Erika Gilliam
Metro Atlanta,GA
Summary
Business professional offering versatile office management skills and proficiency in Microsoft Office programs. Strong planner and problem solver who readily adapts to change, works independently or as a team and exceeds expectations. Ability to manage multiple priorities and meet tight deadlines without compromising quality.
Overview
23
23
years of professional experience
Work History
Patient Account Receivable
Laureate Medical Group At Northside
03.2023 - Current
- Handle account payments and provided outstanding balances.
- Utilized various software programs to process customer payments.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Verified accuracy of accounts payable payments, resulting in [Number]% reduction in payment errors and check reissues.
- Follow up with insurance companies.
- Process returned mail.
- Worked with outside entities to resolve issues with billing, claims and payments.
Village Medical
- Answer and return patient phone calls in a call center environment work in collaboration with providers and their care team to provide the highest quality of care delivery by ensuring all medication requests are answered and processed promptly and accordingly Based on the practice’s guidelines Perform “Virtual Rooming” for telemedicine visits when needed Perform appointment scheduling for provider office visits, telemedicine visits, and/or LAB/Nurse Visit appointments when needed Coordinate patient care information related to medication refills with other health care providers and teams and perform patient medication refill requests when appropriate Provides patient information regarding provider reviewed diagnostic test results including delivering providers instructions to patient Provides other healthcare providers and facilities with physician/diagnostic test orders and patients health information when requested Attend staff meetings and providing input into evaluation of processes and suggestions for improvement Perform electronic medication refills via EMR as delegated by the provider Utilize resources to resolve patient cases
CareSource
01.2016 - 01.2019
- Acquired as a Member Services Consultant promoted to Provider Services
- Supported all contracting solicitation and enrollment efforts
- Working closely with Provider Contracting and Retail Network Operations
- Ensure effective communication with other teams to assure Provider Relation issues are managed quickly and efficiently
- Deliver quality assistance to Practitioner calls and addressing all concerns
- Highlights: Communicated effectively with providers to help understand members benefits
- Resolving claim issues via; phone, email, chat and skype, while establishing strong relationships with members to effectively achieve results
- Entrusted to train new hire employees on proper procedures and regulations according to company guidelines
- Office organizer for company special events.
Delta Dental
01.2011 - 01.2016
- Acquired as a Member Services Consultant with customer service and coding experience quickly promoted to Provider Services
- Assisted members with understanding their benefits and while adhering to the company requirements and guidelines
- Resolved billing complaints and inquires with both patients and providers
- Trained new personnel on procedures and coding expectations
- Highlights: Recorded all insurance and patient charges, payments, credits and adjustments on patient account ledgers
- Prepared billing adjustments/ rebilling for claims submitted
- Addressed inquiries regarding Explanation of Benefits (EOB) Earned excellent marks on performance reviews, in areas including work volume, accuracy and quality; ability to learn and master new concepts; positive work ethic; and attendance.
Goodcents Solutions
01.2006 - 01.2009
- Relied upon to handle customer inquiries, appointments, and service request
- Interface daily with management to ensure exceptional quality customer service in accordance to company regulations and procedures
- Highlights: Answered incoming calls from clients to assist with troubleshooting issues with client’s equipment
- Redirected outbound calls to technicians when additional assistance was needed
- Basic clerical duties preformed (email, faxing, filing).
NCO Financial Systems
01.2001 - 01.2006
- Joined as a Collection Representative and promoted to Self-Pay Team Lead
- Assisted Manager with assigned task as requested
- Ran sub-campaign for employees to call and collect on self-pay accounts
- Reviewed account for under payment while keeping records via Excel for management reports
- Trained new hire employees to ensure great accuracy and customer service quality
- Highlights: Verified Medicare/Medicaid billing eligibility before submitting for claim approvals and request
- Processed Claims electronically for provider payments
- Assist customers with exceptional service providing member with EOB information.
Education
Business Administration -
Kingsborough Community College
Brooklyn, NYAcademic Diploma -
John Jay High School
Brooklyn, NYSkills
- MS Word
- MS Excel
- Jabber
- Encoderpro
- MS Outlook
- Windows
- Facets
- MS Village Medical
- Office Management
- Records Management
- Database Administration
- Microsoft Office
- CPT/ ICD-9/ ICD-10 Coding
- Memorandums
- 3rd Party Billing
Timeline
Patient Account Receivable
Laureate Medical Group At Northside
03.2023 - Current
CareSource
01.2016 - 01.2019
Delta Dental
01.2011 - 01.2016
Goodcents Solutions
01.2006 - 01.2009
NCO Financial Systems
01.2001 - 01.2006
Village Medical
Business Administration -
Kingsborough Community College
Academic Diploma -
John Jay High School
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