Sheanette R. Williams

*** ********* **.

Springfield, TN 37172

***- ***-****

CAREER OBJECTIVE

Experienced healthcare professional seeking to utilize my extensive knowledge of Medical Billing, Coding, Insurance Collections, and Customer Service. High-Achiever and Top Performer in metric-based organization.

PROFESSIONAL EXPERIENC Vanderbilt

Vanderbilt University Medical center

Access specialist. 10/2022-06/23

Scheduled appointments for primary care department.via Call Center, updated demographics, insurance, and patent information. Sent messages to providers and nurse as requested. Philips Healthcare Nashville, TN

Government Service Department-Customer Service 10/2019-10/2022 Independently produce documents in OnBase, Salesforce & PeopleSoft, including terminations, call requests, client agreements, CPA, & information demographic updates. Expedites equipment updates, suspensions, reinstatements, service folders, and performs various state audits. Vanderbilt University Medical Center

100 Oaks Office Finance Department Nashville, TN

Account Reimbursement Specialist II 11/2015-2019

Primary duties in Patient Accounting Refunds- (TC Amerigroup) and No Authorization Denials. Knowledgeable with payer policy and procedures and use of websites, with proven ability to recognize, research, and report or follow appropriate corrective action plans on trends related to patient account inquiries and payer denials. Disputes and takes ownership by processing appeals for denials or underpayments, knowledgeable with codes (CPT, DRG, ICD-9, APC), interactive with patients, departments, or outside entities, ability to research medical necessity denials and knowledge of expected reimbursement. Assigned to Special Team working with Epic in the Patient Access Center. Vanderbilt Women’s Center Springfield, TN

Patient Services Representative 11/2013-11/2015

Vanderbilt Children’s Hospital Nashville, TN

Patient Services Representative 01/2013-11/2013

Check patients in/out, reschedule/schedule appointments, collect co-pays, call CR to update patients’ insurance information, schedule out-patient procedures, sort and scan documents, update patients’ demographic as needed.

GateWay Medical Center Clarksville, TN

Financial Counselor- Register 11/2010 -12/2012

Counsel all insured and uninsured patients on financial assistant offered by the hospital. Obtain patients’ credit history from Equifax, check passport for TennCare eligibility, and interact with CEO of hospital in making final decision on approval or denial of charity applications. Calculate and balance daily deposits for Central Registration department, Emergency Room department, Pre-Registration and Proxy. Vanderbilt Medical Center Nashville, TN

Account Reimbursement Specialist I 04/2008 to 11/2010 Coordinated the billing process between Vanderbilt and payers, billed timely, collected monies for state and federal agencies, managed care, commercial, third party organizations, and patients. Worked payer denial reports that included uninsured, max benefits, COB, no effective coverage, to max reimbursement. Worked in work queues daily, met set production standards and credo standards set by Vanderbilt. Interacted with both patients and payors to obtain correct billing info, worked BC recoup reports, Hyperspace, Epic, Star Panel, Epic Text, password and all payor websites to verify benefits and coverage.

Southeastern Eye Specialist Nashville.TN

Medical Biller-Receptionist 07/2006 to 11/2007

Submission of all insurance claims through Medware billing systems for correct payments, posting payments to patients account, making deposits and balancing worksheets daily. Sent out patient billing statements, made appointments, obtained specialist referrals, authorizations and pre-certification as needed.

Baptist St. Thomas Homecare Nashville, TN

Patient Account Representative 08/2002 to 07/2005

Audited medical records, proofreading medical notes, physician orders, keyed 485 forms for electronic submission and payment, posting, follow-up and payroll. Millbrook Medical Center Springfield, TN

Registered Medical Assistant 08/2000 to 06/2002

Obtained vital signs, ekg’s, performed all in office tests requested by physicians, scheduled outpatient appointments, called in prescriptions to pharmacy, coded HCFA claim forms for billing, filed medical records.

Cigna Medicare Nashville, TN

Medicare Billing Specialist 01/1990-01/2000

Accounting, Medicare Billing, Third-party billing, recouping payments, posting payments, ICD-9 coding, CPT coding, adjustments of Medicare claims for correct payments, keyed HCFA 1500 claim forms into billing systems for payments, follow-up and providing customer service to patients’, representatives, and physicians as needed.

TECHNICAL PROFICIENCY

● Salesforce ● OnBase ● Microsoft

Office Suite

● Medipac ● StarPanel ● VOOM

● E-Star ● Epic ● Emdeon

EDUCATION

Excel Business College

Business Secretary-Associate’s Degree

Branell Medical College

Registered Medical Assistant-Technical Diploma

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