TONYA L. WILLIAMS-SMITH
Maple Heights,Ohio
Summary
High Performing Educational Leader with Expertise in Communication, and Strategic Thinking, Leadership, and Team Building to Improve and Support Office Operations. Expert Strategist who transforms Strategic Plans into Workable Solutions and uses outcomes to drive instructions and professional development. Skilled in Operational and Fiscal Systems.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Instructor, Patient Access Service (PAS)
Tri-C
01.2019 - Current
- Train new students on insurance verification, educational opportunities to maintain current level of functionality within Patient Access Services.
- Train students on the scheduling processes, coordination, COB, Insurance plans and development of system and operational training materials.
- Training students in both front end and back-office duties.
- Lead training initiatives via classroom and online seminar.
- Provide support on the processes for claims submittals, insurance entry and verification, accessing Electronic Health Records, ICD-10 and CPT Coding, Medical Terminology, and preparing students for their Certified Healthcare Access Associates (CHAA) exam.
- Review software updates, enhancements and release notes, assists director in evaluating the impacts of implementing new software, educational material, and coordinates educational efforts for the training of new instructors.
- Instilling the importance of being HIPAA compliant and providing excellent customer service to increase patient satisfaction, giving the patients their best experience.
Peer Support
Let’s Live, LLC
01.2021 - 2023
- Facilitating individual, family, group, and couple counseling sessions.
- Patient registration and appointment scheduling.
- Visit preparation and proactive management of client needs.
- Developing and implementing comprehensive treatment plans.
- Prompt clinical documentation in compliance with ACA policies and standards.
Peer Support
Exodus Clinical Mental Health Services, LLC
01.2019 - Current
- Facilitating individual, family, group, and couple counseling sessions.
- Patient registration and appointment scheduling.
- Visit preparation and proactive management of client needs.
- Developing and implementing comprehensive treatment plans.
- Prompt clinical documentation in compliance with ACA policies and standards.
Office Supervisor
KidsFirst Pediatrics
01.2022 - 01.2023
- Train fresh staff on insurance verification education opportunities to maintain current level of functionality within Patient Access Services.
- Order supplies and manage the office budget.
- Pay for services rendered at the practice.
- Manage the office scheduling templates.
- Manage the front desk and clinical staff schedule.
- Order and manage the vaccine inventory.
- Hire and terminate employees.
- Time keeping (Kronos)
- Help staff transition From Soarian to EPIC
- Review software updates, help evaluate the impacts of implementing new software, educational materials, and coordinate educational efforts for training new instructors.
- Instilling the importance of being HIPAA compliant, providing excellent customer service to increase Patient Satisfaction, giving the patients their best experience.
Patient Access Services (Seidman Cancer) Financial Counselor/Navigator
University Hospitals Cleveland Medical Center
01.2012 - 01.2022
- Provide financial counseling/navigating pertaining to specific: benefits, payments, Government programs, fund raising, hospital & physician charges, self-pay, and underinsured patients to ensure that all patients’ financial needs are addressed.
- Perform a variety of key medical billing functions addressing billing issues, converse with UH Billing and funding organizations for oncology and non-oncology medications provided at UHHS.
- Highly focused and results-oriented in supporting complex, deadline-driven operations; able to identify goals and priorities and resolve issues in initial stages.
- Expert in registration, scheduling, claims review, Insurance verification, ICD-10 & CPT coding, financial clearance, referrals, pre-determination and managing all essential tasks.
- Develop and foster positive interactions with patients, physicians, and caregivers in this highly visible role. Respond to questions/concerns regarding monetary obligations as soon as possible with compassion and understanding.
- Train patients to access their Personal Health Record (PHR). Ensure department productivity and quality standards are exceeded. Maintain up-to-date knowledge of computer applications/systems.
Lead Patient Access Coordinator
University Hospitals Cleveland Medical Center
01.2006 - 01.2012
- Actively participate in vendor activities, satellite site visits, and software improvement sessions.
- Performs audits and analyses of accounts scheduling software systems and insurance versification software to ensure the accuracy of claims/receivables, identify issues, and recommends solutions.
- Generate reports including writing complex queries to perform analysis of data within the Revenue Cycle.
- Use independent judgment to write queries that extract the necessary data from the Revenue Cycle software.
