Sade Williams
Charlotte,NC
Summary
To acquire a challenging position to execute my skills with opportunity for advancement, to portray my hard-working ability to contribute to the growth of the company Personable and dedicated customer service representative with extensive experience in industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses. Detailed Client Service Associate known for having great organizational skills. Gifted at working with all types of customers. Looking for a new role where hard work and dedication will be highly valued.
Overview
14
14
years of professional experience
Work History
Insurance Follow-Up Representative
Providence Anesthesiology Associates
Charlotte, NC
08.2023 - 06.2024
- Processed appeals when necessary by gathering additional supporting documentation from providers.
- Maintained accurate records of claim status information in the database system.
- Researched patient accounts to ensure proper billing codes were used.
- Ensured that all documents were filed accurately according to established protocols.
- Provided advice and guidance on best practices for resolving disputes between providers and payers.
Billing Specialist
Pediatric Advance Therapy
09.2022 - 03.2023
- Prepared insurance claims for submissions to payors and responsible parties.
- Review claims for accuracy, including proper diagnosis, and procedure codes.
- Review claims rejections and communicates with payor to resolve billing issues.
- Prepared and review routine billing report.
- Studied, analyzes and examine all unpaid accounts to determine and perform appropriate follow up action in a timely manner base on department policies and procedures
Patient Financial Coordinator
Atrium Health
10.2019 - 09.2022
- Patient Financial services
- Offered financial advice and assistance to patients regarding medical bills
- Coordinated payments and answering questions from both parties
- Educate patients about payment options and financial assistance
- Submitted claims to medical software
- Ensured that we received the highest reimbursement, followed up with patients to set up payment plans
- Met productivity every month, by ensuring that all insurances companies processed our claims correctly
- Submitted Medical records through commercial insurance portals.
Medical Biller
Optum360
05.2019 - 09.2019
- Perform all duties related to collecting, posting, and managing account payments for 23 surgery doctors
- Responsible for all aspects of submitting claims to the insurance companies and following up to ensure proper payment has been received at its highest reimbursement
- Submitted appeals and faxed medical records when necessary
- Worked closely with aging accounts passed 30 days
- Maintained a low AR, for 23 doctors.
Claim Processor
Aetna
01.2018 - 05.2019
- Reviews and adjudicates Medicare medical claims in accordance with CMS claim processing guidelines
- Work independently in a production environment, Met monthly production.
- Identified and reported potential fraud or abuse related to claims to protect system's integrity.
Labortory Billing Supervisor
Supportive Healthcare
12.2010 - 12.2018
- Maintain maintenance of client records related to invoicing and bill payment
- Review the work of my billing staff to ensure accuracy, Investigate patient’s medical benefits and identify opportunities for prior authorizations
- Prepare and submit prior authorizations in a timely manner
- Provided excellent customer service, developing and maintaining client relationships.
- Effectively interface with hospitals, wound care centers and physicians to insure the highest level of reimbursement is attained
- Communicate and accurately document payer trends
- Foster partnership with national accounts
- Monitor and update Medicare, Medicaid and Private Payer policies and guidelines
- Supervising over ten employees.
Education
Psychology
South University
High school Diploma -
Siatech Charter school
Skills
- HIPPA
- Excellent Oral/Written Communication
- Ability to Input/Retrieve Data from Computer
- EMR/EHR
- Knowledge of HMO’s/PPO’s
- Availiaty (software)
- Microsoft Excel/Word/Outlook
- Data Entry 50 wpm/Transcribing
- Med connect
- Medisoft
- Patient Plus
- 12 step recovery
- Nava net
- KIPU
- LESS THEN 1 HOUR TURN AROUND TIME
- Collaborate
- ACAS
- Linked
- Cash Management
- Insurance Verification
- Policy Interpretation
- Problem Resolution
- HIPAA Compliance
- Claim Processing Expertise
- Assertiveness
- Customer Service
- Call Documentation
- Microsoft Office
- Customer Relationship Management (CRM)
Timeline
Insurance Follow-Up Representative
Providence Anesthesiology Associates
08.2023 - 06.2024
Billing Specialist
Pediatric Advance Therapy
09.2022 - 03.2023
Patient Financial Coordinator
Atrium Health
10.2019 - 09.2022
Medical Biller
Optum360
05.2019 - 09.2019
Claim Processor
Aetna
01.2018 - 05.2019
Labortory Billing Supervisor
Supportive Healthcare
12.2010 - 12.2018
Psychology
South University
High school Diploma -
Siatech Charter school