Jacqualine Williams
Fayetteville,GA
Summary
Hardworking and passionate job seeker with strong organizational skills in Insurance Specialist and Medical Biller position. Ready to help team achieve company goals.
Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Developed skills in policy analysis and client relations in high-stakes insurance environment, now seeking to transition into new field. Adept at risk assessment and claims processing, ensuring compliance and client satisfaction. Seeking new opportunity to leverage these transferrable skills in dynamic and collaborative setting.
Overview
20
20
years of professional experience
Work History
Insurance Specialist
Carle Foundation Hospital
Chicago, IL
12.2025 - Current
- Processed medical claims using advanced billing software to ensure timely reimbursements.
- Reviewed patient insurance information for accuracy and compliance with regulations.
- Collaborated with healthcare providers to resolve discrepancies in insurance submissions.
- Trained new team members on insurance policies and claims processing procedures.
- Conducted audits of submitted claims to identify errors and improve submission accuracy.
- Evaluated changes in insurance regulations and updated internal processes accordingly.
- Supported team members in professional growth, providing guidance on complex billing scenarios as needed.
- Achieved timely resolution of claim issues through effective communication with insurance carriers and healthcare providers.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Researched and resolved complex medical claims issues to support timely processing.
Insurance Specialist
St Luke's Healthcare System
St Louis, MO
08.2023 - 12.2025
- Processed insurance claims accurately, ensuring compliance with industry regulations and company policies.
- Managed billing inquiries from clients and healthcare providers, resolving issues efficiently to maintain satisfaction.
- Conducted audits on billing statements to ensure accuracy and adherence to payer guidelines.
- Reconciled billing discrepancies, collaborating with internal teams to identify root causes and implement solutions.
- Trained new team members on billing procedures and best practices, enhancing departmental knowledge and performance.
- Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.
- Assisted colleagues during peak workload periods, demonstrating strong teamwork and commitment to overall departmental success.
- Increased revenue collection by diligently pursuing outstanding claims and negotiating with insurance companies.
- Ensured strict adherence to HIPAA guidelines while handling sensitive patient information during the billing process.
- Streamlined billing processes for improved efficiency through the implementation of electronic payment systems.
- Reduced errors in billing statements with thorough audits, ensuring compliance with insurance regulations.
Medical Insurance Biller
Spectrum Health Medical Group
Tampa, FL
07.2022 - 08.2023
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Kept vendor files accurate and up-to-date to expedite payment processing.
- Developed strong working relationships with insurance companies, facilitating smoother negotiations for payment settlements.
- Improved patient billing accuracy by diligently reviewing and editing medical insurance claims.
- Maintained detailed records of billing transactions and follow-up communications in electronic systems.
- Prepared detailed monthly reports highlighting key metrics such as collections ratio, days in accounts receivable, and percentage of aged accounts for management review.
- Maintained strict compliance with federal and state regulations, ensuring proper coding practices were followed consistently.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Assisted coding specialists in understanding complex medical scenarios that required special attention during claim submission.
- Reviewed patient billing information for accuracy and completeness prior to claim submission.
- Monitored outstanding invoices and performed collections duties.
- Verified insurance of patients to determine eligibility.
- Ensured timely reimbursement for services by submitting clean claims to insurance carriers promptly.
Medical Insurance Specialist
Global Healthcare Resource
Tampa, FL
05.2020 - 07.2022
- Increased patient satisfaction by efficiently processing insurance claims and addressing inquiries.
- Developed and implemented promotional strategies to increase customer base.
- Educated clients on insurance policies and procedures.
- Analyzed customer needs to provide customized insurance solutions.
- Met with customers to provide information about available products and policies.
- Maintained compliance with industry regulations by staying updated on coding changes and guidelines.
- Collaborated with healthcare providers to resolve discrepancies in insurance submissions.
- Managed large volume of medical claims on daily basis.
Medical Insurance Biller
University of Northwestern
Chadwick, IL
05.2019 - 05.2020
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Assisted coding specialists in understanding complex medical scenarios that required special attention during claim submission.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Created improved filing system to maintain secure client data.
- Reconciled accounts receivable to general ledger.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Maintained accurate records of customer payments.
- Supported team members during periods of high workload or staff absences, ensuring uninterrupted service delivery in medical insurance billing operations.
