Summary
Overview
Work History
Education
Skills
Personal Information
Additional Information - Key Skills
Timeline
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Gladys Williams

Lancaster,PA

Summary

Looking for a career that will allow me to develop my skills, and grow as a reliable, independent team player.

Overview

20
20
years of professional experience

Work History

Patient Services Representative

Lancaster Orthopedic Group
11.2021 - Current
  • Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records as needed.
  • Resolved patient complaints promptly, demonstrating empathy and understanding while seeking mutually beneficial solutions.
  • Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
  • Implemented effective time management strategies that allowed me to balance multiple responsibilities, resulting in improved productivity and patient satisfaction.

Authorization Specialist

LANCASTER UROLOGY
07.2015 - 03.2019
  • Did multiple outbound calls to medical insurances
  • Obtained authorizations for outpatient surgery, Ct scans and MRI's
  • Obtained urgent authorizations when required by the physician to be done on the same day
  • If and authorization was denied I would submit appeals to get the authorization approved
  • Handled about 25 to 30 authorizations daily

Customer service

TruGreen
03.2015 - 06.2015
  • Handled 50 to 60 calls a day
  • Handled, billing, scheduling and payments on clients accounts
  • I accomplished reaching their club 100

Medical Insurance/Customer Service Representative

Coresource Incorporated
11.2004 - 06.2011
  • Handled 40 to 60 calls a day
  • Verified Medical Benefits for up to 21 different company groups, including secondary insurances
  • Answered questions and complaints for various reasons such as explanation of benefits, claim status, incorrect payments and adjustments
  • Faxed multiple explanation of benefits to providers and patients by fax and online

Education

Certificate - Medical

Lancaster County Career Technology Center
Lancaster, PA
05.2012

Diploma - General

John Piersol McCaskey High School
Lancaster, PA
01.1989

Skills

  • CSR
  • Call Center
  • Customer Care
  • Customer Service
  • Customer Support
  • Bilingual
  • Typing (10 years)
  • Basic Math
  • Spanish
  • 10 Key Calculator
  • Microsoft Office
  • MAA Procedures
  • Spring Charts
  • EMR
  • Medical Terminology
  • Office Equipment Knowledge
  • Medical Insurance
  • Paper Medical Records
  • Medical Billing
  • Electronic Medical Records
  • Coding Skills (CPT, ICD-9, HCPCS)
  • CPR
  • Electronic Health Records
  • Appointment Scheduling
  • HIPAA Knowledge
  • Banking
  • Law Ethics Knowledge
  • Phone Techniques
  • Computers in the Medical Office
  • Speak, Read, Write Fluent Spanish
  • Intro to Transcription
  • Microsoft Knowledge
  • Intro to Pharmacology
  • Medisoft Knowledge
  • Practice Management

Personal Information

Title: Medical Receptionist

Additional Information - Key Skills

  • MAA Procedures
  • Spring Charts EMR
  • Medical Terminology
  • Office Equipment Knowledge
  • Medical Insurance
  • Paper Medical Records
  • Medical Billing
  • Electronic Medical Records
  • Coding Skills (CPT, ICD-9, HCPCS)
  • CPR
  • Electronic Health Records
  • Appointment Scheduling
  • HIPAA Knowledge
  • Banking
  • Law Ethics Knowledge
  • Phone Techniques
  • Computers in the Medical Office
  • Speak, Read, Write Fluent Spanish
  • Intro to Transcription
  • Microsoft Knowledge
  • Intro to Pharmacology
  • Medisoft Knowledge
  • Practice Management

Timeline

Patient Services Representative

Lancaster Orthopedic Group
11.2021 - Current

Authorization Specialist

LANCASTER UROLOGY
07.2015 - 03.2019

Customer service

TruGreen
03.2015 - 06.2015

Medical Insurance/Customer Service Representative

Coresource Incorporated
11.2004 - 06.2011

Certificate - Medical

Lancaster County Career Technology Center

Diploma - General

John Piersol McCaskey High School
Gladys Williams