Wilshonda Wilkins
Arlington,TX
Summary
Highly knowledgeable, dedicated, and reliable Front Office Assistant Manager with excellent communication, organization, scheduling, insurance documentation organizational and interpretation skills. An extensive experience and knowledge working with both public and private health insurance practices, policies, Medicare A and B, and HIPPA Privacy requirements. Skillful at coordinating with insurance company staff at all levels as well as working independently.
Overview
18
18
years of professional experience
Work History
Front PSR Lead
Wellmed
01.2022 - Current
- Schedule appointment in ECW
- Help coordinate meetings
- Leads front office in absence of Clinical Administrator
- Run EOD reports
- Run patient insurance in ECW or insurance portals
- Check patient in and out and collect copays
- Reach goals of scheduling and seeing 90% of patients in the first 120 days of the year
- Leader and trainer to front desk team ensuring they are mentored, supported and to provide the highest quality of service to all patients
- Maintain and updated insurance information for patients’ files
- Answer calls and put in refill request for patient
- Overseeing Medical Records
Front Office Assistant Manager
Crossroads Treatment Center
01.2020 - 01.2022
- Implement and maintain superior service and philosophy which serves as a guide to front desk clerks
- Provide consistent, superior customer service when greeting and registering patients
- Responsible leader and trainer to front desk team ensuring they are mentored, supported, and empowered to provide the highest quality of service to all patients
- Maintain an organized and comprehensive filing system, run reconciliation reports
- Maintain schedules and schedule appointments
- Represents clinical at public and professional meetings and conferences
- Process debit and credit reports forecasts, reports and tracking logs
- Evaluates operational issues and policies and suggests solutions and modifications to the Director
- Ensure that patients receive high-quality healthcare service that are cost effective
Authorization Coordinator / Insurance Verification Specialist
Texas Health Resources
01.2007 - 01.2020
- Lead team for insurance verification for Blue Cross Blue Shield
- Created procedure in handling Blue Cross Blue Shield insurance verification
- Trained on Blue Cross Blue Shield insurance verification process
- Run reports for Medicare Part A and B and for Medicare Replacement
- Resolve disputes in collaboration with contract administrators
- Verify that patients have insurance prior to admittance for medical procedure
- Request and process authorization for surgery
- Update reports on a daily
- Advise patients as to how their deductibles and out pocket expenses work
- Schedule surgeries for future dates for patients
- Maintain and updated insurance information for patients’ files
- Coordinated patient data collation with various external referral sources
- Assessed and adjusted insurance policy medication coverage as required
Education
Diploma - Medical Reimbursement And Coding
Bryant & Stratton College
Buffalo, NY10.2024
Texas Health Resource Leadership Training -
Arlington, TX01.2017
Tarrant County Community College
Arlington, TX01.2003
Skills
- Interpretation skills
- Excellent communication skills
- Microsoft Office Suite
- Knowledge of HIPPA Privacy Requirements
- Medicare and commercial insurance
- Document organization
- Expert with EMR systems
- Provider Flow
- Siemens Medical Systems
- Communication
Timeline
Front PSR Lead
Wellmed
01.2022 - Current
Front Office Assistant Manager
Crossroads Treatment Center
01.2020 - 01.2022
Authorization Coordinator / Insurance Verification Specialist
Texas Health Resources
01.2007 - 01.2020
Diploma - Medical Reimbursement And Coding
Bryant & Stratton College
Texas Health Resource Leadership Training -
Tarrant County Community College
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