providers, payers, and internal teams to effectively resolve outstanding claims, enhancing communication and resolution efficiency.
- Assisted in managing revenue cycle operations by coordinating tasks and ensuring compliance. while maintaining HIPAA compliance.
Medical Billing & Accounts Receivable Specialist
Sugar Land Allergy, Asthma & Immunology Center
05.2022 - 10.2022
- Managed accounts receivable aging reports, ensuring timely follow-up on unpaid claims to optimize cash flow.
- Submitted appeals and corrected claims to maximize reimbursement.
- Managed accounts receivable aging reports and followed up on unpaid claims and balances.
- Assisted with prior authorizations for biologic medications to facilitate patient access to necessary treatments.
- Supported coding inquiries related to CPT and ICD-10-CM, contributing to accurate billing and compliance.
Vocational Habilitation Trainer
Texana Center
01.2013 - 05.2021
- Coordinated services and monitored client progress to facilitate goal achievement.
- Maintained accurate documentation and data collection records to support client assessments.
- Ensured compliance with organizational policies and procedures to uphold service standards.
Education
Associate of Applied Science - Health Information Management
Ultimate Medical Academy
Clearwater, FL 11.2024 - 07.2026
Medical Billing and Coding Diploma -
Altierus Career College
Houston, TXHigh School Diploma -
Wharton High School
Skills
- Claims Resolution
- Denial Management
- Insurance Verification
- Revenue Cycle Management
- ICD-10-CM
- CPT/CDT
- HCPCS
- Medical Terminology
- EMR/EHR Systems
- Facets
- Medisoft
- MedNet
- Microsoft Excel
- HIPAA Compliance
- Accounts Receivable
Certification
- Certified Professional Coder (CPC-A), #1925558 - Active
- Basic Life Support (BLS) Certification
Timeline
Associate of Applied Science - Health Information Management
Ultimate Medical Academy
11.2024 - 07.2026
Claims Resolution Specialist
UnitedHealthcare / Optum
11.2022 - Current
Medical Billing & Accounts Receivable Specialist
Sugar Land Allergy, Asthma & Immunology Center
05.2022 - 10.2022
Vocational Habilitation Trainer
Texana Center
01.2013 - 05.2021
Medical Billing and Coding Diploma -
Altierus Career College
High School Diploma -
Wharton High School