Michele Williams
Advocate Aurora Health
Rockford,IL
1
Certification
9
years of professional experience
Led initiatives in medical coding across inpatient and outpatient settings with seven years of experience. Exhibited comprehensive expertise in medical terminology, anatomy, and compliance regulations.,Managed coding processes utilizing ICD-10-CM, CPT, HCPCS, and Epic EHR software. Prepared to relocate to meet organizational needs.
Work History
Medical Coder/Biller/Scheduler
2 Years- Achieved seamless management of patient scheduling system by maintaining accurate appointment records.
- Eliminated coding errors through thorough reviews, enhancing compliance integrity.
- Achieved efficient processing of an average of 95 inpatient charts each day.
- Prevented compliance penalties by conducting rigorous audits on over 200 outpatient claims weekly.
- Enhanced patient care by collaborating with medical staff to prioritize urgent appointments.
- Provided timely responses to patient inquiries regarding appointment scheduling and changes.
- Safeguarded patient confidentiality in strict adherence to HIPAA regulations.
- Accurately entered and updated patient demographic data in electronic health records.
- Secured necessary insurance authorizations for scheduled procedures, ensuring compliance.
- Coordinated multi-disciplinary clinics effectively, involving various healthcare providers.
- Scheduled follow-up appointments based on tailored physician recommendations.
- Streamlined resolution of scheduling conflicts by collaborating with billing, medical records, and nursing departments.
- Cultivated excellent patient relations by addressing concerns with empathy and professionalism.
- Maintained data integrity in the scheduling system to avoid errors and double bookings.
- Participated in team discussions to drive workflow improvements and share effective practices.
- Supported new staff members in mastering the scheduling system and departmental protocols.
- Collaborated with healthcare providers to clarify diagnoses and procedures for optimal coding accuracy.
- Utilized advanced coding software to assign appropriate codes for various medical services and procedures.
Patient Registrar II / Lead
3 Years 2 Months- Greet patients, visitors and answer telephone in a prompt and courteous manner.
- Schedule appointments, labs, outpatient surgery.
- Coordinated with patients to ensure accurate processing of Medicare, Medicaid, and private insurance claims and liaised with insurance representatives
- Processed payments, insurance claims, and adjustments, gathered patient information, and performed reviews to reduce risk of billing errors
- Verify and enter patient information including insurance, eligibility and demographics into patient management system.
- Ability to update insurance verification using OneSource application as well as inputting functions on electronic billing such as RTE.
- Communicates with nursing staff to aid in patient care and processing.
- Familiar with medical terminology
- Utilize all technology appropriately and in accordance with HIPPA and EMTALA regulations, compliance and performance standards.
- Notify patients, family members, physicians and/or supervisors of network insurance coverage issues that may result in coverage reduction.
- Notify patients of co-payments, deductibles or deposits needed and collect patient liability when applicable. Patient payment notation.
- Monitor daily activity and completion of performance reports as assigned.
- Delegate and oversee assignments to registrars. Assist in interviews with new applicants.
- Trained new hires.
- Provide Surgery center, OB/GYN Triage, Labor & Delivery, Cardiac, Lab, and Gastroenterology registration services for inpatient and outpatient requirements with empathy and sincerity.
- Preparing patient records for upcoming appointments, obtaining outside records, testing results and lab work.
- Obtaining prior authorizations when necessary for testing, surgical procedures, specialist visits, and DME orders
Telecommunications Specialist
3 Years 6 Months- Answer calls in a timely manner have information from patients and relay information confidentially
- Transfer calls to appropriate department or physicians
- Maintain department and physician schedules
- Create Mission Partner schedules
- Execute emergency codes and procedures
- Create on call schedules according to doctors schedule
- Proficiently utilize the physician directory and paging system
- Maintain surveillance and response immediately to all medical alarm system
- Supervise Mission Partners for breaks and schedules in managers absence
Education
CCS AHIMA - Certified Coding Specialist
Medical Billing & Coding - Certificate
Business Management - Bachelor's degree
Skills
Remote access software
EMR systems
Office Management
Account Reconciliation
Interventional radiology
Databases
Payments
Human Resources
ICD-10
Marketing
Medical terminology
Workday
Collection Management
ICD coding
Health insurance knowledge
Nonprofit management
Bank Reconciliation
Documentation review
Medical records
Medical coding
Care plans
Epic
Management
Rehabilitation center billing
Change Healthcare
Scheduling
Quickbooks
Oracle Health
Ambulatory surgery center billing
Community care
Home care experience
Dental terminology
Financial Report Writing
SharePoint
Collaborate with healthcare professionals
Medical billing
Medical administrative support - Medical administrative support experience (16-20 years)
HIPAA
Supervising experience
Case management
Revenue cycle management
Medicaid / Medicare billing
Payroll
Medical collection
CRM software
Private practice billing
ATS
Social work
Allscripts
Salesforce
Patient Care
Inpatient/ Outpatient billing
EClinicalWorks
Management Experience
Team management
Microsoft Word
Data collection
Medical scheduling
Managing patient records
Maintaining patient confidentiality
Billing
Meditech
Medical insurance coverage verification
3M Encoder
EHR systems
Supervising Experience
Billing software
Urgent care center billing
Handling patient inquiries
Patient monitoring
DRG
Medical office experience
Medicare
Schedule Management
Patient registration
Medical payment processing
Nursing home experience
EMR/EHR
Electronic health records (EHR) management
Medical receptionist
ICD-9
Database management
Payroll processing
HIPAA compliance
HCPCS coding
Certification
- Certified Provider Credentialing Specialist
- CPR Certification
- Professional In Human Resources
- Class B CDL
- Certified Coding Specialist
- July 2025 to July 2030
- Certified Coding Specialist from AHIMA
- Driver's License
- July 1999 to July 2026
- Certified Inpatient Coder (CIC)
- Certified Coding Associate
- Certified Professional Coder
- Certified Outpatient Coder (COC)
- AHIMA
- Certified Patient Account Representative (CPAR)
- Certified Medical Administrative Specialist (CMAS)
- CHAA
- Certified Professional Medical Services Manager
- Confidential Clearance
Additional Information
Authorized to work in the US for any employer
Timeline
Medical Coder/Biller/Scheduler
Advocate Aurora Health
07.2024 - CurrentRead More
Patient Registrar II / Lead
Mercyhealth Javon Bea Hospital
08.2020 - 10.2023Read More
Telecommunications Specialist
OSF Saint Anthony Medical Center
08.2017 - 02.2021Read More
Southern New Hampshire University
Business Management from Bachelor's degree
Read More
Medcerts
Medical Billing & Coding from Certificate
Read More
DeVry University-Illinois
CCS AHIMA from Certified Coding Specialist
Read More