SADE WILSON
Colorado Springs,CO
Summary
HIGHLY DEPENDABLE AND INTELLIGENT PROFESSIONAL LOOKING TO SHARPEN AND UTILIZE THE TRANSFERABLE SKILLS ACQUIRED OVER MANY YEARS OF PROVIDING CUSTOMER-BASED SERVICES. THROUGHOUT THE PROGRESS OF MY CAREER, I HAVE BEEN ABLE TO GAIN EDUCATION AND EXPERIENCE THAT HAS BEEN UTILIZED THROUGHOUT MULTIPLE FACETS OF LIFE AND PROFESSIONAL GROWTH. THIS GROWTH INCLUDES DEVELOPED VITAL SKILLS SUCH AS DISCIPLINE, LEADERSHIP, AND TEAMWORK ABILITIES. THE OBTAINED EXPERIENCE AND KNOWLEDGE WILL SERVE ME WELL MOVING FORWARD AS PART OF ANY TEAM DEMONSTRATING CONTINUED GROWTH AND PROSPEROUS LONG-TERM COMMITMENT.
Overview
6
6
years of professional experience
Work History
Insurance Refund Specialist (Remote)
Advanced Recovery Systems
10.2023 - 10.2025
- Working independently to review overpayment correspondence from insurance companies and determining if a refund is due or disputing the overpayment request.
- Using multiple software’s and systems including Avatar, Waystar, Availity, Instamed, and various insurance provider portals to obtain necessary information for overpayment request.
- Understanding how to read a claim, EOB, and being able to identify different posting codes within the system for insurance guarantor and patients’ responsibility.
- Being efficient in grammar, reading, and communicating internally with the team as well as externally with providers, and insurance representatives.
- Collecting all necessary documentation needed to place together refund packets for manger approval for refunds including claims, EOB’s, ledgers, and a refund form.
Senior Quality Process Executive (Remote)
Cognizant
06.2021 - 03.2022
- Creating a proficient, grammar, error free clinical note for several providers for each patient encounter
- Having active listening to recordings from patient encounters with the provider
- Close attention to detail and knowing hot keys
- Having the Ability to type 50 WPM
- Dictating, analyzing and reviewing different templates, and audio to ensure capturing every detail to perfect the note
- Toggling between multiple screens and different EHR systems
- Having medical terminology experience and background
- Adjusting to different providers and their preferences for delivery of their documents
- Researching medications, prescriptions, and symptoms
Payment Posting Specialist (Remote)
Quick Med Claims
03.2022 - Current
- Ensuring accuracy with posting payments from insurance companies for payments of services of EMS and Aircraft services
- Reviewing EOB’s
- Posting Denials
- Posting insurance payments via checks/ EFT/ ACH
- Adjusting and reviewing any Overpayments, Adjustments, or WOs made by insurance companies
- Billing patients on behalf of the clients and collecting payments from them
- Balance cash journals and all payment methods, or denials that are made to the month close for each client
- Toggling between multiple screens
- Multi-tasking going through different clients and insurance companies to ensure their requirements for posting is meet
Medical Records Review Analyst (Remote)
Solarity Health
08.2020 - 04.2021
- Reviewing scanned documents from hospitals and clinics with sensitive patient information
- Tasked with labeling the documents correctly and ensuring the patients information is correct to correlate with the documents, along with coding for billing purposes
- Having HIPPA knowledge
- Following site specific rules and regulations
- Meeting performance metrics for the site
- Data entry and being detail oriented
- Using hot keys and using 10 key-pad
- Toggling between multiple screens
Payment Specialist
Advanced Recovery Systems
Colorado Springs, CO
10.2025 - Current
- Processed and reconciled payment transactions to ensure accuracy and compliance.
- Collaborated with cross-functional teams to resolve payment discrepancies effectively.
- Managed accounts receivable inquiries, providing timely and accurate information to clients.
- Developed and maintained detailed reports on payment processing efficiency and trends.
