LaCrisha Williams
Riverdale,GA
Summary
Accomplished Medical Billing Specialist with a proven track record at Addiction Treatment Center of Atlanta, adept in HIPAA compliance and denial management. Excelled in enhancing payment processes and patient billing, achieving significant improvements in claims resolution efficiency. Demonstrates exceptional communication skills and a keen ability to navigate complex insurance verifications, contributing to elevated patient satisfaction and loyalty.
Experienced with medical billing procedures and coding standards. Utilizes strong analytical skills to ensure accurate claim submissions and resolution. Knowledge of insurance guidelines and healthcare regulations, consistently delivering precise billing operations.
Overview
13
13
years of professional experience
Work History
Medical Billing Specialist
Addiction Treatment Center of Atlanta
07.2022 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Located errors and promptly refiled rejected claims.
Insurance Verification Specialist
Admin and Assocaites
10.2020 - 06.2022
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Achieved insurance pre-authorizations to enable timely patient procedures.
Customer Service Representative
SYKES
07.2018 - 06.2020
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Responded to customer requests for products, services, and company information.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Addressed customer inquiries to ensure satisfaction and foster positive service experience.
Medical Collections Specialist
Hollis Cobb Associates
03.2012 - 06.2018
- Reviewed aging reports regularly to prioritize collection efforts strategically based on account status and risk level.
- Established clear expectations for payment arrangements, minimizing misunderstandings between patients and the practice.
- Assisted patients with understanding their financial responsibilities, easing concerns about complex medical bills.
- Prevented potential legal issues by adhering to federal and state regulations governing medical collections activities.
- Negotiated payment plans with patients, ensuring timely payments and reducing financial strain on the practice.
Education
Associate of Arts - Business Administration
Atlanta Technical College
Atlanta, GA06-2011
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- CPT knowledge
- Denial management
- Medicare and medicaid process
- Insurance billing
- Data entry
Timeline
Medical Billing Specialist
Addiction Treatment Center of Atlanta
07.2022 - Current
Insurance Verification Specialist
Admin and Assocaites
10.2020 - 06.2022
Customer Service Representative
SYKES
07.2018 - 06.2020
Medical Collections Specialist
Hollis Cobb Associates
03.2012 - 06.2018
Associate of Arts - Business Administration
Atlanta Technical College
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