Phyllis Williams
Garfield Heights,Ohio
Summary
A versatile professional adept at managing multiple priorities, providing superior customer service, streamlining processes and procedures and serving as a liaison between stakeholders and the Cleveland Metropolitan School District (CMSD). I have excelled within a very demanding environment while successfully thriving in my role. I am looking for a position where I can utilize my skills in addition to an environment that presents opportunities, growth, and developments.
Understanding enrollment specialist type several wpm. Committed to engaging customers to help each understand the value of programs and services. Adept at performing key administrative tasks in support of enrollment procedures. Strong coordination and leadership skills with the ambition to persevere.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Enrollment Specialist
Cleveland Metropolitan School District
Cleveland, OH
01.2016 - Current
- Assist families with the enrollment process
- Resolve enrollment issues
- Council and guide scholars and families to ensure the best academic decision are being considered
- Ensure that IEP accommodations align with the school selections
- Answer Special Education and IEP questions.
Medicaid Solution Specialist
Cleveland Metropolitan School District
Cleveland, OH
01.2012 - 01.2016
- Ensured Medicaid documentation complied with Medicaid and legal requirements
- Conducted comprehensive audits of the records
- Administered calls to the health care providers to collect additional information or to correct inaccurate documentation
- Collaborated with health care providers regarding services for our scholars that are provided to students
- Prepared and processed the 'Consent to Release Information' form
- Served as the liaison with faculty, staff, parents, independent contractors, medical providers, and/or other key internal/external players related to the Medicaid program.
Patient Account Coordinator
Hospice of the Western Reserve
Cleveland, OH
01.2012 - 01.2014
- Performed accounts receivable processes: verifying medical insurance coverage, generating claims for collection of revenue
- Identified new hospice care admissions for assigned teams
- Ensured patients' medical insurances were verified and conducted the necessary follow up
- Collaborated with Medicaid Caseworkers and Hospice of the Western Reserve's Social Worker team to establish and maintain eligibility of hospice services prepared, reviewed, and submitted claims to all commercial insurance payers
- Provided support to patients and families
- Demonstrated effective Service Excellence skills according to agency standards.
Family Health Educator
Anytime In-Home Care, LLC
Bedford Heights, OH
01.2008 - 01.2012
- Managed all administrative duties including data entry, scanning, processing mail, and answering multiple phone lines
- Supported children’s social and emotional development, while encouraging positive self-concept
- Tutored children in Basic English and Math as needed.
Claims Examiner/Financial Counselor/Insurance Verification Specialist
University Hospitals of Cleveland
Cleveland, OH
01.2000 - 01.2008
- Collaborated with physicians to investigate questionable claims, correct errors, and/or omissions
- Revised investigation finding using Microsoft Excel
- Examined claims and other records to determine insurance coverage
- Established a more effective and efficient patient care process resulting in increased revenues for the organization
- Provided support Assisted families, insurance companies, and physicians to obtain referrals, resolve problems, and updated patient demographic information.
Education
Some course work in Business Management -
Cuyahoga Community College
Cleveland, Ohio01.2015
Skills
- Microsoft Word
- Excellent problem solver
- Organization skills
- Microsoft Excel
- Excellent customer service
- Microsoft PowerPoint
- Organizational skills
- Outlook Office 365
- Friendly
- Energetic
- Hard worker
- Willing to learn
- Take on new challenges
- Workday
- Willing to give 110%
Certification
- Communicate with H.E. A. R. T. recipient, 05/01/2023
- Microsoft Office Training, 05/25/2023
- CMSD Equity and Inclusion Training Series, 08/22/2022 - 08/23/2023
Timeline
Enrollment Specialist
Cleveland Metropolitan School District
01.2016 - Current
Medicaid Solution Specialist
Cleveland Metropolitan School District
01.2012 - 01.2016
Patient Account Coordinator
Hospice of the Western Reserve
01.2012 - 01.2014
Family Health Educator
Anytime In-Home Care, LLC
01.2008 - 01.2012
Claims Examiner/Financial Counselor/Insurance Verification Specialist
University Hospitals of Cleveland
01.2000 - 01.2008
Some course work in Business Management -
Cuyahoga Community College
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