- Enhanced overall revenue collection by identifying and resolving billing discrepancies proactively.
- Ensured timely reimbursement for services by submitting clean claims to insurance carriers promptly.
- Verified insurance of patients to determine eligibility.
Medical Insurance Biller
Ernst & Young
Greensboro, NC
05.2018 - 05.2019
- Processed and submitted medical claims to insurance companies, ensuring compliance with regulations.
- Reviewed patient billing information for accuracy and completeness prior to claim submission.
- Resolved discrepancies and denials by collaborating with healthcare providers and insurance representatives.
- Maintained detailed records of billing transactions and follow-up communications in electronic systems.
- Analyzed trends in denied claims to implement corrective measures, improving overall approval rates.
- Monitored changes in insurance policies to ensure ongoing adherence to billing practices and guidelines.
- Developed standardized workflows for claim processing, reducing turnaround times for reimbursements.
- Improved patient billing accuracy by diligently reviewing and editing medical insurance claims.
- Trained new employees on multiple medical billing programs and data entry software.
- Assisted coding specialists in understanding complex medical scenarios that required special attention during claim submission.
Medical Insurance Biller
Wake Forest Baptist Health
Winston-Salem, NC
05.2016 - 05.2018
- Educated patients about their financial responsibilities and available payment options, helping reduce unpaid accounts receivable balances.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Maintained strict compliance with federal and state regulations, ensuring proper coding practices were followed consistently.
- Optimized the use of practice management software systems for more efficient claim generation and submission processes.
- Enhanced overall revenue collection by identifying and resolving billing discrepancies proactively.
- Reconciled accounts receivable to general ledger.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Audited and corrected billing and posting documents for accuracy.
- Responded to customer concerns and questions on daily basis.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Participated in regular audits of billing processes to maintain high-quality performance standards and identify areas for improvement.
Education
MEDICAL BILLING AND CODING -
Georgia Medical Institute
GA05-2023
No Degree - Business Administration And Management
Ashford University
San Diego, CA08-2025
Skills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Flexible and adaptable
- Dependable and responsible
- Multitasking
- Multitasking Abilities
- Excellent communication
- Critical thinking
- Computer skills
- Organizational skills
- Calm under pressure
- Decision-making
- Problem resolution
- Verbal communication
Timeline
Insurance Specialist
Carle Foundation Hospital
12.2025 - Current
Insurance Specialist
St Luke's Healthcare System
08.2023 - 12.2025
Medical Insurance Biller
Spectrum Health Medical Group
07.2022 - 08.2023
Medical Insurance Specialist
Global Healthcare Resource
05.2020 - 07.2022
Medical Insurance Biller
University of Northwestern
05.2019 - 05.2020
Medical Insurance Biller
Ernst & Young
05.2018 - 05.2019
Medical Insurance Biller
Wake Forest Baptist Health
05.2016 - 05.2018
MEDICAL BILLING AND CODING -
Georgia Medical Institute
No Degree - Business Administration And Management
Ashford University
Systems
Epic, Cerner, MS4, CPSI, Star, Rycan, SSI, TriZetto, EFR, Healthport, ChartMaxx, Zirmed, Meditech, Waystar, Emedeon, NThrive, Thrive, Kareo, Artiva, IDX, eClinical, iSuite, MMIS, HP Portal, Availity, eChart, Florida Shared System, Xycelys, Cleopatra, Medisoft, PrimeSuite, Siemens Imaging, Soarian, MedHost, Citrix, McKesson, DDE, Healthlogic, Epremis/Relay Health, Loxogon, NaviNet, Medical Manager, Microsoft, Athena, NextGen, HMS, Passport, Greenway, and Centricity.Rycan SSI TriZetto EFR Healthport ChartMaxx Zirmed Meditech Waystar
Emedeon NThrive Thrive Kareo Artiva IDX E clinical Isuite MMIS HP Portal Availity Echart Florida Shared System Xycelys Cleopatra Medisoft
PrimeSuite Siemens Imaging Soarian MedHost Citrix McKesson DDE Healthlogic Epremis/Relay Health Loxogon
NaviNet Medical Manager Microsoft Athena NextGen HMS Passport Greenway Centricity