- I participate in a variety of outdoor recreational activities
- Playing Sports mainly Tennis
- I enjoy helping others and giving back to the community
JENNIE WILLIAMS
Atlanta,US
Summary
Healthcare professional with extensive experience in managing reimbursement tasks and resolving billing discrepancies. Proven ability to streamline processes and improve efficiency while maintaining compliance with industry standards. Valued team player who consistently achieves results through effective collaboration and adaptability.
Overview
23
23
years of professional experience
Work History
Reimbursement Specialist - Contractor
CareMetx LLC/Randstad
11.2021 - 01.2022
- Managed the end-to-end medical billing and reimbursement process, serving as the primary liaison between insurance carriers and internal medical billing staff.
- Ensured accurate and appropriate compensation for physicians and other medical professionals by maintaining strict compliance with all billing and coding guidelines.
- Provided expert guidance and education to physician office staff and patients on completing and submitting necessary program applications in a timely and accurate manner.
Medicaid Enrollment Specialist Contractor
State of Arkansas DHS- SGS Consulting/Maximus
01.2022 - 05.2022
- Responsible for assessing applications, handling documentation, collecting information, entering data with a high standard of accuracy, customer service, made recommendations and maintain meticulous records.
- Facilitated enrollment processes for clients, ensuring compliance with state regulations and policies.
- Coordinated communication between clients and service providers to streamline service delivery.
Claims Processor Contractor
State of Tennessee Department of Labor/Accenture-Adecco
11.2021 - 01.2022
- Processed and evaluated claims for accuracy and compliance with state regulations.
- Reviewed documentation to ensure eligibility criteria were met for unemployment benefits.
- Communicated with claimants to gather necessary information and resolve inquiries promptly.
- Collaborated with team members to streamline workflow and enhance claims processing efficiency.
Senior Installation Merchandiser
Hallmark
01.2016 - 10.2020
- Part of an installation team and work on activities to include, but not limited to, building Hallmark fixtures, moving card departments, installing new stores, store relocations, and card department remodels.
Help Desk Administrator
TransUnion
01.2018 - 01.2020
- Provide initial first level assistance for company products and services to both internal and external customers via telephone or electronic medium. Ensured user satisfaction by providing troubleshooting and quickly resolving customer issues.
- Provided technical support for hardware and software issues, ensuring timely resolution of user inquiries.
Customer Service Specialist
Honeywell International
08.2005 - 05.2014
- Assisted customers with inquiries, providing accurate information and prompt resolutions.
- Collaborated with team members to improve service response times and efficiency.
- Documented customer interactions in CRM system for streamlined communication.
- Handled escalated calls calmly, finding resolutions that satisfied both the company and the customer''s needs.
- Discipline in procedures, including Customer alarm notification and inquiry response; basic HVAC and Service in the fundamental aspects of customer and branch service communications; Operations' system utilization, policies Net hardware systems knowledge; moderate level programming skills.
Intelligence Operation Specialist, GG-0132-07
HQ UNITED STATES CENTRAL COMMAND
06.2002 - 02.2004
- Coordinated logistics operations to optimize resource allocation and ensure mission readiness.
- Analyzed operational data to identify trends and improve workflow efficiency across teams.
- Collected, arranged, and input information into database system.
- Maintained database systems to track and analyze operational data.
Consumer Relations Specialist Contractor
Intergrated Resources/ Boston Medical Center
08.2022 - 12.2024
- Guided eligible members through the Medicaid redetermination process via telephonic outreach, educating them on Public Health Emergency (PHE) guideline changes and continuous enrollment requirements.
- Coordinated appointments with community partners and provided comprehensive eligibility resources, ensuring seamless access to care.
- Monitored and tracked member data related to the Department of Health and Human Services (DHHS) incentive structure, ensuring compliance and accurate reporting.
Education
BA - Business Administration/Computer Science
University of Louisville
Louisville, KY, USAHigh School Diploma -
Union Grove High School
Marianna, FL, USA06-1969
Skills
- Experienced in Customer Service Orientation, Event Volunteering, Airport Concierge Greeter, Computer Operations, Multiple Operating Systems (MVS, Wintel, UNIX, NT, CA), SharePoint, protocols/architecture, Help Desk, Intelligence, Intelligence Research, Briefing, Physical Security, Coalition Support, Call Center Analyst, Unemployment Claims Processing, Computer Operator, Azure, Service Now, AWS, MS Office Products, Excel, Windows 10, Mainframe Operations and Troubleshooting Techniques
- Appeals handling
- HIPAA compliance
- ICD-10 coding
- Claims processing
- Microsoft office
- Insurance verification
- Healthcare industry
- Medical billing
- Medicaid
- Payment posting
- Copay collection
- Eligibility verification
- Medicare
- Commercial insurance
- Teamwork
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Claims investigation
- Multitasking Abilities
- Organizing and prioritizing work
- Reliability
- Excellent communication
- Critical thinking
- Organizational skills
- Team collaboration
- Active listening
- Effective communication
- Adaptability and flexibility
- Verbal and written communication
- Decision-making
- Teamwork skills
- Relationship building
- Computer proficiency
- Documentation skills
- Team building
- Data entry
- Claims adjustment
- Reporting skills
- Self motivation
- Task prioritization
- Medical terminology
- Interpersonal skills
- Analytical thinking
- Prior authorization processing
- Conflict resolution
- Documentation
- Goal setting
- Appointment scheduling
- Professionalism
- Document review
- Insurance claim forms review
- Policy review
- Coverage determination
- Documentation processing
- Insurance coverage verification
- Time management abilities
- Continuous improvement
- Adaptability
- Written communication
- Paperwork processing
- Denied claims identification
- Eligibility determination
- Office equipment operation
- Claim amount calculations
- Skilled in [software]
- Collaborative relationships
- Policy implementation
- Records management
- Professional demeanor
- Problem-solving aptitude
- Dispute resolution
- Data management
- Case management
Accomplishments
- Documented and resolved [Issue] which led to 98%.
- Achieved 100% by completing 98% with accuracy and efficiency.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Affiliations
- Association of Information Technology Professionals
Interests
Timeline
Consumer Relations Specialist Contractor
Intergrated Resources/ Boston Medical Center
08.2022 - 12.2024
Medicaid Enrollment Specialist Contractor
State of Arkansas DHS- SGS Consulting/Maximus
01.2022 - 05.2022
Reimbursement Specialist - Contractor
CareMetx LLC/Randstad
11.2021 - 01.2022
Claims Processor Contractor
State of Tennessee Department of Labor/Accenture-Adecco
11.2021 - 01.2022
Help Desk Administrator
TransUnion
01.2018 - 01.2020
Senior Installation Merchandiser
Hallmark
01.2016 - 10.2020
Customer Service Specialist
Honeywell International
08.2005 - 05.2014
Intelligence Operation Specialist, GG-0132-07
HQ UNITED STATES CENTRAL COMMAND
06.2002 - 02.2004
BA - Business Administration/Computer Science
University of Louisville
High School Diploma -
Union Grove High School
USSCENTCOM - War On Terrorism
In the work of Intelligence, As a valued member of the Global Counter Terrorism Forces your dedicated Service and performance of duty have enormously contributed to the effectiveness of the Coalition Intelligence Center, United States Central Command, and the overall success of Operation ENDURING FREEDOM and the War on Terrorism.