Phyllis Williams-Smith

• Responsible for assisting with inbound patient inquiries via telephone and email.
• Processing patient credit card payments.
• Preparing payment plans.
• Communicating urgent clinic issues to management.
• Responsible for reviewing patient balances for discrepancies and making necessary adjustments.
• Reviewing and uploading documents into electronic medical records system.
• Submitting refund requests for account overpayments.
• Responsible for resubmitting missing claims to insurance companies.
• Obtaining new insurance information from patients to update account.
• Meeting personal and team production and performance targets.
• Completing assigned work as directed in a timely manner.
• Submitting and responding to tasks from clinic administrators.

• Responsible for Government and Commercial claims.
• Contacted insurance companies to check patient eligibility and claim status to ensure timely payments.
• Responsible for resubmitting missing and corrected claims to insurance companies.
• Reviewed denied claims to determine if eligible for appeals and reconsiderations.
• Resolved delinquent accounts.
• Contacted patients regarding past due balances and identifying accounts for collection action.
• Reviewed patient accounts for discrepancies and making necessary adjustments.
• Obtained new insurance information from patients to update account.
• Processed patient credit card payments.
• Responded to and completed tier1ticket requests.
• Submitted and responded to tasks and emails from clinic administrators.

• Responsible for Government and Commercial claims.
• Responsible for discovering denials trends, reporting all findings to management.
• Reviewed HCFA's for assigned accounts to ensure the release of clean claims.
• Researched unidentifiable payments received for the posting department.
• Contacted insurance companies to check patient eligibility and claim status to ensure timely payments.
• Submitted written and online reconsiderations and appeals.
• Analyzed contractual issues providing feedback to credentialing department.
• Documented all collections efforts.
• Prepared claims for manual and electronic billing submissions.
• Verified patient eligibility via phone and online portals including Availity.
• Responsible for working 60 -80 accounts daily.

• Submitted appeals and reconsiderations.
• Resolved patient complaints.
• Recovered funds paid directly to patients by their insurance companies.
• Resubmitted corrected or unacknowledged claims for timely payments.
• Payment negotiation.
• Collected insurance claim data to ensure timely resolution on existing and outstanding issues.

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• Validated that all necessary referrals, pre-certification and/or authorizations for were on file for the scheduled test being performed.
• Responsible for the timely verification of medical insurance benefits for the service scheduled or service being provided, by calling Managed Care, Government and Commercial Payers.
• Verified patient out of pocket costs and in and out-of-network benefits.
• Maintained confidentiality of company, client and patient information.
• Ensured all account activity is timely and thoroughly documented in the computer system.
• Responsible for sending reports to physicians with benefit coverage information.

• Explained policy coverage, claim status, and assisted with claim payments and other policy information.
• Processed payments and loan requests.
• Responded to policy holder's correspondence, including phone calls and emails.
• Maintained new and revised procedures regarding policy information.

• Introduced new students to online learning environment and website navigation.
• Guided students through the University's admissions processes including answering questions relating to program requirements.
• Assisted with class and exam registration.
• Maintained current knowledge on all University's degree programs, admissions requirements and policies.