LaShonda Williams
Memphis,TN
Summary
Efficient billing professional with 18 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about honoring company values through impeccable work ethic and drive.
Overview
18
18
years of professional experience
Work History
Medical Billing Coordinator (Lead) REMOTE
CHOICES Center for Reproductive Health
Memphis, TN
01.2020 - Current
- Lead team of five
- Review and correct coding and fix any denial issues based on payer guidelines using Athena Health
- Obtain updated or missing claims and code information from physicians and/or patients
- Managed numerous emails and calls daily
- Increased Midwifery care by 90% by outstanding care and knowledge
- Reviewed Patient benefits with them before services rendered
- Obtained Authorizations for upcoming procedures
- Assured all fees, copays and deductibles were meet before services
- Negotiated fees, and assisted with patient hardships and payment arrangements
- Post Payments from EOB’s and checks.
- Analyze claims data to assure clean claims
- Perform invoicing for patient balances
- And performed audits on for claim improvement
- Always exceeded team productivity
- Audit Revenue charges, cash reports and insurance denials by running reports
- Reviewed documentation and insurance contracts for claim submission
- Suggest changes and quality for improvement to upper management as needed after recognizing trending claim issues.
- Generated monthly billing and posting reports for management review.
- Reconciled accounts receivable to general ledger.
Lead Patient Billing Specialist
St. Jude Children’s Research Hospital
Memphis, TN
04.2014 - 01.2020
- Monitored billing metrics database
- Performed Coding edits to hospital claims and submitted to Clearinghouse
- Worked with CPT and ICD-10 coding
- Review Medical Records and sent in appeals
- Performed daily activities of billing and auditing of assigned claims
- Ensured compliance with company policies, and state and federal regulatory bodies
- Review and submit claims based on payer guidelines and within filing time limits
- Comply with all Billing and Follow-up Worklists process, system, and documentation SOPs
- Meet claim filing and follow-up deadlines by completing assigned worklists tasks in timely manner and/or reporting to management when assistance is needed to complete tasks.
- Used data entry skills to accurately document and input statements.
Payment Posting Team Lead
Baptist Memorial Hospital
Memphis, TN
01.2007 - 04.2014
- Lead team of 15 and trained new hires.
- Handle both manual and electronic postings from EOB's and patients.
- Knowledge of posting lockboxes, credit, EFT, and other forms of payments
- Utilize multiple software system per insurance company’s request
- Ability to research credit balances and made adjustments
- Entered lockbox info into EPIC appropriately and assigned to team
- Review’s payment information to ensure no missing information, updates payment information in patient accounts, forwards necessary paperwork to proper locations
- Assigned EOB’s and checks to staff
- Always exceeded daily and weekly productivity
- Retrieves missing payment information through various methods (phone, internet, etc.)
- Enters data, such as payment information, into our company's billing system.
- Worked with team to identify areas of improvement and devised solutions based on findings.
- Coached team members in techniques necessary to complete job tasks.
- Managed leave requests and absences and arranged covers to facilitate smooth flow of operations.
- Audited team performance and compliance.
Insurance Verification Clerk
Regional One Medical Center, The Med
Memphis, TN
09.2005 - 01.2007
- Verify insurance information for new patients and referrals
- Made 30 calls per day, and managed emails inbound and outbound
- Update insurance information for existing patients
- Call to obtain pre-authorization for recommended services and procedures
- Explain to patients what their financial responsibilities will be
- Inform relevant clinical staff about denials
- Answer questions related to billing and insurance
Education
Medical Billing and Coding Certification -
Concorde Career College
Memphis, TN09.2004
High School Diploma -
Northwest Mississippi Community College
Senatobia, MS1995
Skills
- Claims Reviewing
- Database Systems
- Physician Interaction
- System Updates
- Medical Billing and Coding
- Account Management
- CPT Code Modifiers
- Obtaining Authorizations
- Medical Claims Submission
- Insurance Claims
Timeline
Medical Billing Coordinator (Lead) REMOTE
CHOICES Center for Reproductive Health
01.2020 - Current
Lead Patient Billing Specialist
St. Jude Children’s Research Hospital
04.2014 - 01.2020
Payment Posting Team Lead
Baptist Memorial Hospital
01.2007 - 04.2014
Insurance Verification Clerk
Regional One Medical Center, The Med
09.2005 - 01.2007
Medical Billing and Coding Certification -
Concorde Career College
High School Diploma -
Northwest Mississippi Community College