Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brichel Williams

Chino,CA

Summary

Dedicated and detail-oriented Medical Insurance Billing/Collections professional with extensive experience in call center customer service. Proven track record of accurately and efficiently processing insurance claims, resolving billing discrepancies, and providing exceptional customer service to patients. Skilled in navigating complex insurance policies and procedures to maximize reimbursement and streamline the billing process. Strong communication and problem-solving abilities to address inquiries and issues effectively. Looking to leverage my expertise in medical insurance billing and collections to contribute to a dynamic healthcare team.

Overview

16
16
years of professional experience

Work History

Care Coordinator

UHG / Optum Serve
08.2024 - Current
  • Conduct patient intake, collecting accurate demographics, insurance, and benefit details for an average of 60+ calls per day, ensuring 100% HIPAA compliance.
  • Triage patient inquiries efficiently, reducing nurse wait times by 30% through seamless handoffs and accurate documentation.
  • Provide tailored referrals to community resources (e.g., urgent care, hospitals), resulting in a 20% increase in patient satisfaction scores based on post-call surveys.
  • Support a high-volume call center environment with compassion and active listening, maintaining a 98% quality assurance score.
  • Coordinate with nurses and providers to align intake outcomes with care plans, contributing to faster case resolution and improved operational flow.

Medical Biller/Collector, Call Center Rep

Broad Path Healthcare Solutions
03.2016 - 12.2024
  • Handled 80–100 inbound and outbound calls daily with patients, insurance companies, and providers to resolve outstanding medical bills.
  • Reviewed and verified patient demographics, benefits, and medical codes with 99% accuracy, ensuring clean claim submission and compliance.
  • Negotiated payment plans and settlements, contributing to a 15% increase in overall collections and improved patient account resolution.
  • Utilized multiple EMR platforms and billing software to track claims, post payments, and document interactions, maintaining HIPAA compliance at all stages.
  • Streamlined billing workflows and identified trends in denied claims, reducing denials by 20% and boosting cash flow.
  • Investigated and resolved billing discrepancies across patient accounts, leading to 25% faster account closure rates.
  • Built rapport with patients and providers to ensure positive communication and trust, maintaining a customer satisfaction rating of 95%+.

Medical Biller/Collector

Medical Practice Management Resources
12.2014 - 03.2016
  • Processed and submitted CMS 1500/UB 04 claims, ensuring timely reimbursements and reducing delays.
  • Conducted insurance verifications, reducing claim denials and improving cash flow.
  • Followed up on unpaid claims, recovering additional revenue and enhancing financial performance.
  • Entered and maintained accurate data records, achieving a 99% accuracy rate.
  • Posted payments, ensuring correct account balances and streamlined financial operations.
  • Implemented new billing procedures, cutting down processing time by 20% and enhancing overall operational efficiency.
  • Conducted meticulous audits of financial records, ensuring compliance and minimizing discrepancies, achieving a 99% accuracy rate.
  • Analyzed billing trends to identify inefficiencies, implementing corrective measures that boosted claim approval rates by 15%.
  • Worked closely with healthcare providers to streamline billing processes, enhancing communication and reducing processing errors by 10%.
  • Resolved complex billing issues, resulting in a 25% decrease in accounts receivable turnover time.
  • Reviewed and corrected patient billing information, leading to a 30% reduction in claim rejections.

Medical Call Center Representative

Ultimate Medical Management
02.2009 - 07.2014
  • Managed 70+ inbound calls daily from patients regarding appointments, insurance verification, and follow-up care, maintaining a 98% first-call resolution rate.
  • Scheduled appointments and triaged patient needs, helping reduce wait times and contributing to a 15% improvement in clinic flow efficiency.
  • Accurately updated patient data and insurance information using EMRs, maintaining error rates below 1%.
  • Educated patients on medication instructions and care plans per physician guidelines, supporting compliance and improved treatment outcomes.
  • Collaborated with cross-functional teams (nurses, doctors, and insurers) to coordinate care plans, enhancing continuity of care and boosting patient satisfaction ratings by 20%.
  • Recognized by management for consistently exceeding quality assurance and service delivery benchmarks.

Education

Bachelor of Science - Bachelor's in Computer Information Technology

Mt San Jacinto College
San Jacinto, CA
12.2020

Skills

  • Medical Billing
  • Customer Service
  • Call Center Operations
  • Inbound Calls & Triage
  • Patient Intake & Resource Coordination
  • Claims Processing
  • Medical Claims Billing (ICD-10, CPT, HCPCS)
  • CPT, ICD-9, ICD-10 Coding
  • CMS Forms / UB-04 / CMS 1500
  • Medicare / Medi-Cal / Commercial Insurance
  • PPO / HMO / IPA / Healthy Families
  • Worker’s Compensation
  • Medical Terminology
  • Insurance Authorizations & EOB Follow-Up
  • Microsoft Office (Word, Excel, Outlook)
  • Data Entry & Attention to Detail
  • Typing Skills & Word Processing
  • Telephone Etiquette & Active Listening
  • Salesforce / CRM Management
  • Calendar Management
  • Organization & Time Management
  • HIPAA Compliance & Confidentiality
  • Membership Services & Follow-up
  • AdvancedMD, Allscripts, Medinformatix, Practice Fusion
  • Laserfiche, Health Fusion, Cerner
  • Claims Research & Investigation
  • Case Record Request & Documentation
  • Dispute Resolution & Support Case Management

Timeline

Care Coordinator

UHG / Optum Serve
08.2024 - Current

Medical Biller/Collector, Call Center Rep

Broad Path Healthcare Solutions
03.2016 - 12.2024

Medical Biller/Collector

Medical Practice Management Resources
12.2014 - 03.2016

Medical Call Center Representative

Ultimate Medical Management
02.2009 - 07.2014

Bachelor of Science - Bachelor's in Computer Information Technology

Mt San Jacinto College

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