Willie Hollis
Jacksonville
Summary
Results-driven professional with extensive experience in data analysis and discrepancy resolution at Parallon Business Solutions. Proven expertise in account reconciliation and refund processing, showcasing strong documentation standards and effective communication. Skilled in identifying trends and implementing solutions to enhance operational efficiency and improve patient outcomes.
Overview
30
30
years of professional experience
Work History
Remote Overpayment Analyst
Parallon Business Solutions
Orange Park
06.2020 - Current
- Perform and validate discrepancy reason coding.
- Initiate refunds of identified overpayments and resolve open discrepancies.
- Monitor takebacks and initiate refunds as appropriate.
- Review and resolve credit balances.
- Accept phone calls and resolve patient concerns related to account balances.
- Research returned refund checks and take the necessary action to resolve.
- Identify problem accounts/processes/trends and escalate as appropriate.
- Utilize effective documentation standards that support a strong historical record of actions taken on the account.
- Ability to perform basic math to ensure accurate statement of accounts receivable
Remote Research and Correspondence Analyst
Parallon Business Solutions
Orange Park
06.2017 - 06.2020
- Responsible for processing approximately 700 pieces of correspondence weekly.
- Review and complete requested tasks document accounts regarding completion.
- Forwards document and claim data to other departments to complete correspondence request.
- Responsible for answering high volume incoming phone calls.
- Identifying the patient issues at hand and either resolving the issue or referring the caller to the appropriate party.
- Distributes corrections needed on claim such as audits, appeals, and re-bills.
- Researches archived HOST accounts for appropriate placement and or collections.
- Pulls requested patient information such as in itemized bill.
Discrepancy Analyst
Parallon Business Solutions
Orange Park
06.2015 - 06.2017
- Work Discrepancy Report to determine types of discrepancies and assign appropriate reason codes.
- Make all corrections of non-payment related discrepancies on hospital claims.
- Forward all other discrepancies to Overpayment or Underpayment Analyst.
- Other duties as assigned
Member Coach
UF Health Jacksonville (First Coast Advantage)
Jacksonville
12.2013 - 11.2014
- Responsible for promoting desired patient outcomes by means of identifying emotional, social, or environmental barriers and using critical thinking skills to intervene accordingly.
- Begins facilitating transition from hospital to home while member is still in hospital or ED or accepts referrals for members not transitioning from hospital or ED to home with other needs.
- Conducts risk assessments to identify emotional, medical, social or environmental needs and actively participates as member of the interdisciplinary health care team in the development of the plan of care and assists in coordinating/facilitating care elements involving issues identified in assessment.
Outpatient Disease Case Management Coordinator
UF Health Jacksonville (First Coast Advantage)
Jacksonville
10.2007 - 12.2013
- Performs Health Risk Assessment on newly enrolled First Coast Advantage members.
- Facilitates initial and follow up visits to Primary Care Physicians and Specialist.
- Verifying eligibility with Medicaid.
- Assures new members are receiving Continuity of care by intervening with providers as needed.
- Educates members about First Coast Advantage Services through Medicaid.
- Triages results of health risk assessment calls and refers to outpatient case managers or disease case managers as appropriate.
- Coordinating of post hospital discharge appointments for members admitted with complications pertaining to Diabetes, Hypertension, CHF, Asthma, HIV/AIDS.
- Performs post hospital follow up calls to facilitate appointments with Primary Care Physician/Specialist.
- Also provides clerical support and back up for Behavioral Health Coordinator entering Pre Authorization for Inpatient Admission, Entering office referrals and various authorization’s for Pre Authorization Department; cross trained for Grievance Coordinator, as well as, Outpatient/Inpatient Case Managers, Disease Case Managers and Pre-Authorization Nurses.
Administrative Assistant
Healthy Families Jax/ Healthy Start
Jacksonville
01.2003 - 06.2007
- Receive and Review Risk Assessments and referrals.
- Determine eligibility to be assessed into program.
- Maintain contact with Community Resources and Community Clinics to track and locate clients.
- Input client related information daily into computer system/ Data Entry.
- Organize and maintain office supply inventory.
- Gather, check for accuracy and submit program documents to processing center.
- Meet and greet vendors, Preparing timesheets and mileage for payroll.
Family Support Worker
Healthy Families Jax
Jacksonville
08.1998 - 06.2002
- Providing education on child health and development and the importance of immunizations and well-baby check-ups, teaching about safe and unsafe sleeping environments for infants, coping with crying and other prevention topics.
- Screening children for developmental delays.
- Screening for maternal depression.
- Identifying and connecting families with natural support systems such as family, friends, neighbors, faith-based organizations.
- Connecting families to medical providers and making referrals to other community services.
- Teaching how to recognize and address child safety hazards in and around the home, in the car, in and around water and in other environments.
- Helping to develop appropriate problem-solving skills and identify positive ways to manage stress.
- Promoting personal responsibility for their future and the future of their families by helping them to set and achieve goals, such as furthering their education and acquiring stable employment.
- Assist in locating community resources for clients such as WIC, and other medical, social or parenting services.
Certified Nursing Assistant
St. Vincent Health Care (St. Catherine Laboure Manor)
Jacksonville
06.1995 - 08.1998
- Assists patients or residents with daily living activities, assist registered nurse by obtaining vital signs, keeping nurses informed of any pertinent changes.
- Daily Documentation on patients or residents.
Education
Career School -
Barclay Career School
01.1989
High School -
William M. Raines High School
01.1988
Skills
- Data analysis
- Discrepancy resolution
- Account reconciliation
- Refund processing
- Documentation standards
- Claims management
References
Available upon request
Timeline
Remote Overpayment Analyst
Parallon Business Solutions
06.2020 - Current
Remote Research and Correspondence Analyst
Parallon Business Solutions
06.2017 - 06.2020
Discrepancy Analyst
Parallon Business Solutions
06.2015 - 06.2017
Member Coach
UF Health Jacksonville (First Coast Advantage)
12.2013 - 11.2014
Outpatient Disease Case Management Coordinator
UF Health Jacksonville (First Coast Advantage)
10.2007 - 12.2013
Administrative Assistant
Healthy Families Jax/ Healthy Start
01.2003 - 06.2007
Family Support Worker
Healthy Families Jax
08.1998 - 06.2002
Certified Nursing Assistant
St. Vincent Health Care (St. Catherine Laboure Manor)
06.1995 - 08.1998
Career School -
Barclay Career School
High School -
William M. Raines High School