Taija (Tai) Williams
St Louis,MO
Summary
Experienced healthcare professional with a background in information technology. Dedicated and empathic, with over 10 years of experience in the healthcare field, providing excellent customer service and quality communication. Skilled in adapting to challenging situations and finding solutions to hard issues. Adept at merging healthcare and IT skills to deliver exceptional results. Passionate about helping others and continuously learning and growing in new ways.
Overview
10
10
years of professional experience
Work History
Care Coordinator
Alliance
03.2021 - Current
- Implement data analysis strategies to identify opportunities for improving healthcare outcomes and reducing costs
- Develop and implement strategies to improve patient care and customer satisfaction in healthcare facilities
- Collaborate with healthcare providers to develop and implement evidence-based guidelines for patient care.
- Used company software and databases to maintain records of services performed and patient conditions.
- Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
- Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
Patient Advocate
Aflac
11.2018 - 03.2021
- Develop and maintain strong relationships with healthcare providers and facilities to ensure timely and accurate processing of claims
- Develop and implement strategies to improve patient satisfaction and overall experience
- Serve as a liaison between patients and insurance companies, providing guidance and support throughout the claims process
- Coordinate and facilitate communication between patients and healthcare providers to ensure a smooth and seamless experience throughout the claims process.
- Entered details into computer systems and managed database of information.
Claims Specialist (Hybrid)
Molina
11.2016 - 01.2018
- Identify and resolve complex billing and claims issues to ensure accurate and timely reimbursement and timely claims processing
- Investigated and resolved complex claims/issues to ensure accurate processing.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Medical Receptionist
BJC
01.2014 - 05.2016
- Organized over 350+ records in regards to all functions of registration
- Facilitated the maintenance of servers, services, insurance policies, and verification
- Performed physical examination on patients for an ongoing 4+ years
- Updated a variety of patient records involving insurance, and other demographics.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
Education
AlliedHealth; Nursing Certification - Nursing
North County Trade
Florissant, MO04.2011
Neuro Linguistic Practitioner License - Behavioral Aspects of Health
Auspicium LTD
Virtual12.2022
Google IT Support Professional Certificate - Information Technology
Merit America Uni
Virtual11.2023
COMP TIA+ CERTIFICATION - Information Technology
Merit America Uni
Virtual11.2023
Skills
- Case Management
- Documentation
- Patient Education
- Organizational Skills
- Documentation proficiency
- Medical terminology understanding
- Claims Processing
- Quality Assurance
- Progress Monitoring
- Organizational standards
- Strategic Planning
Additional Information
Age: 32
Affiliations
- Events Coordinator; GirlScouts of Eastern Missouri
Timeline
Care Coordinator
Alliance
03.2021 - Current
Patient Advocate
Aflac
11.2018 - 03.2021
Claims Specialist (Hybrid)
Molina
11.2016 - 01.2018
Medical Receptionist
BJC
01.2014 - 05.2016
AlliedHealth; Nursing Certification - Nursing
North County Trade
Neuro Linguistic Practitioner License - Behavioral Aspects of Health
Auspicium LTD
Google IT Support Professional Certificate - Information Technology
Merit America Uni
COMP TIA+ CERTIFICATION - Information Technology
Merit America Uni
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