DEBBIE LYNN WILLIAMS

**** ****** ***** **, *** B

INDIANAPOLIS, IN 46254

317-***-**** Cell

317-***-**** Message

acpeuc@r.postjobfree.com

OBJECTIVE

To obtain a Full-time position within a growing company with opportunity to

utilize my knowledge and skills to advance within the company.

PROFESSIONAL SKILLS

Microsoft Word/Excel, Office Procedures, Windows 98-2000 Basic Internet

Skills, PeopleSoft/Lotus Notes/ Telephones Skills/ Turbo Cap/ SharePoint/

Anthem RX/ WordPerfect 5.1/6.10/ IDX-scheduling / Typing (30

wpm).Collections/Billing, Payment Posting, Data Entry/Filing, Editing/CPT

Coding, Phlebotomy/ICD-9 Coding/Pharmacology, Medical Terminology, Anatomy

and Physiology. TPX, X-Claims, Sovera, Centricity, Cerner, Papers,

Availity, Claim Source, Client Letter, 360 data base, FISS System,Medicaid

interchange, ICES, FACTS systems. Varies Insurance provider websites.

EMPLOYMENT SKILLS

Ability to work within fast paced atmosphere. Established excellent

customer relations with ability to follow instructions, make decisions

without supervision working within deadlines.

Skilled in Customer Service and Telephone Skills, handles customer

inquiries in timely manner.

Knowledge of working Commercial and Government Insurance Follow up and

Appeals and Denials with reference to Ambulatory Surgery Centers, Inpatient

and Outpatient services.

EMPLOYMENT

Medical Biller, Healthcare Support (Temporary)

Responsible for billing of outpatient and inpatient claims for hospital.

Reviewed edits and resubmitted claims, also followed up on past due

accounts for review of past timely filing appealing denials when necessary.

04/09/15-04/22/15

Customer Service Representative,Stericycle

Responsible for receiving inbound calls from clients to assist with setting

up appointments for recalls for Chrysler. Also contacted dealerships with

clients for any other issues with service. 01/12/15-04-09/15

Eligibility Specialist, CFA Staffing (Temporary Assignment)

Responsible for gathering detailed personal and income based information

related to applications for public assistance programs under Family and

Social Services Administration. Requested and reviewed case information,

prepared case for State Eligibility Consultant for approval or denial. Also

initiated calls to and responded to calls from client on daily basis.

08/14-10/14

Grievance Appeal Representative, Aerotek Staffing Temporary Assignment

Responsible for reviewing request from providers and beneficiary's

concerning denials of Medicare claims. Duties includes researching claims

to determine if all required information meets Medicare guide lines for

payments, sending appropriate letters requesting additional information if

needed and/ or reversing denials issuing payment. Updating certificates of

medical necessity upon request from provider with correct documentation

submitted. 05/14-08/14

Denial Management Analyst, KForce (IU Health Revenue Cycle)

Responsible for researching Inpatient and Outpatient denials for Government

Insurance payers. Requesting Retro Authorizations when needed and Appealing

denied services for Medical Necessity and Precertification denials. Duties

also included resubmitting claims and submitting adjustment forms to

manager with over representative limit. Ambulatory Surgery Centers and

Facility Experience. 09/2013-05/14

Medical Accounts Receivable Billing/Follow Up Representative, That's Good

Hr (Surgical Care Affiliates) Responsible for Commercial insurance

billing/follow-up for outpatient Facility and Inpatient Surgical hospitals,

Ambulatory Surgery Centers located in Indiana and Texas. 10/2012- 07/2013

Medicare Accounts Receivable Billing/Follow Up Analyst, Diverse Staffing

(IU Health

Revenue Cycle)

Responsible for Medicare Hmo Follow up and billing for Facility and

Ambulatory Surgery Centers. Research claim rejections and denials for

outstanding balances. Update Patient insurance information if needed.

04/02/12- 05/25/12

Denial Follow Up Representative, St. Vincent Health

Responsible for Commercial insurance billing/follow-up for facility and

Ambulatory Surgery Care Centers. Resolves claims issues with multiple

payers by researching outstanding balances and working with insurance

companies on denied claims. 03/10- 04/02/12

Account Representative, That's Good Hr Temporary Service

Responsible for Commercial insurance billing/follow-up for facility and

Ambulatory Surgery Care Centers. Resolves claims issues with multiple

payers by researching outstanding balances and working with insurance

companies on denied claims. 10/09- 03/10

Medical Billing Specialist, Ciproms

Responsible for collections on patient accounts, updating incorrect patient

information, billing and rebilling insurance if needed, Received calls from

providers, patients, lawyers concerning account information. Verified

eligibly, contacted collection agencies, set up pay plans for patient,

contact insurance for denials, and submitted patient information for

assistance. Adjustments were made to accounts when needed. Sent statements

to patients up on request. Requested Medical records for review and appeal

denials. 01/09-10/09

Pharmacy Medical Billing Specialist, WellPoint Precision RX, Specialty

Solutions

Responsible for resolving billing issues on account balances,

Predetermination and appeals were also a part to this position. Collected

payments from patients, also verified with all Commercial insurance

including Medicaid and Medicare eligibly for specialty medications under

patient plan. Submitted claims, worked edits for claims suspended for

denials. Contacted Insurance Company's for overrides, Requested Medical

records for review and appeal denials. 02/08-01/09

Pharmacy Care Specialist, WellPoint Precision RX, Kelly Services

Responsible for providing patients with excellent customer service,

responding to request for refilling Specialty medications via in bound call

center for mail order pharmacy, also but not including to setting up new

patient's account, commutating with physicians, medical plans, coordinating

delivery dates via UPS. Problem solving was also a tremendous part of this

position. (Temp to hire position) 10/07-02/08

Unit Secretary/Appointment Scheduler, Clarian Health Partners

(Clarian North ER) (IU Medical Center Clinic)

Provided clerical assistance to Emergency Department. Duties included but

not limited to paging physicians on call, calling for transport, making

copies, entering orders for physicians in to system for x-rays, blood work

etc. Also requested bed's for patient when admitted to hospital. 11/05-

11/2007 Continue to work part-time Transferred to IU Medical Center Clinic.

Responsible via inbound call center setting arranging appointments for

patients assigned to physicians at clinic and new patient appointments,

scheduled test for patients ordered by physicians Updated patient's

information as needed. Entered patient charges and posted insurance

payments to patient accounts. 11/2006-03/2007

REFERENCES AVAILABLE UPON REQUEST

Most resent jobs have been with staffing Agencies due to economy after

layoff form permanent position.

Contact this candidate