QUEONNA

WILLIAMS

Lumberton, NC *****

910-***-****

ad30lg@r.postjobfree.com

PROFESSIONAL SUMMARY

Highly motivated business professional with experience in medical billing, insurance claims, and exceptional customer service. Flexible, team-player with the ability to prioritize, complete multiple tasks, and follow through to achieve project goals. EDUCATION

Medical Administrative Assistant Diploma Ultimate Medical Academy 2013

School Diploma Saint Pauls High School

2007

EXPERIENCE

HR Administrative Assistant Affordable Care (Remote) MAY 2021 – CURRENT

Answered client calls with professional and enthusiastic demeanor, directing calls as necessary.

Navigated through multiple computer applications with speed and accuracy.

Served as a liaison between external groups and the department.

Responded to emails and other correspondence in reasonable time.

Maintained expectations regarding call quality and resolution time.

Maintained budgets, created purchase orders, and paid invoices.

Processed request for career enhancement courses and reimbursements.

Communicated and tracked pre-hire staff to assist them with completing their onboarding.

Assisted with keeping job descriptions up to date on external websites.

Assisted with government compliance reporting.

Customer Service Representative nThrive (Raleigh, NC) NOVEMBER 2018 – JANUARY 2021

Collected money for emergency visits, procedures, and/or doctor appointments.

Assisted patients with setting accounts on payment plans and collected insurance information to submit a claim to insurance companies.

Went over itemized billing with patients. Explaining any medical terminology, the patient was unfamiliar with.

Researched denied claims, conducted coding reviews of medical records, and supported documentation against denied claims.

Resubmitted claims with accurate coding

Corresponded to patient and physician’s questions regarding EOB’s, patient balances, co-pays, deductibles, write-offs, etc.

Worked with Medicaid, Medicare, Commercial Insurances and Worker’s Comp Insurances.

Recognized patterns of inconsistent and/or inaccurate claims filing and billing practices among customers and providers.

Customer Service Representative Xerox (Raleigh, NC) JUNE 2016 – OCTOBER 2018

Ensured productivity met or exceeded service and quality standards.

Adhered to HIPAA policies and protocols, becoming HIPAA certified.

Navigated through multiple computer applications with speed and accuracy.

Provided support for pharmacy information management system to retail pharmacy employees.

Answered incoming chats from employees.

Explained copays, deductibles, coinsurance, and out of pocket maximum to members.

Called other insurance companies and healthcare physicians on behalf of members per the company.

Recognized patterns of inconsistent and/or inaccurate claims filing and billing practices among customers and providers.

Front Desk/Receptionist Integrated Pain Solutions (Laurinburg, NC) SEPTEMBER 2014 – APRIL 2016

Routed telephone and electronic inquires to appropriate personnel promptly and courteously.

Provided administrative support to employees throughout the organization.

Compiled data, statistics, and supplementary information to maintain research activities.

Consistently provided friendly, personable service to all clients and staff.

Scheduled appointments and meetings, while maintaining calendars.

Prepared communications, such as memos, emails, invoices, reports, and other correspondence.

Wrote and edited documents from letters to reports and instructional documents.

Created and maintained filing systems, both electronic and physical. SKILLS

• Microsoft Office Proficiency

• Medical Terminology

• Claims/Payment Management

• Type 50 WPM

• Analytical Skills

• Communication Skills

• Interpersonal Skills

• Multitasking Skills

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