Tykia wiliams

calculate, administer, verify, update and, process invoice payments to ensure customers are charged the right amount

Baltimore, MD 21239

adxhqw@r.postjobfree.com

+1-443-***-****

• To secure a challenging position in a reputable organization to expand my learnings, knowledge, and skills.

Authorized to work in the US for any employer

Work Experience

Business Office Assistant Manager

ProMedica Senior Care - Lutherville-Timonium, MD

November 2021 to Present

• Editing Patient Demographics

• Insurance Identification

• Billing Patients

• Drafting Appeals

• Insurance Phone Calls

• Fielding Patient Phone Calls

• Identifying correct payers to bill

• Entering billing accurately

• Billing out to payers

• More Tasks as Experience Allows

• Ensure patient information is accurate and complete

• Request any missing patient information

• Review referrals and authorizations

• Confirm patient benefits and insurance

• Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO policies

• Transfer insurance claims and billing data to billing software

• Create both paper and electronic copies of documentation

• Maintain a tracking system of claims unable to bill and communicate accordingly

• Monitor and date billing data/claims transactions

• Maintain rejected claims in clearinghouse and work all denials

• Monitor and resolve claims discrepancies

• Arrange payment plans and timelines for payments

• File and maintain organized documentation of all billing records

• Follow set billing processes and procedures

• Maintain knowledge of coding guidelines and correct coding claims submission

• Work with personal information and maintain patient confidentiality Unit Clerk Lead

POWER BACK REHAB CTR

January 2014 to September 2020

Greets and direct staff to appropriate areas

● Answer phone within reasonable time frame

● Schedule appointments & transportation for residents

● Fax complete & accurate paperwork to Medical Assistance transportation & ambulance companies for resident transport to appointments

● Obtain authorization & referrals for specialty appointments & procedures

● Escort residents to appointments as needed if GNA or family member is not available

● Prepare charts & armbands for new residents

● stock nursing unit with adequate paperwork & nursing supplies daily

● Audit medical charts weekly ensuring Physician have signed & dated all necessary documents

● Thin medical charts monthly following facility protocol

● Ensure discharge medical charts are completed within 30 days of discharge

● Pull medical charts for special audits and peer reviews

● Enter resident demographic information

● Order nursing equipment as needed

● Send equipment to be repaired in a timely manner

● Develop and maintain effective communication within nurse station

● Transcribe physician's orders

● Input resident labs into computer

● Regularly attends and participate in assigned meetings

● Constantly interacts with clients and staff in a manner that reflects favorably on the organization and promotes teamwork

Enter Resident Demographic Information

PATIENT REGISTER

2008 to 2012

2008 - 2012

● Highly experience in conducting and coordinating patient pre-admission, registration, and transfers

● Assign rooms to new-admitted patients accordingly

● Manage hospital forms

● Prepare new charts for new admission

● Enter resident demographic information

● Verify health insurance

● Provide medical staff with required information

● Verified and recorded all necessary medical and insurance submitted by patients

● Maintain patient's privacy and confidentiality information

● Secured and verified patient's signature on required documents Patient Care Associate

JOHNS HOPKINS HOSPITAL

2007 to 2008

Communicated clearly and concisely within the department and with other hospital departments

● Maintained the accuracy and security of confidential patient health records

● Prepared, organized, and maintained patient charts in accordance with current policy

● Managed paperwork, such as patient history forms and admission/discharge documents

● Maintained receptionist duties: ordered supplies, answered telephones, scheduled patient appointments, transcribed physician, laboratory and medication orders Education

High school diploma

Reginald F. Lewis High School

Skills

• EMR Systems (4 years)

• Medical Scheduling (10+ years)

• Transcription (3 years)

• Medical Records

• Patient Care (10+ years)

• Medical Terminology (6 years)

• Epic (5 years)

• Hospital Experience (10+ years)

• Medical Billing (4 years)

• Insurance Verification (4 years)

• Medical Office Experience

• Customer service (10+ years)

• Typing (10+ years)

• Laboratory Experience

• Computer Operation (10+ years)

• HIPAA (10+ years)

• Clerical Experience

• Phlebotomy

Certifications and Licenses

CPR Certification

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