Kim Y. Williams
Summary
Hospital Revenue Cycle management training and documentation specialist. Medical insurance claims and follow up Quality Assurance and Insurance customer service representative.
Overview
12
12
years of professional experience
Work History
Medical Billing QA Analyst
CPSI
10.2022 - Current
- Quality Assurance Analyst reviews and analyzes the 1500 and UB04 billing and follow up work effort.
- Medical insurance claims are reviewed for accuracy
- Scores Billers and Follow Up representative work effort
- Feedback is provided to improve the billing and follow up techniques of insurance claims
- In person and virtual facilitation of system and medical billing processes to new employees via Teams and WebEx
- Reports QA scores weekly and monthly through Salesforce software to Revenue Cycle management and leadership
Implementation Specialist
MediTech
09.2021 - 06.2022
- Introduced via demonstration Homecare software functions to client management and leadership
- Worked with clients to build customized data dictionaries based on clinical and financial needs
- Trained financial portions of the Homecare software to billers and patient account reps
- Reviewed and resolved client service tickets and inquiries
- Supported clients from preinstall through system implementation
Customer Service Representative
GetInsured
09.2020 - 03.2021
- Assessed caller insurance needs
- Assisted customers with completing and editing applications for Advanced Premium Tax Credits
- Assists customer with shopping for medical insurance plans in the government Market Place
- Assisted customers by explaining insurance and medial terminology
- Handled inbound and outbound calls using appropriate scripts
Instructional Designer
Conifer Health Solutions
07.2013 - 07.2020
- Insurance revenue cycle trainer experienced from claim creation through appeal process
- Collaborated with operations to create revenue cycle training curriculum
- e-Learning course creation and delivery via Captivate and Articulate Storyline platforms
- Created scripts for eLearning
- Converted process documentation into presentations, manuals, and job aids
- Utilized LMS to publish courses and create online assessments
- Conducted virtual training via Teams,WebEx and Sabre Centra
- Applied knowledge of current adult learning concepts, techniques, and frameworks, methodologies relevant to designing e-learning content
Revenue Cycle Training and Development Specialist
Conifer Health Solutions
05.2011 - 07.2013
- Facilitated medical revenue cycle processes from registration through appeals
- Trained new hires and existing staff on company systems, software, and Healthcare process methodologies
- Created training documents, user guides, job aids and assessments for in person and online accessibility
- Facilitated live classroom and virtual training classes via Sabre Centra and WebEx
Billing Supervisor
Southern Regional Hospital
04.2010 - 04.2011
- Handled daily billing functions for Commercial Insurances and Medicaid in STAR and ePremis
- Ensured the daily submission of claims to Insurance payers
- Produced daily, weekly, and monthly activity and billing analysis report for managers and directors
- Researched EDI reports reducing errors before the submission of future claims.
Education
High School Diploma -
Gorton High School
Skills
- EDI/Claims processing
- In person and virtual facilitator experience
- SharePoint HTML5 Adobe Captivate Articulate Studio Snag It Learning Management Systems
- Microsoft Suite (Word, Excel, PowerPoint)
- Microsoft Teams and WebEx Meeting tools
- Revenue Cycle Management Facilitator
- Medical Insurance Claims Analyst
- HFMA Certifications
- DDI Facilitator Certification
- Captivate Training Certification
- Medical Insurance Customer Service Representative
Timeline
Medical Billing QA Analyst
CPSI
10.2022 - Current
Implementation Specialist
MediTech
09.2021 - 06.2022
Customer Service Representative
GetInsured
09.2020 - 03.2021
Instructional Designer
Conifer Health Solutions
07.2013 - 07.2020
Revenue Cycle Training and Development Specialist
Conifer Health Solutions
05.2011 - 07.2013
Billing Supervisor
Southern Regional Hospital
04.2010 - 04.2011
High School Diploma -
Gorton High School
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