Shakia Williams
King Of Prussia,PA
Summary
Detail-oriented Medical and Health Services Manager passionate about facilitating excellent patient care. Adept at designing and implementing policies and procedures. Motivated team builder and supervisor focused on driving team collaboration.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Patient Access Manager Revenue Cycle
Thomas Jefferson Health System
East Norriton, PA
10.2022 - Current
- Oversaw and managed front end revenue cycle, developing performance standards and outcomes.
- Managed and enhanced registration accuracy by implementing front-end billing edits and addressing insurance claim rejections.
- Monitored and maintained QA statistics for ED Registration and Admissions areas.
- Monitored daily budgeted admits and discharges
- Managed department operations including staff scheduling, payroll, performance reviews, and new hire onboarding.
- Efficiently oversees cashier's office operations, including processing tuition and bill payments along with employee reimbursements.
- Managed and upheld departmental budget
- Managed the upkeep of crucial department reports such as Pre-Admit, Daily Productivity, and Cash.
- Monitored staff compliance trainings
- Maintained regular evaluation of employee performance and offered constructive suggestions for improvement.
- Generated patient access metric reports including wait times and no-show data.
- Contributed to the coordination of staffing schedules in times of low staff availability.
- Conducted audits on patient registration documents for accuracy.
- Managed and resolved customer service concerns related to patient access, scheduling, and billing.
- Streamlined the process for monitoring monthly copay collections, optimizing the accuracy of expected copays and actual collections.
- Successfully addressed insurance verification and preapproval needs.
- Ensured HIPAA compliance in protecting private health information.
- Managed the recruitment, hiring, and training process of new employees in the medical and facility departments.
- Monitored bedboard performance
Pre-Service Supervisor
One Home Health
Miramar, FL
03.2022 - 09.2022
- Manages daily department operations and assists in completing service coordination tasks
- Monitored and coached Pre-Service Coordinators to improve work level and quality
- Collaborated with coordinators to address and resolve identified issues/barriers escalated to supervisor.
- Ensured department met SLA turnaround times by processing orders/requests and delivering services in a timely manner
- Implemented recommendations to improve overall workflow, process effectiveness, and operational efficiency.
- Maintained organizational confidentiality, ensuring document security, accessibility, and proper distribution.
- Maintained productive collaboration with Intake, Utilization Management, Billing, Pharmacy, Home Care and DME departments
- Contributed to the training and professional development of Pre-service Coordinators under the guidance of the manager.
- Served as a subject matter expert in Pre-Service Coordination department topics.
- Provided oversight for a team of 15 employees, successfully directing daily operations
- Utilized effective problem-solving techniques to promptly resolve customer complaints.
- Conducted daily team meetings for task and deadline updates
- Maintained consistent tracking of employee productivity in order to identify and address areas needing improvement
Referral Manager
Dedicated Senior Medical Center
Philadelphia, PA
07.2018 - 03.2022
- Managed Philadelphia Referral Department overseeing a team of 20 Care Coordinators in five distinct clinics
- Delivered concise monthly summaries of operational performance metrics to senior management.
- Coached, mentored, and trained team members to enhance job performance.
- Regularly engaged with team members in collaborative discussions to analyze performance and determine strategies for enhancement.
- Streamlined operations to enhance efficiency at the organization.
- Maintained up-to-date records of employee attendance, payroll information, vacation requests.
- Provided leadership during times of organizational change or crisis situations.
- Assessed team member's skillsets and assigned tasks accordingly for optimal efficiency.
- Developed annual goals for each department based on market trends and competitor analysis.
- Trained employees on additional job positions to maintain coverage of roles.
- Maintained accurate timekeeping records for payroll processing.
- Monitored productivity targets, achieving best in Enterprise performance for having low and outstanding referral queues
- Collaborated with market Chief Medical Officer and Network Director regularly to develop external provider relationships, reduce unnecessary referrals, and increase utilization of preferred specialists
- Achieved a 100% completion rate for daily Daily Care Team huddles
- Participated in monthly payor meetings alongside the Network Director to discuss issues related to referrals and specialists
- Managed internal Approval process to effectively control part B costs
- Conducted site visits to address issues and educate staff/providers on DSMC policies with Referrals.
- Efficiently managed the processing of Prior Authorizations for surgeries and imaging.
- Utilized EPIC on a daily basis for managing medical records and scheduling appointments
- Enhanced TTCs as Payor Portal Administrator.
Regional Registration Specialist
DaVita Dialysis Corporation
Malvern, PA
08.2015 - 07.2018
- Perform duties for revenue operations department related to either medical insurance billing, collections or patient access
- Ensured appropriate insurance coverage for patients and accurate reimbursement for dialysis services by effectively communicating with insurance payers.
- Managed the review and submission of system setup requests, accurately loading center and payer information into the billing system for improved billing accuracy
- Responded timely and accurately to payer communications.
- Collaborated with revenue operations teams for seamless process integration across departments.
- Collaborated with clinic teammates including insurance counselors, social workers, and facility administrators to ensure the provision of timely and accurate insurance information.
- Ensured accurate and up-to-date patient account information
- Maintained confidentiality of company and patient information in adherence to HIPAA regulations and DaVita policies.
- Verified and maintained accurate insurance coverage and up-to-date documents for incoming patients.
- Delivered exceptional customer service to patients and their families during the registration process.
Education
Bachelor of Science - Bachelor of Science in Business Administration
Walden University
Minneapolis, MN05-2025
Associates - Applied Sciences
Delaware County Community College
12.2020
Skills
- Budget Planning
- Continuous Improvement
- Time management abilities
- Employee retention strategies
- Schedule Management
- Process Improvement
- Data Analysis
- Administrative Staff Supervision
- Financial Reporting Coordination
- Employee Recruitment and Hiring
- Epic Systems
- Insurance Verification
Skills Abilities - Core Competencies
- Leadership & Management of Teams
- Process Improvement
- Medicare Advantage & Value-Based Care
- Strategic Planning
- Data Analytics
- Collaboration
- Experience with ICD-10 & CPT coding
- Proficient in computer programs and office equipment
- EPIC, Cerner and MediTech
Certification
- BLS
Timeline
Patient Access Manager Revenue Cycle
Thomas Jefferson Health System
10.2022 - Current
Pre-Service Supervisor
One Home Health
03.2022 - 09.2022
Referral Manager
Dedicated Senior Medical Center
07.2018 - 03.2022
Regional Registration Specialist
DaVita Dialysis Corporation
08.2015 - 07.2018
Bachelor of Science - Bachelor of Science in Business Administration
Walden University
Associates - Applied Sciences
Delaware County Community College
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