Claudia L. Williams
Stockbridge,GA
Summary
Revenue cycle, Appeals/Exceptions, Claims, Decision-making, Delegation, Supervisor/ Management, Coaching, Teamwork, Work From Home, Trainer
Diligent [Desired Position] with proven ability to manage and lead teams effectively. Successfully implemented process improvements that enhanced operational efficiency and team productivity. Demonstrated strong problem-solving and communication skills to drive team success.
Experienced with team leadership and operational management. Utilizes strong organizational skills to optimize workflow and improve team efficiency. Track record of fostering collaborative work environment to achieve collective goals.
Professional with significant expertise in team leadership and operational management. Proven track record in driving team collaboration and delivering impactful results. Skilled in conflict resolution, process optimization, and strategic planning, with flexible approach to evolving business needs. Known for reliability, strong communication, and fostering productive work environment.
Experienced Supervisor leads team members to complete jobs on-time. Assigns tasks, trains employees, and implements company procedures. Excellent communication and listening skills. Provides leadership and vision, driving teams to meet goals.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Supervisor Revenue Cycle/ WFM
Children’s Hospital of Atlanta
02.2018 - 06.2025
- Supervisor of Orthopedics. Work From Home Hybrid
- Streamlined working with Appeals, Medical Records, C.O.B and recognizing trends.
- Attend monthly Leadership meetings with Director, Mangers, and other leaders of different Departments for payer issues to trouble shoot accounts to obtain resolve.
- Train new hires, Expert with Radiology, Marcus, Orthodontics, Care Source, Wellcare, Amerigroup.
- Create spreadsheets for management review problem accounts for payment resolution and meetings.
- Coach representative struggling in productivity, train new hires, monitor time according to CHOA policy.
- Managed and escalated aged claims with my team to obtain resolution for their work ques to reach their goals.
- Strategized and prepared reports for management on problem claims unsolved or have not received payment over 150 days. Administer and Lead special projects recognize representatives for their hard work, open door policy.
- Worked adjustment work que approved adjustments up to $2,500.00 for the AR representative for the department.
Collection Team Lead Revenue Cycle/ WFH
HCA Parallon
05.2014 - 01.2018
- Implemented Day to day collections incoming and outgoing calls average 60-100 daily for representatives.
- Revenue Cycle, Produced and completed strategies for hospital billing and claim history payment for aged accounts.
- Reviewing and implementing policies and procedures for new Collection department representatives.
- Monitoring and communicating current regulations related to the collections team and department.
- Holding regular meetings and discussions for methods of collecting financial recovery from medical insurance companies.
- Trained collection representatives when to implement Exceptions and adjustments, verses Medical Records, reconsiderations.
- Reviewed and audited debtor’s records and sent legal notices to patients on unpaid large balances.
- Contacted customers for payment through phone calls, emails, and legal notice.
- Developed strategies with the Accounts receivable department to collect maximum amounts on collectable accounts.
- Liaison between external collection health insurance agency for recovery of payment for medical claims and Director’s meeting.
- Developed and recommended collection techniques and improved chances of recovery.
- Provided detail reports on bad debts and recovery in the process to the management.
Commitment Team Supervisor
Delta Dental
10.2011 - 05.2014
- Managed, multiple Customer Service Teams in high volume Call Center and successfully.
- Generated and contributed to meeting/exceeding all key performance indicators and business objectives and met all customer satisfaction levels for quality service and support
- Continuously monitored call center performance and ensured policies and procedures were met, set goals, standards and benchmarks that evaluated individual employees and customer satisfactions associated ratings.
- Implemented operational improvement strategies in regard to workflow optimization and increased levels of quality support.
- Motivated staff through formal/informal coaching, training initiatives, incentive programs, career development opportunities and productivity channels.
- Provided technical support and quality care by phone and email to clients in need of assistance with online banking. Demonstrated excellent communication skills in handling a high volume of client inquiries. Identified cause of technical issues and resolved a percentage of inquiries. Escalated to proper support personnel when necessary.
- Diagnosed and resolved client concerns with failed payments, returned payments, payment posting errors, faulty debit transactions, and collection errors to increase revenue.
Medical Collector/ Billing
Lincare
10.2007 - 10.2011
- Revenue Cycle for medical durable Physician’s office equipment processing accounts, claims managing the records information, billing etc. schedule appointments for in-person billing disputes and oxygen review.
- Maintained the accounts, pending medical record, injury account, compensation etc.
- Responsible for communicating with the insurance companies for the payment of the claims.
- Answer the patient’s queries, problem and complaints and also identify the solutions.
- Screened and approved the accounts to be processed to the agencies.
- Manages the pending accounts for billing.
- In-depth knowledge of medical billing procedures - submission of insurance claims, Medicare, Medicaid, and other Commercial insurance carriers.
- Strong ability to gather data, compiles information, and prepares reports for problem claims unsolved or have not received payment over 90 days.
- Excellent knowledge of medical terminology and customer service skills.
- Remarkable collection experience. Exceptional ability to prioritize work to meet goals and objectives within acceptable time frames.
Education
Causality and Property Insurance Certificate -
01.2022
General Diploma - undefined
01.1990
Skills
- Epic, Nthrive, My Chart, Word, Excel, Web ex meetings
- Super User, Attended training Classes for Leadership
- Mentor with CHOA received one-on-one training and In-depth discussions on leadership, knowledge, and the importance of team dynamics
- Streamlined and exceptional dealing with the queries and complaints of the AR Rep’s, customers, and identifying the solution Resolve trouble accounts, medical and coding terminology
- Strong negotiation skills
- Patience and persistence
- Professionalism and ethics
- Team management
- Self motivation
- Goal setting strategies
- Financial analysis proficiency
- Account management
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Resolved product issue through consumer testing.
- Supervised team of [Number] staff members.
- Achieved [Result] by completing [Task] with accuracy and efficiency.
- Achieved [Result] through effectively helping with [Task].
- Documented and resolved [Issue] which led to [Results].
- Collaborated with team of [Number] in the development of [Project name].
- Achieved [Result] by introducing [Software] for [Type] tasks.
Certification
- Licensed [Job Title] - [Timeframe]
- [Area of certification], [Company Name] - [Timeframe]
Timeline
Supervisor Revenue Cycle/ WFM - Children’s Hospital of Atlanta
02.2018 - 06.2025
Collection Team Lead Revenue Cycle/ WFH - HCA Parallon
05.2014 - 01.2018
Commitment Team Supervisor - Delta Dental
10.2011 - 05.2014
Medical Collector/ Billing - Lincare
10.2007 - 10.2011
Montclair High School - General Diploma,
Gaston Insurance School - Causality and Property Insurance Certificate,