WAJIHAH WILLIAMS
Glenside,PA
Summary
Detail-oriented Precertification Specialist with 5+ years of healthcare experience in insurance verification, prior authorizations, and patient coordination. Proven ability to secure timely approvals, ensure compliance with payer requirements, and prevent delays in treatment and reimbursement. Strong knowledge of CPT and ICD-10 coding with a track record of improving workflow efficiency and patient satisfaction.
Overview
6
6
years of professional experience
Work History
Pre certification representative
Fox Chase Cancer Center/ Temple
Philadelphia, PA
02.2024 - Current
- Confirming and satisfying all authorization billing requirements by obtaining the appropriate precertification/ authorization from all necessary payers to avoid delays in treatment/payment penalties.
- Responsible to confirm the financial/insurance information obtained during the registration process to determine that State, Federal and Third Party precertification/ billing requirements are met to ensure optimal reimbursement for services to be rendered.
- Confirming accuracy of CPT and ICD-10 diagnoses in the procedure order.
- Responsible for requesting out of network authorizations for office visits.
- Training of new employees.
- Obtaining all out of network authorizations for office visits.
- Answer all emails for precertification department.
Patient Coordinator
Atrium Health
Charlotte, NC
04.2023 - 02.2024
- Registering 50+ incoming patients daily, answering the phone, responding to emails, and scheduling patient appointments.
- Confirming accuracy of CPT and ICD-10 diagnoses in the procedure order.
- Verifying insurance coverages, collecting payments, obtaining authorizations, and maintaining confidential medical records.
- Resolving patient concerns and inquires, coordinating 100% of the daily front office operations, and ensuring excellent patient experience.
Patient Coordinator
Jefferson Hospital
Philadelphia, PA
11.2021 - 04.2023
- Reviewed chart documentation to ensure patient met medical policy guidelines.
- Obtained authorizations for procedural orders and prioritized incoming authorization requests.
- Maintained and was responsible for the cleanliness of the front office, worked with all internal and external hospital divisions, and executed other duties as required.
Customer Service Representative
Ameri-Health Caristas
Remote
09.2020 - 11.2021
- Demonstrated a passion for providing superior customer service to customers and continually sought to understand their needs.
- Routinely met or exceeded contact center key performance indicators.
- Maintained an awareness of all organizational code of conducts.
Education
No Degree - Business Administration
Strayer University
05.2029
Diploma - undefined
Cheltenham High school
05.2011
Skills
- Microsoft Office 365 (all applications)
- Google Suites
- WordPerfect
- Epic Systems
- Analytical
- Time Management
- Leadership
- Teamwork
- ICD-10 codes
- ACD phone systems
- Insurance verification
- Patient coordination and communication
ACTIVITIES
2016-05, Volunteered to conduct 80+ hours of community service for local children’s playground/neighborhood park.
Timeline
Pre certification representative
Fox Chase Cancer Center/ Temple
02.2024 - Current
Patient Coordinator
Atrium Health
04.2023 - 02.2024
Patient Coordinator
Jefferson Hospital
11.2021 - 04.2023
Customer Service Representative
Ameri-Health Caristas
09.2020 - 11.2021
Diploma - undefined
Cheltenham High school
No Degree - Business Administration
Strayer University