- Implemented process improvements that enhanced workflow in payment operations.
- Trained new team members on payment processing systems and best practices.
- Monitored regulatory changes impacting payment processes, ensuring adherence to updates.
- Developed strong relationships with banks, credit card processors, and other external partners for seamless collaboration in handling payments.
IT Technician
Kelly Services
Orlando, FL
11.2020 - 02.2021
- Installed and configured hardware and software to ensure optimal system performance.
- Provided technical support for end users, resolving issues promptly and efficiently.
- Maintained network infrastructure by monitoring performance and troubleshooting connectivity problems.
- Assisted in implementing security protocols to safeguard sensitive information and prevent data breaches.
- Documented technical procedures and user guides to enhance team knowledge sharing and training initiatives.
- Collaborated with cross-functional teams to streamline IT processes and improve service delivery efficiency.
Medical Assistant
Florida Oncology Network
Davenport, FL
12.2019 - 05.2020
- Assisted with patient intake procedures and documentation to ensure accurate record-keeping.
- Coordinated scheduling for patient appointments, optimizing clinic workflow and reducing wait times.
- Managed medical supplies inventory, ensuring availability of necessary items for daily operations.
- Supported clinical staff in administering treatments and procedures, enhancing patient care quality.
- Administer vaccinations to patients of all ages, Knowledge and understanding of all vaccinations and when it is necessary to administer them.
- Aiding the administrative desk with referrals, billing insurance, patient injuries, and check in procedure.
- Assisting the primary physician with any in office procedures, maintaining a sterile field, cleaning up after procedures, and ensuing the provider is well equipped.
Education
Associate of Science - Medical Assistance
American College for Medical
Orlando, FLSkills
- CMA (Certified Medical Assistant)
- Microsoft Office
- Revenue Cycle Management
- Accounting
- ICD-10
- Medical coding
- HIPAA
- Medical terminology
- Administrative experience
- Inventory control
- Patient monitoring
- Insurance verification
- Specimen collection/processing
- Data entry
- Medical scheduling
- Cold calling
- Customer service
- Vital signs
- Host/hostess experience
- Refund processing
- Compliance awareness
- Conflict management
- Dispute resolution
- Time management
- Problem-solving
- Attention to detail
- Multitasking Abilities
- Excellent communication
- Organizational skills
- Front desk
- Research
- Guest relations
- Technical support
- Medical billing
- Accounts Receivable
- Transcription
- EMR Systems
- Team player
- CPT Coding
- Anatomy Knowledge
- Epic
Skills Certifications
- CMA (Certified Medical Assistant)
- Microsoft Office
- Revenue Cycle Management
- IOS
- 10 key calculators
- ICD-10
- Medical coding
- Sales
- Avatar
- HIPAA
- Medical terminology
- Administrative experience
- Inventory control
- Patient monitoring
- Insurance verification
- Specimen collection / processing
- Data entry
- Medical scheduling
- Cold calling
- OPERA
- Customer service
- Vital signs
- Host/hostess experience
- Organizational skills
- Front desk
- Research
- Guest relations
- Technical support
- Medical billing
- Accounts Receivable
- Transcription
- EMR Systems
- Team player
- CPT Coding
- Anatomy Knowledge
- Epic
Languages
English
Native or Bilingual
Timeline
Payment Specialist
Advanced Recovery Systems
10.2025 - Current
Insurance Refund Specialist (Remote)
Advanced Recovery Systems
10.2023 - 10.2025
Payment Posting Specialist (Remote)
Quick Med Claims
03.2022 - Current
Senior Quality Process Executive (Remote)
Cognizant
06.2021 - 03.2022
IT Technician
Kelly Services
11.2020 - 02.2021
Medical Records Review Analyst (Remote)
Solarity Health
08.2020 - 04.2021
Medical Assistant
Florida Oncology Network
12.2019 - 05.2020
Associate of Science - Medical Assistance
American College for Medical