Summary
Overview
Work History
Education
Skills
Timeline
Generic

Gloria Wills

Indianapolis,IN

Summary

Knowledgeable professional proficient in process and productivity improvements as well as resolving delinquencies and maximizing team effectiveness. Several-year record in healthcare.

Overview

20
20
years of professional experience

Work History

Patient Account Representative II

Eskenazi Health
Indianapolis, IN
05.2022 - Current
  • Responsible for working on assigned work queues based on payer and dollar amount, including credit balances.
  • Responsible for sending overpayments back to insurance companies, and adjusting accounts.
  • Works in the EPIC System.
  • Responsible for resolving claim edits for low-dollar hospital accounts while adhering to payer guidelines and regulations.

Financial Counselor

Eskenazi Health
Indianapolis, IN
09.2019 - 05.2022
  • To acquire knowledge of the patient's insurance coverage and benefit limits and communicate it to the patients to make them aware of their financial responsibilities
  • Work in EPIC System
  • To verify and update the records related to insurance and to stay abreast with the information on the current insurance benefits
  • Assist patients with applying for health coverage such as Medicaid and Eskenazi Health assistance program
  • Speak to Family Social Services on the patients’ behalf as an Authorized Representative to follow up on health coverage application process
  • To have strong relationships with clients even in critical financial situations, to try to let go of small payments and balance it out in future for larger return

State Eligibility Consultant/Case Worker

State of Indiana (DFR)
Indianapolis, IN
08.2014 - 09.2019
  • Reviewed applications, conducted interviews, and verified documents to ensure accuracy and compliance with program regulations.
  • Contacted client references and employers to determine legitimacy of applicant information.
  • Conducted comprehensive assessments of applicants' eligibility for state assistance programs.
  • Managed Healthy Indiana Plan Redetermination Project.
  • Determine and verify eligibility for continued eligibility and benefit level.
  • Process changes to client status, overpayments, and adjusts or restores benefits for SNAP (Food Stamp), TANF (Cash Assistance), Medicaid, and HIP (Healthy Indiana Plan), Medicaid enrollment.
  • Open or refer cases for investigation for any fraudulent activity that may be discovered.
  • Communicate with internal and external clients to provide, exchange, and verify information, answer inquiries, address issues, and resolve problems.
  • Perform daily assigned tasks to ensure the success of the department.
  • Lead Caseworker for HIP Report / Redeterminations.

Eligibility Specialist

Xerox /Lake County Division of Family Resources
Crown Point, Indiana
01.2010 - 08.2014
  • Appointment scheduling with applicants by phone
  • Process applications for Food Stamps (SNAP), Medicaid, and Cash Assistance (TANF)
  • Conduct interviews and redeterminations for potential ongoing eligibility
  • Update cases with personal information to determine eligibility and provide case authorization
  • Worked with FACTS, SMART, ICES, and OPS programs
  • Complete update to case for State Eligibility Consultant authorization

Medical Admin. Asst. /Office Manager

Okolocha Medical Corporation
East Chicago, Indiana
01.2008 - 01.2010
  • Super User for Epic System
  • Appointment Scheduling with Specialists and Physicians
  • Call prescriptions to pharmacies
  • Prepare patient charts electronically and process insurances
  • Prior authorization for testing and medications
  • Handle electronic records/process in Epic Systems
  • Fill out FMLA and short-term disability forms
  • Contact hospital admission so that pt
  • Could be admitted

Front Desk Supervisor/Night Auditor

Aberdeen Woods Conference Center (Business Hotel)
Peachtree City, GA
01.2005 - 01.2008
  • Manage reservations and room availability
  • Ensure billing and payment processes are accurate
  • Monitor and review guest feedback
  • Maintain a clean and organized front desk area
  • Evaluate performance and recommend merit increases and disciplinary actions
  • Assist in hiring

Education

Pharmacy Tech Certification -

Indiana School of Phlebotomy
Indianapolis, IN
01.2023

Bachelor of Science - Management

University of Phoenix
Phoenix, AZ
04-2019

Medical Administrative Assistant -

Everest College
Merrillville, IN
01.2008

Skills

  • Ability to work with others
  • Ability to work independently
  • Exceptional communication skills
  • Client/patient satisfaction
  • Organized
  • Detail-oriented

Timeline

Patient Account Representative II

Eskenazi Health
05.2022 - Current

Financial Counselor

Eskenazi Health
09.2019 - 05.2022

State Eligibility Consultant/Case Worker

State of Indiana (DFR)
08.2014 - 09.2019

Eligibility Specialist

Xerox /Lake County Division of Family Resources
01.2010 - 08.2014

Medical Admin. Asst. /Office Manager

Okolocha Medical Corporation
01.2008 - 01.2010

Front Desk Supervisor/Night Auditor

Aberdeen Woods Conference Center (Business Hotel)
01.2005 - 01.2008

Pharmacy Tech Certification -

Indiana School of Phlebotomy

Bachelor of Science - Management

University of Phoenix

Medical Administrative Assistant -

Everest College
Gloria Wills