Epic
Sumur Williams
Medical Insurance Biller
Columbia,SC
Summary
A skilled business professional with a versatile administrative support skill set developed through experience as an independent insurance agent, office manager, administrative assistant, operations manager.
Overview
17
17
years of professional experience
Work History
Insurance Follow-Up Representative
Annuity Health, LLC
Columbia, SC
11.2019 - Current
- Research remits and Explanation of Benefits (EOBs) for complete accurate payments or denials
- Provides or arranges for additional information when needed
- Submits corrected claims or appeals
- Performs appropriate adjustments, when required
- Identifies items that require client assistance
- Gathers payor trends and provides feedback
- Improved claim resolution times by consistently following up on outstanding insurance claims and diligently addressing any discrepancies.
- Follow up with insurance companies to ensure documentation has been received
- Safeguarded patient privacy by adhering to HIPAA guidelines when handling sensitive personal information during claim follow-up processes.
- Optimized workflow productivity through diligent organization and prioritization of daily tasks, resulting in swift resolution of outstanding issues.
- Ensures appropriate clinical documentation is available and complete before submitting prior authorization
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Accurately entered patient demographic and billing information in Epic billing system to enable tracking history and maintain accurate records.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted payments and collections regularly.
- Adhered to established standards to safeguard patients' health information.
- Handle incoming and outgoing calls from internal team members, insurance payers, and customers related to insurance benefits.
- Handled 40 or more accounts daily.
- Maintain perfect audit scores of 10 each week.
Document Review Clerk
Lincare Inc.
Columbia, SC
01.2017 - 11.2019
- Responsible for quality review of all pertinent customer information for accuracy and completeness to meet payer requirements for timely and maximum reimbursement
- Evaluate all received documents to ensure appropriate information is obtained to allow for successful Accounts Receivable
- Maintain Held Sales by assisting customer service representatives weekly in correcting problems so billing may begin or continue
- Responsible for reviewing various reports for quality assurance
- Record all activity relating to account in tickler files
- HIPPA compliant.
- Collaborated with team members to complete tasks efficiently and meet deadlines.
- Worked 80 accounts daily.
Operations Manager
FedEx Ground
Columbia, SC
01.2007 - 12.2016
- Repeatedly promoted during 9-year tenure with FedEx Ground, by coordinating office functions, quality assurance, loss prevention, and supervising a team of 15-20 Package Handlers
- Developed efficiency-enhancing workflow/process improvements that made it possible to accommodate increasing responsibilities by cross-training package handlers to do multiple job functions in an area
- Conduct daily meetings that include company goals, safety, and changes within FedEx
- Decreased Station customer package failure rate by .05% by implementing needed controls for missing packages, non-delivery scans, and, packages being left behind due to address issues
- Effectively executes both short-term and large-scale organizational change while encouraging others to embrace change and takes necessary steps to implement change
- Understands cross-functional impact by assessing situations and makes decisions that take into consideration all aspects and relevant stakeholders within FedEx.
- Performed human resources functions for recruitment and onboarding of new hires conducting interviews and orientations for potential candidates and new hires and being responsible for their orientation., maintained employee's time and utilized reports in Kronos timekeeping software
- Developed and maintained inventory management controls of company equipment
- Compiled multiple reports to plan and organize our team day
- Maintained compliance with OSHA reports and building inspections as well as maintained buildings' HAZ-MAT protocols
- Completed internal audits.
- Provided internal and external customer service as Quality Assurance Manager, Dispatch Clerk, and Operations Manager.
- Improved operational efficiency by streamlining processes and implementing cost-saving measures.
- Achieved higher employee retention rates by fostering a positive work environment and providing opportunities for professional growth.
Education
Bachelor of Science - Business Administration And Management
Capella University
Minneapolis, MN09.2025
Associate of Arts - Culinary Arts
Auguste Escoffier School of Culinary Arts
Boulder, CO09.2022
Diploma in Medical Billing And Coding - Medical Billing And Coding
Virginia College At Jackson
Jackson, MS05.2003
Skills
- Accounts Payable/Receivable
- HIPAA Compliance
- ICD-10, CPT/ HPCS /Medical Terminology
- Eligibility, Benefits and Prior Authorizations
- Billing and Collection Procedures
- Commercial and Private Insurance
- Medical Claims Submission/ Processing
- Denial Management/Appeals
- Payment Posting
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software
Cerner
Work Preference
Work Type
Contract WorkLocation Preference
RemoteImportant To Me
Company CultureWork-life balanceFlexible work hoursInterests
Reading
Baking
Learning
Timeline
Insurance Follow-Up Representative
Annuity Health, LLC
11.2019 - Current
Document Review Clerk
Lincare Inc.
01.2017 - 11.2019
Operations Manager
FedEx Ground
01.2007 - 12.2016
Bachelor of Science - Business Administration And Management
Capella University
Associate of Arts - Culinary Arts
Auguste Escoffier School of Culinary Arts
Diploma in Medical Billing And Coding - Medical Billing And Coding
Virginia College At Jackson