Licia Watson

• Assist colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
• Worked Federal, Commercial and Government Claims
• Posted and adjusted payments from insurance companies.
• Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
• Worked aging reports and overdue payments.
• Worked in Microsoft\ Office Suite
• Managed insurance claims submissions and followed up on outstanding payments.
• Researched and resolved billing discrepancies to enable accurate billing.
• Worked with multiple departments to check proper billing information.
• Contributed to positive work environment by offering support and guidance to junior billing staff.
• Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers. Averaged about 30 calls a day.
• Enhanced revenue collection efficiency with robust follow-up procedures on delinquent accounts.
• Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.

• Handled sensitive candidate information with discretion, maintaining confidentiality throughout the entire Medicaid Process.
• Enhanced applicant experience by providing help with enrollment into the program either electronically or by paper.
• Worked the front desk welcoming clients to the office and trouble shooting for them.
• Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
• Obtained updated contact information from all subjects and verified data for accuracy.
• Managed candidate documentation, maintaining accurate records in compliance with regulations.
• Interviewed clients in the office to assess their eligibility for the program and to verify the information they already submitted.
• Worked in the Virtual Intake Unit were I took 35-45 client calls a day.
• Used data entry skills to accurately update clients enrollment/interview information.

• Billed claims via paper and electronically to insurance companies,
• Worked Commercial insurance payors, Auto Insurance, and Worker's Compensation claims.
• Increased revenue by identifying and resolving billing errors in a timely manner.
• Contacted responsible parties for past due debts.
• Maintained clear documentation of all activities related to unpaid claims.
• Analyzed patient accounts to ensure timely and accurate billing processes
• Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
• Enhanced revenue collection efficiency with robust follow-up procedures on delinquent accounts.

• Created control number (Patient ID numbers), for new patients,
• Created new patient charts for admitted patients.
• Contacted insurance companies to verify patient's insurance.
• Contacted insurance companies to notify them of the patient's admittance,
• Processed patient authorization requests efficiently to ensure timely access to services.
• Collaborated with healthcare providers to gather necessary documentation for insurance approvals.
• Reviewed and verified patient information for accuracy, ensuring compliance with hospital standards.
• Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
• Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.

Provider Services:

• Worked in a Call Center
• Handled 90-100 calls a day efficiently, yielding questions from providers regarding their denied claims.
• Addressed provider question on how to file claims.
• Researched and resolved complex case issues, demonstrating in-depth knowledge of Medicaid policies.
• 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.

• Provided exceptional customer service to military personnel, addressing inquiries and concerns promptly and professionally.
• Prepared correspondence on behalf of command leadership related to personnel actions such as Line of Duty Injuries.
• Maintained the confidentiality of sensitive information by adhering to strict security protocols when handling personnel records.
• Worked directly under the Chief Warrant Officer in the medical department.
• Received incoming calls from the soldier's unit reporting line of duty injuries.
• Created files for each soldier who became injured on duty.
• Made the necessary arrangements for a soldier to receive medical treatment at the nearest military facility or a civilian facility.
• Created worker's compensation folder by gather all the information needed to project the lose of wages the soldier will incur while out on military leave.
• Attended monthly weekend meetings with the medical team keeping them aware of the stages in the soldier's treatment plans, cost of treatment and the cost of their worker's compensation.

• Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
• Received notice that orders needed to be cut for a soldier.
• Gather all the information needed to cut the active duty orders.
• Kept daily electronic files backed up on to floppy disks.
• Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.

• Maintained an organized library collection by accurately shelving books, periodicals, and other materials according to classification systems.
• Streamlined circulation processes by efficiently checking items in and out of the library.
• Organized library shelves, materials and equipment in clear, alphabetized order.
• Stayed up-to-date on library policies and procedures to smoothly enforce standards.

• Collected outgoing and incoming mail from the base post office and delivered it to the appropriate offices on base.
• Kept mail delivery records to track delivered and undelivered items and identify delivery issues.
• Greeted customers and answered questions regarding mail pick up times, postal regulations, and delivery costs.
• Kept vehicle logs to include gas usage logs.
• Maintained the military vehicle.

Medical Transcriptionist

• Transcribed from a dictaphone physician medical reports into a hard copy that was placed into the veteran's medical record.
• Demonstrated attention to detail when reviewing documents for errors or discrepancies.

File Room Clerk

Filed medical dictation, filed reports, filed medical exams in the medical

• Increased operational efficiency by maintaining organized workspaces and managing inventory levels accordingly.
• Maintained filing system and organized customer documents for easy retrieval of information.
• Generated, posted and attached information to claim files.