Shadiamond Wilson
Clanton,United States
Summary
Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven.
Overview
11
11
years of professional experience
Work History
Billing Supervisor
Tegria
11.2021 - Current
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Optimized workflow processes within department, leading to reduction in errors and delays in claim submissions.
- Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
- Organized regular team meetings to review performance metrics, discuss challenges, and share best practices for continuous improvement efforts.
- Routinely conducted internal audits of financial records to detect discrepancies or potential fraud risks, enabling timely intervention and issue resolution.
Provider Relations Supervisor
Blue Cross Blue Shield Association
12.2018 - 10.2021
- Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
- Contributed to and enhanced audit processes to maximize quality management standards.
- Increased provider satisfaction scores 80% by collecting and credentialing demographic updates, investigating claims and inquiries and overseeing network integrity.
- Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
Customer Service Team Lead
Tmobile
11.2014 - 11.2018
- Supported representatives in navigating difficult interactions with customers, offering guidance on appropriate de-escalation techniques when needed.
- Streamlined processes for faster issue resolution, resulting in increased customer loyalty.
- Evaluated representative performance regularly, offering constructive feedback and implementing targeted improvement plans as necessary.
- Assisted management in hiring decisions by conducting interviews with prospective candidates and evaluating their suitability for the Customer Service Team Lead role effectively.
Credit Card Specialist
Wells Fargo
07.2013 - 10.2014
- Built strong relationships with customers to increase retention and loyalty.
- Improved customer satisfaction by efficiently addressing and resolving credit card disputes and inquiries.
- Provided exceptional customer service, leading to increased client retention rates and positive referrals from satisfied customers.
- Evaluated customer creditworthiness and financial statements to determine credit limits.
- Updated training materials for new hires within the Credit Card Specialist team, enhancing employee knowledge of industry best practices.
Education
Bachelor of Science - Health Administration
Faulkner
Montgomery, Alabama04.2025
High School Diploma -
Huffman High School
Birmingham, Alabama12.2013
Skills
- Time Management
- Spreadsheets
- Quality Assurance
- HIPAA Compliance
- Patient account management
- Month-end closing procedures
- Reporting skills
Timeline
Billing Supervisor
Tegria
11.2021 - Current
Provider Relations Supervisor
Blue Cross Blue Shield Association
12.2018 - 10.2021
Customer Service Team Lead
Tmobile
11.2014 - 11.2018
Credit Card Specialist
Wells Fargo
07.2013 - 10.2014
Bachelor of Science - Health Administration
Faulkner
High School Diploma -
Huffman High School
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