Lakeisha Wilson
Tallahassee,FL
Summary
Transaction Processing Associate with experience managing customer and client accounts. Accurately and securely processes client information. Assuages customer complaints and works independently to resolve disputes. many years of guaranteeing security of incoming and outgoing transactions.
Overview
18
18
years of professional experience
Work History
Transaction Processing Specialist III ( Provider Enrollment)
Conduent
Tallahassee, FL
05.2020 - Current
- Implements the physician enrollment and credentialing process for clients who request provider enrollment services
- Maintain the timelines on enrollment/credentialing schedules, communicate with providers and other departments to update as needed, clarify carrier information requirements, and maintain a strict level of confidentiality for all matters pertaining to provider credentials.
Transaction Processor III (Medical Bill Processor)
Conduent
Tallahassee, FL
09.2011 - 05.2020
- Processing Medical Bills for DOL/OWCP (Office of Workers Compensation Program)
- Processed medical payments abiding by HIPPA guidelines
- Responsible for performing task such as completing and verifying standard transactions to ensure quality standards are met
- Researching and resolving client inquiries and escalating unusual transactions for resolution as appropriate
- Check accuracy and integrity of files and resolved errors
- Completes more complex validations, application of logical and analytical skills
- Makes decisions on finalizing, approving or rejecting documents/cases
- Follows up on inquiries in order to update additional data required
- Acts as Subject Matter Expert
- Mentors new hires and provides training support
- Performs complex tasks according to client guidelines
- Identifies adverse events and reports to client
- Completes work with limited supervision.
- Maintained up-to-date knowledge of all applicable laws, regulations and procedures governing financial transactions.
- Processed large volumes of financial transactions using various software applications.
Medical Customer Service Representative
Acs/Xerox
Tallahassee, FL
08.2006 - 09.2011
- Identify problems with bill payment to make sure bills were processed correctly
- Asked open-ended questions to assess customer needs
- Answered an average of 80 calls per day by addressing customer inquiries, solving problems and providing new product information
- Working knowledge of Protected Health Information PHI, HIPPA
- Maintain exceptional service and integrity with providers and claimants accounts through accurate, timely, relevant, and quality work efforts of all inventory assigned to self-paying billing revenue cycle and call center.
Education
A.A - Medical Office Administration
Tallahassee State College
Tallahassee, FL07-2026
High School Diploma -
James S. Rickards High School
Tallahassee, FLSkills
- CUSTOMER SERVICE ORIENTED
- CUSTOMER SERVICE
- INCOMING CALLS
- Typing
- Data Entry
- Mail Clerk
- Call Center Customer Service
- Excel
- Word
- Data-Entry
- HIPAA
- ICD-10
- Medical Billing
- ICD-9
- Teamwork and Collaboration
- Self Motivation
- Medical Records
- Medical Office Experience
- Medical Terminology
- Anatomy Knowledge
- Insurance Verification
- CPT Coding SKILLS
- Accurate and detail
- Answering incoming calls
- HIPPA Compliance
- Faxing paperwork
- Microsoft word
- Excel
- Outlook
- Office
- Payment Processing
- Deadline Management
- Banking operations
Assessments
- HR: Compensation & benefits, Proficient, 12/01/22
- Administrative assistant/receptionist, Proficient, 01/01/23
- Customer service, Proficient, 05/01/20
- Work motivation, Proficient, 05/01/20
Timeline
Transaction Processing Specialist III ( Provider Enrollment)
Conduent
05.2020 - Current
Transaction Processor III (Medical Bill Processor)
Conduent
09.2011 - 05.2020
Medical Customer Service Representative
Acs/Xerox
08.2006 - 09.2011
A.A - Medical Office Administration
Tallahassee State College
High School Diploma -
James S. Rickards High School
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