Catherine Harris Williams

• Conduct detailed research and analysis for healthcare claims and provider inquiries.
• Onboard and credential facilities and providers into the network.
• Guide stakeholders on appeals, claim outcomes, and urgent care processes.
• Investigate and report potential Fraud, Waste, and Abuse cases

• Utilize CVS and VA platforms for prescription eligibility adjustments.
• Mentor and support team members, resolving escalated calls and complex issues.

• Managed appointment scheduling and resolved veterans’ healthcare eligibility concerns
• Utilized multiple databases to address complex issues efficiently.
• Trained and mentored new staff, fostering quality improvements in interactions.

• Assembled, verified, and maintained medical records in compliance with HIPAA standards
• Organized intra- and inter-departmental communications to ensure accuracy.
• Operated Meditech ABS, ADM, and MRI modules to maintain patient records.

• Audited financial records, reconciled accounts, and prepared detailed financial reports
• Tracked and analyzed revenue data for various departments, identifying variances

• Conducted daily revenue audits for all casino operations
• Communicated findings and recommendations to management, ensuring compliance.