- Review reports to ensure the integrity of shared computerized billing/reporting systems and make recommendations for improvements.
- Analyze reports to determine processing issues/aged accounts and implement procedures for resolution.
- Assist Revenue Cycle departments with Special Projects and various duties as assigned.
Office Coordinator
University Hospitals Cleveland Medical Center
01.1999 - 01.2006
- Identifies training fresh staff on insurance verification, educational opportunities to maintain current level of functionality.
- Scheduling, coordination, COB, Insurance plans and development of system and operational training materials
- Leads training initiatives, LMS and end user communications for internal users.
- Provides daily technical and application support for claims, insurance, and credits for Revenue Cycle end users.
- Creates and distributes end user communications in a timely manner.
- Reviews software updates, enhancements and release notes, assists manager in evaluating the impacts of implementing the software and coordinates educational efforts for the training staff and end users.
Program Assistant
University Hospitals Case Medical Center
01.1997 - 01.1999
- Manage data systems for Nurses and Physicians who participate with the Perinatal Network.
- Locate venues to hold programs for nurses in need of obtaining their CEU’s Contact caterers for meetings that service up to 200 guests.
- Create flyers to distribute for Nurses in need of CEU credits.
- Manage budget for program.
- Assist with writing the grant for the network.
- Order supplies and manage office.
Education
Master of Art - Clinical Mental Health Counseling
South University
Cleveland, OH01.2019
Bachelor of Science - Health Administration
University of Phoenix
Cleveland, OH01.2017
Bachelor - Business Management (minor)
University of Phoenix
Cleveland, OH01.2017
Skills
- Extensive knowledge of conducting Insurance verification, Insurance (COB) research, analyzing data, and the ability to problem solve Strong organizational and management skills with an eye for detail
- Adept at developing and maintaining managerial processes that reduce redundancy to improve accuracy and efficiency
- Excels at multi-tasking in a fast-paced environment with superior accuracy in documentation and outstanding interpersonal and communication skills
- Analytical system/tools: MS Excel, Spreadsheets, MS PowerPoint, MS Access, and administrative support systems
- Computer knowledge: EPIC, Soarian, EMR Allscript, Schedule Me Now, AEMR, IDX Imagecast, OnBase, Physician Portal, Oracle Application, Emdeon eligibility, Medicare, and Medicaid (MITS Eligibility), Availity, etc Knowledge of Experian, Quadax, Athena, Mosaic, Affinity software, HDX query and RTE language
Certification
- Certified Healthcare Access Associate (CHAA) 2011
- Registered Notary Public (Ohio) 2011
- HIPAA Certified 2010
- Proctor for CHAA 2019
- BLS Certification 2025
Core Experience
- Knowledge of insurance verification techniques to plan, schedule, and conduct complex projects; missions, organization, work processes and related administrative activities to identify actual or potential problem areas, trends, deficiencies, or other similar factors affecting operations.
- Served as a Point of Contact and co-lead, with interpersonal skills to mediate customer complaints and provide guidance and direction. Interact with customers to identify and document issues for future resolution.
- Research and explain technical matters to facilitate problem resolutions, Interpret Insurance policies and procedures.
- Facilitate and participate verbally in meetings or conference calls that include agendas and meeting notes or minutes.
- Prepare written documentation for management.
Timeline
Office Supervisor
KidsFirst Pediatrics
01.2022 - 01.2023
Peer Support
Let’s Live, LLC
01.2021 - 2023
Instructor, Patient Access Service (PAS)
Tri-C
01.2019 - Current
Peer Support
Exodus Clinical Mental Health Services, LLC
01.2019 - Current
Patient Access Services (Seidman Cancer) Financial Counselor/Navigator
University Hospitals Cleveland Medical Center
01.2012 - 01.2022
Lead Patient Access Coordinator
University Hospitals Cleveland Medical Center
01.2006 - 01.2012
Office Coordinator
University Hospitals Cleveland Medical Center
01.1999 - 01.2006
Program Assistant
University Hospitals Case Medical Center
01.1997 - 01.1999
Master of Art - Clinical Mental Health Counseling
South University
Bachelor of Science - Health Administration
University of Phoenix
Bachelor - Business Management (minor)
University of Phoenix
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