Carlos Williams
Trumann,AR
Overview
5
5
years of professional experience
Work History
Assistant Store Manager
Family Dollar
02.2024 - Current
- Manage opening and closing procedures and recommended changes to enhance efficiency of daily activities.
- Supervise and evaluate staff to help improve skills, achieve daily objectives, and attain advancement.
- Streamline inventory management with regular audits, accurate ordering, and efficient stock organization.
- Manage 6 cash registers efficiently, ensuring accurate transactions, balancing drawers daily, and minimizing discrepancies.
- Maintain and balance cash drawer, ensuring accurate accounting at the end of each shift.
- Assist customers with returns, refunds and resolving transaction issues.
Packer/Line Assembler
Advantage Resource Staffing
05.2023 - 09.2023
- Proved successful working within tight deadlines and a fast-paced environment.
- Managed workload effectively under pressure during peak periods while maintaining focus on quality control measures.
- Enhanced packing efficiency by implementing proper techniques and ensuring correct product placement.
- Inspected items to identify discrepancies and damages and reported to supervisor.
Benefit Specialist
Inconma, LLC
10.2022 - 12.2022
- Ensured compliance with HIPAA regulations during all aspects of the benefit verification process, protecting patient privacy.
- Improved patient satisfaction by accurately verifying benefits for specialty medication and providing timely responses to inquiries.
- Expedited claim approvals by promptly submitting necessary documentation to insurance providers.
- Conducted regular audits of completed work to maintain quality control standards within the department continuously improving overall performance levels.
- Maintained up-to-date knowledge of insurance regulations, enabling accurate benefit verifications for various plans.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
Medical Billing Specialist
Collabera
05.2022 - 07.2022
- Processed medical claims to insurance companies and payers such as Medicare and Medicaid
- Obtain referrals and pre-authorizations as required for procedures Check eligibility and benefit verification Review patient bills for accuracy and completeness and obtain any missing information
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid Follow up on unpaid claims within standard billing cycle timeframe.
- Maintained detailed knowledge of various payer requirements, facilitating smoother interactions between healthcare providers and insurance companies during claims processing efforts.
- Proficient in AS 400 program, Webex and Sharepoint.
- Reduced claim denials and rejections by conducting thorough audits and addressing discrepancies prior to submission.
Customer Service Representative/Authorizations Coordinator
Tailored Management
02.2019 - 03.2020
- Respond to inquiries from policy holders, providers and/or others for information and assistance,
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Processed new medication and refill requests for authorization.
- Collaborated with healthcare providers to expedite the process of obtaining necessary medical documentation for approvals.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Education
Associate of Science - Business Administration
Colorado Technical University
Online2022
Skills
- Customer Service
- Microsoft Word
- Excel
- Medical billing
- Appointment Scheduling
- Benefits Verification
- CPT
- ICD-9
- HIPAA
- RA and CMS-1500
- Medical Terminology
- Type 40 wpm
- Data entry
Military Service
Veteran U. S. Army National Guard, 1993-2003
Timeline
Assistant Store Manager
Family Dollar
02.2024 - Current
Packer/Line Assembler
Advantage Resource Staffing
05.2023 - 09.2023
Benefit Specialist
Inconma, LLC
10.2022 - 12.2022
Medical Billing Specialist
Collabera
05.2022 - 07.2022
Customer Service Representative/Authorizations Coordinator
Tailored Management
02.2019 - 03.2020
Associate of Science - Business Administration
Colorado Technical University
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