Charlene Williams
Albany,GA
Summary
Meticulous professional with comprehensive expertise in insurance claims processing, billing resolution, and customer service.
Overview
10
10
years of professional experience
Work History
Advanced Patient Account Representative
Phoebe Putney Memorial Hospital
Albany, GA
12.2015 - Current
- Managed patient account inquiries and resolved billing discrepancies with efficiency.
- Processed insurance claims accurately using electronic health record systems.
- Maintained knowledge of healthcare regulations and compliance standards.
- Communicated with insurance providers to ensure timely resolution of claims.
- Provided customer service to patients regarding billing inquiries and account details.
- Analyzed claims denials from third-party payers and identified solutions for reimbursement.
- Researched discrepancies in patient accounts to achieve appropriate resolutions.
- Processed payments from patients while maintaining accurate transaction records.
Denials Specialist
Phoebe Putney Memorial Hospital
Albany, GA
05.2019 - 01.2024
- Reviewed insurance claims for accuracy and compliance with hospital policies.
- Resolved denied claims through effective communication with insurance providers.
- Analyzed denial trends to identify areas for process improvement.
- Collaborated with medical staff to gather necessary documentation for appeals.
- Maintained detailed records of denials and follow-up actions taken.
Education
Computer Science
Tennessee State University
Nashville, TNSkills
- Insurance claim processing
- Electronic health records management
- Billing resolution strategies
- Compliance management
- Denial analysis and reporting
- Patient account oversight
Timeline
Denials Specialist
Phoebe Putney Memorial Hospital
05.2019 - 01.2024
Advanced Patient Account Representative
Phoebe Putney Memorial Hospital
12.2015 - Current
Computer Science
Tennessee State University