Rikki Williams
West Bloomfield
Summary
Dedicated healthcare specialist with strong skills in prior authorization processing, patient insurance verification, and effective communication. Committed to enhancing patient care through streamlined processes and team collaboration.
Overview
3
3
years of professional experience
Work History
Healthcare Specialist
Women's Health and Menopause Center
West Bloomfield
12.2025 - Current
- Reviewed and processed prior authorization requests for medical services.
- Communicated with healthcare providers to obtain necessary documentation.
- Utilized electronic systems to track authorization status and updates.
- Coordinated with insurance companies to verify patient coverage details.
- Assisted in resolving authorization issues by collaborating with team members.
- Maintained accurate records of all prior authorization submissions and approvals.
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Processed appeals in a timely manner as per policy guidelines.
- Reviewed FMLA claims for compliance with federal regulations and company policies.
- Maintained up-to-date knowledge of FMLA regulations and company procedures.
- Compiled, reviewed and processed FMLA leave requests to ensure compliance with the Family Medical Leave Act.
Front Desk Receptionist
The Oxford Center
Brighton
11.2023 - 04.2025
- Greeted patients warmly and ensured a positive reception experience.
- Scheduled appointments using electronic health record software efficiently.
- Handled incoming calls, addressing inquiries and directing calls appropriately.
- Collected and verified patient insurance information accurately.
- Maintained organized filing systems for patient records and documents.
- Coordinated with healthcare providers to streamline patient flow.
- Verified insurance coverage for appointments and collected co-payments.
- Prepared charts for new patients, ensuring all necessary forms were completed correctly.
- Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
Education
Associate of Science - Business Administration And Management
University of Oregon
Eugene, ORSkills
- Prior authorization processing
- Insurance verification
- Electronic health records
- Appointment scheduling
- Medical coding
- FMLA expertise
- Customer relationship management
- Team collaboration
- Conflict resolution
Timeline
Healthcare Specialist
Women's Health and Menopause Center
12.2025 - Current
Front Desk Receptionist
The Oxford Center
11.2023 - 04.2025
Associate of Science - Business Administration And Management
University of Oregon