Tremone Willis
Dallas,TX
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Motivated individual with experience in customer service and sales. Skilled in building customer relationships and understanding customer needs. Strong communication and interpersonal skills for providing superior customer service. I'm seeking to maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
17
17
years of professional experience
Work History
Account Manager/Project Lead
Curative
2021.02 - Current
- Proactively reach out to dormant accounts to kickstart new business relationships
- Serve as the primary liaison for clients sales pipeline
- Drive the creation of fresh job prospects through proactive outreach via phone and email
- Negotiate billing arrangements for healthcare professionals, including doctors and nurse practitioners
- Scrutinize contracts to secure the most favorable terms for the company
- Validate timesheets, make required adjustments, and ensure prompt payment for candidates.
Appeal Specialist/Medicaid Specialist
Blue Cross Blue Shield of Illinois
2017.05 - 2021.01
- Calculated adjustments, premiums and refunds.
- Communicated verification and authorization status updates with Medicare/Medicaid department to facilitate decision-making for patient admissions and insurance coverage.
- Processed and recorded new policies and claims.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Verified client Insurance information by analyzing existing Medicaid/Medicare Insurance.
- Notified insurance agents and accounting departments of policy cancellations and changes.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Financial Crime Analyst II
BB&T
2015.01 - 2017.01
- Collaborates with various compliance and risk departments to process 75-120 or more daily claim requests, aligning with risk assessments
- Ensures timely handling of all claims within a 3-day Regulation E guideline, maintaining bank compliance
- Administers provisional and/or final credits to clients in adherence to Regulation E guidelines
- Manages disputes related to fraud and non-fraudulent transactions using VISA Online
- Actively participates in financial crime assessments and regulatory reporting with internal audit and compliance teams
- Cultivates and sustains effective relationships with key business areas, senior management, and stakeholders across regions
- Evaluates the appropriateness of policies, business unit policies, and reviews regulatory rules and changes
- Conducts thorough investigations to confirm violations, obtaining relevant documents and testimony from involved parties
- Performs monthly reviews of the database of offenders and suspects for proactive analytical studies
- Utilizes internal processes related to Anti-Money Laundering (AML), Sanctions, and Anti-Bribery and Corruption (ABC)
- Takes responsibility for returning and reversing invalid drafts, endorsements, and counterfeit checks.
Mortgage Loan Officer
Bank of America
2008.01 - 2015.01
- Managed 50 or more inbound calls daily from customers and banking centers, guiding them towards Equity products that mutually benefited both the customer and the bank
- Collaborated with Processing to collect necessary documents for loan closures
- Ensured the integrity of all data while resolving customer issues
- Utilized various systems, including IOriginate and LandSafe, to streamline processes
- Efficiently handled a pipeline of 100 or more clients, ensuring they progressed through the appropriate department
- Maintained effective communication with homeowners, providing timely updates on the status of remediation
- Demonstrated proficiency in various systems, such as Homesaver, CRM Tool, Stewart, and Urban.
Education
Some College (No Degree) -
Dallas College
Dallas, TXNorth Carolina A & T State University
05.2009
Terry Sanford High School
05.2002
Skills
- Proficient in Microsoft Office Tools, Word, Excel, Power Point, Outlook, Sharepoint
- Proficient with Salesforce, Oracle, SNOW, LAMP, AS400, LAFA, IPortal, Homebase, Xerox and HP copiers and printers, ShoreTel Phone Systems, Uniphi Connect, 10-key function, Smart, Vector, Boss, .
- Account verification
- Insurance Coverage Verification
- Medical Terminology
- Customer Service
- HIPAA Compliance
- Electronic Medical Records
- Insurance Billing
- Healthcare administration
Timeline
Account Manager/Project Lead
Curative
2021.02 - Current
Appeal Specialist/Medicaid Specialist
Blue Cross Blue Shield of Illinois
2017.05 - 2021.01
Financial Crime Analyst II
BB&T
2015.01 - 2017.01
Mortgage Loan Officer
Bank of America
2008.01 - 2015.01
Some College (No Degree) -
Dallas College
North Carolina A & T State University
Terry Sanford High School
Similar Profiles
Chelsea OdemChelsea Odem
Partner, Account Management at CurativePartner, Account Management at Curative
Sandra Rolon GarciaSandra Rolon Garcia
Licensed Vocational Nurse Vaccinator COVID19 at CurativeLicensed Vocational Nurse Vaccinator COVID19 at Curative
Key'Andrea DavisKey'Andrea Davis
QA Advisor at CurativeQA Advisor at Curative