Natasha Willis
Richardson,TX
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Claim Associate
State Farm
06.2022 - Current
- Improved claim processing efficiency by meticulously reviewing and analyzing insurance claims.
- Enhanced customer satisfaction by promptly addressing client concerns and resolving disputes professionally.
- Streamlined the claims process for faster resolution, utilizing strong organizational skills and attention to detail.
- Collaborated with adjusters and underwriters to verify coverage details, ensuring accurate claim settlements.
- Managed a high volume of claims efficiently by prioritizing tasks in a fast-paced environment.
- Assisted customers in filing accurate claims, providing clear instructions on requirements and documentation needed for successful submissions.
Patient Care Advocate
CareXM
03.2021 - 06.2022
- Enhanced patient satisfaction by addressing concerns and providing clear communication on treatment plans.
- Streamlined administrative processes for improved efficiency in handling patient records and appointments.
- Collaborated with healthcare team members to develop individualized care plans, ensuring optimal patient outcomes.
- Reduced patient wait times by efficiently managing schedules and coordinating with medical staff.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines at all times.
Member Service Representative
BroadPath Healthcare
10.2020 - 03.2021
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns.
- Maintained high-quality service by adhering to company policies and standards in all member interactions.
- Contributed to branch sales goals by effectively cross-selling credit union products and services.
- Processed account transactions accurately, ensuring proper documentation and timely processing.
- Assisted members with account management, including updating personal information and setting up automated payments.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
Clinical Staff Assistant
UT Southwestern Medical Center
10.2018 - 02.2019
- Taking inbound calls from patients, other healthcare facilities, physicians and medical companies for the Kidney and Liver medical department in a timely manner
- The inbound calls included questions concerning medical issues, prescriptions, and laboratory tests
- Scheduling patient appointments and answering questions concerning the patient’s insurance.
Medical Assistant
UT Southwestern Medical Center
07.2010 - 10.2018
- Escorts or transports patients to exam or treatment rooms
- Assists in care of patients by preparing exam rooms for patient care, facilitating use of diagnostic equipment, and ensuring availability of needed patient information
- Performs EKG testing, glucose testing, 6 minute walks, administers flu vaccine, assist in minor surgical procedures and schedules needed lab and imaging test for patients
- Collects urine and blood specimens from patients as instructed by the Nurse or Physician
- Takes patient vital signs, orders medical supplies and sterilizes medical equipment using an autoclave
- Receives, researches, and resolves billing discrepancies from patients, insurance carries, and MSP representatives
- Functions as a liaison between departmental administration and MSP.
Medical Claims Analyst
UT Southwestern Medical Center
10.2008 - 07.2010
- Reviews and processes insurance claims through the billing system, including Medicaid, Medicare, third party payers
- Responsible for contacting patients, and/or third-party payers to resolve outstanding insurance balances or inappropriately paid claims
- Identifies problems and inconsistencies by using management reports; summarizes findings and makes recommendations to resolve billing issues
- Reviews and resolves correspondence from all organizations
- Functions as resource person for departmental personnel to answer questions and assists with problem resolution
- Functions as liaison between clinical departments and third-party payers
- Completes special projects as requested
- Performs other duties as assigned.
Medical Claims Examiner
HealthMarkets
06.2007 - 10.2008
- Process medical claims submitted on-line on Processor I system with 97.5% accuracy
- Identify claims for possible pre-existing conditions, request additional information for accident claims and order medical records
- Review additional information as it is received and prepares documents for medical consultant review for possible undisclosed history or for pre-existing conditions
- Complete phone inquires and review claims for possible overpayments or underpayments.
Claims Repricer
Interplan Health Group
07.2006 - 06.2007
- Entering data for repricing of HCFA and UB-92 claims and handling appeals and provider questions concerning repriced amounts
- Must have 97% accuracy.
Medical Claims Examiner
Great West Healthcare
11.2004 - 07.2006
- Processing electronic medical, Medicare and Medicaid claims with 97.5% accuracy
- Review claims for possible pre-existing conditions and must be able to provide information to the provider concerning payment and denials of claims.
Medical Assistant
Hisham Bismar MD
10.2005 - 01.2006
- Front office duties: answering phones, scheduling appointments, insurance verification, preparing patient charts, billing and filing
- Back office duties: taking patient history, taking vital signs, performing PFT’s and Chest X-Ray’s and administering injections.
Senior Claims Examiner
National Health Insurance Co.
05.2000 - 11.2004
- Processing medical and Medicare claims manually and electronically on RIMS system with 95% accuracy
- Identifying contestable claims, check and review previous qualifying coverage, request needed information for accident claims as well as claims forms and medical records
- Also reviewing claims for possible recission and reading medical records
- Must write up medical information and do liability charts for legal department
- Recovery Specialist: Requesting refunds for overpayments made on claims and working with accounting department on applying and adjusting refund checks
- Also adjusting claims in system were examiner errors were made.
Education
Nursing
El Centro College
Health Occupations
Tarrant County College
Medical Assistant Program
Concorde Career Institute
Skills
- CPT, ICD 9 and ICD 10 coding knowledge
- Knowledge of Windows Systems
- Medical Terminology knowledge
- Inbound Customer Service knowledge
- Accurate Typing 41 WPM
- Certified Medical Assistant
- EPIC system knowledge
Certification
Medical Assistant Certification
Timeline
Claim Associate
State Farm
06.2022 - Current
Patient Care Advocate
CareXM
03.2021 - 06.2022
Member Service Representative
BroadPath Healthcare
10.2020 - 03.2021
Clinical Staff Assistant
UT Southwestern Medical Center
10.2018 - 02.2019
Medical Assistant
UT Southwestern Medical Center
07.2010 - 10.2018
Medical Claims Analyst
UT Southwestern Medical Center
10.2008 - 07.2010
Medical Claims Examiner
HealthMarkets
06.2007 - 10.2008
Claims Repricer
Interplan Health Group
07.2006 - 06.2007
Medical Assistant
Hisham Bismar MD
10.2005 - 01.2006
Medical Claims Examiner
Great West Healthcare
11.2004 - 07.2006
Senior Claims Examiner
National Health Insurance Co.
05.2000 - 11.2004
Nursing
El Centro College
Health Occupations
Tarrant County College
Medical Assistant Program
Concorde Career Institute
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