Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

EBONY WILLIAMS

Houston

Summary

Strategic healthcare operations leader with extensive experience driving workflow efficiency, leading cross-functional teams, and ensuring compliance with HEDIS and HIPAA standards. Proven ability to optimize processes, mentor staff, and influence organizational outcomes. Recognized for enhancing data integrity, streamlining communication across multiple facilities, and implementing quality control measures that support operational excellence.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Prior Authorization Representative

Cigna
Houston
05.2022 - Current
  • Processed new medication and refill requests for authorization.
  • Communicated pertinent information to client's prescribing provider to facilitate quality service.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
  • Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
  • Verified eligibility and compliance with authorization requirements for service providers.

Lead Office Assistant / Operations Coordinator

Memorial Hermann Hospital
Houston
02.2019 - 05.2022
  • Directed hospital-wide communication processes, ensuring that critical information reached physicians and patients efficiently.
  • Spearheaded improvements in emergency code protocols and interdepartmental workflows, reducing response times, and increasing patient safety.
  • Supervised and trained administrative staff, promoting teamwork and operational consistency across multiple departments.
  • Spearheaded improvements in emergency code protocols and interdepartmental workflows, reducing response times, and increasing patient safety.

IT Helpdesk Assistant / Support Coordinator

ExxonMobil
Woodlands
08.2018 - 02.2019
  • Led initiatives to streamline IT ticketing processes, improving response times, and end-user satisfaction.
  • Guided staff through technical challenges, providing mentorship, and fostering effective problem-solving within the IT team.

Lead Quality Control Specialist

The Marker Group
Houston
09.2012 - 08.2018
  • Directed quality control operations for medical records, ensuring full compliance with HIPAA, and internal standards.
  • Implemented process enhancements that increased efficiency, reduced errors, and optimized record management workflows.
  • Collaborated with cross-functional teams to improve departmental performance and compliance outcomes.

Education

BSHM -

University of Phoenix
12.2024

AA - Healthcare Administration

University of Phoenix
12.2015

High School Diploma -

Worthing High School

Skills

  • Leadership and team development
  • Strategic workflow optimization
  • Healthcare operations management
  • HEDIS abstraction and quality metrics
  • HIPAA compliance and risk management
  • Process improvement and data accuracy
  • Cross-functional collaboration
  • Stakeholder communication and relationship management
  • Project management
  • Compliance auditing

Certification

HEDIS Abstractor Training, Molina Healthcare, 06/01/25, Trained in medical record abstraction, NCQA guidelines, and quality measure review

Timeline

Prior Authorization Representative

Cigna
05.2022 - Current

Lead Office Assistant / Operations Coordinator

Memorial Hermann Hospital
02.2019 - 05.2022

IT Helpdesk Assistant / Support Coordinator

ExxonMobil
08.2018 - 02.2019

Lead Quality Control Specialist

The Marker Group
09.2012 - 08.2018

BSHM -

University of Phoenix

AA - Healthcare Administration

University of Phoenix

High School Diploma -

Worthing High School

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