Accounts Payable Specialist

Deborah Wilson

+1-336-***-**** *********@*****.***

WORK EXPERIENCE

Senior Reconciliation Accounts Payable Specialist, WiPro Limited January 2022 - Present

A reconciliation analyst is responsible for resolving transaction discrepancies between institutions, especially in financial and business records. Reconciliation analysts conduct audits on reports to identify gaps and inconsistencies and escalate it to the reconciliation supervisor for resolution recommendation. They also review account statements, update information on the database, and coordinate with other departments for the necessary filing of documents. A reconciliation analyst must have excellent analytical and critical-thinking skills, especially in providing immediate solutions to clients by adhering to the company's requirements and regulations. • Manage daily/semi-daily installation of PL/SQL packages and configuration scripts from test environment to end-user environment. • Add new trading partners to EDI. • Utilize the Internet for data as needed. • Respond to all correspondence via written or verbal communication, within DOD timeframe. • Develop SQL scripts that improve the efficiency of processes, analysis, and reporting. • Use SQL to execute correct information for members and providers daily by utilizing queries. • Reconcile tax deposits to payroll reports daily, weekly, monthly, and quarterly. • Process check requests, wires, and ACH payments using EFT system on a daily basis. • Work out of different data bases to enroll new policy holders during health enrollment for Medicaid and Medicare. • Organize interactions, which solve problems and issues between the partner's interface system and PFPC's portfolio system. • Analyze future software systems for full transition of ACH processing and ATM processing from the third- party service provider. • Schedule and process conversion transactions for mid-market clients at one of the largest payroll and tax-filing processors in the world. • Reconcile income assets to ensure proper and timely posting of dividends, interest, long term, and short capital gains. • Estimate and examine final statements connect to debtors' assets, income and employment history in order to decide ability to pay. • Provide management with monthly Medicaid revenues and other financial results to be report to the accounting department for month end close.

Episodic Revenue Cycling Specialist, Advanced Home Health August 2021 - January 2022

Review, Triage, Void/Correct & Submit All Non-Medicare Episodic Claims for Mississippi, North Carolina, Tennesse & Virginia Locations for Client Services such as Hospital, Rehab, Occupational Therapy & Skilled Nursing & Clinician interactions.

Virtual Call Center Supervisor / Trainer, Maxmius Federal & The Center for Disease Control April 2021 - November 2021

Worked successfully on a Startup Project with Maximus Federal and the CDC as a Virtual Call Center Supervisor as well as a Trainer. • Independently helped build out systems to be put in place to help target the Agents on my team as well as others to ensure they were properly engaged through Social Engineering Processes as well providing Customer Service that meet standards and were Customer Focused in nature.

• Impactfully provide support for my team on a rapid-launch project with little lead up for the initial preparation of Agents by providing a Strategy surrounding Training classes and materials when system access was available. As well as fostering a Teamwork mentality and environment among remote Agents.

• Responsible for Managing, Coaching and Auditing a team of 55 Agents providing direct Customer Support on a new project contracted with the CDC as well as Managing Building Teams during a Remote Position. Ensured Agents were using correct equipment and Operating System to operate Project Software and acted as Technical Support to ensure systems issues were resolved before involving IT.

• QA Scored, Monitor and present Call Coaching to Agents after calls in order to work towards providing Resolution on the First Call from the Citizen including providing Kudos where needed and direct offers of Coaching towards Improvement when needed.

• Remained Flexible and ensured Professionalism even in a Remote Environment. Working to ensure Agents and have support when questions on calls or system issues arise to be a direct resource to ensure that they were successful on the Calls; as well increase the success and efficiency of the project itself.

• Independently helped build out systems to be put in place to help target the Agents on my team as well as others to ensure they were properly engaged through Social Engineering Processes as well as providing Customer Service that meet standards and were Customer Centric in nature.

• Impactfully supported my Team in what began as a rapid-launch project with little lead up for the initial preparation of Agents by providing an atmosphere of teamwork during a remote work position

• Successfully coordinated and completed Training sessions that assisted in coaching and providing the support that was needed for a rapid launch program for over 200 Agents on Systems usage and skills that set them up for success for the project.

• Supported My Two Fellow Trainers Collaborating to set up new training for Agents that was utilized by many Supervisors and Operations Managers after Senior Management was informed of the thoroughness of the curriculum. As well as how successful it was in implementating an increase of the consistency and quality of the Agents work that attended the training classes.

• Provided real-time hands-on experience for Agents that may have been limited in the access to systems before coming onto the production floor through Training, Coaching, and direct Supervision with my Team.

• Utilized my expert knowledge base in Quality Control related to Customer Contact to provide support for Agents so that we could achieve high-quality Scores, meeting KPI Standards and achieve the vision set in place regarding the project Goals and Leadership’s Values. Patient Healthcare Screener, Alamance Regional Medical Center Cone Health Systems October 2020 - April 2021

* Handle inbound telephone calls to contact the clinical staff.

* Consult with clients and patients regarding medical history updates.

* Check temperatures to ensure the safety of employee's and other personnel entering and leaving the facility.

* Understand and abide by HIPAA regulations and maintain patient confidentiality. Medical Records Risk Auditor, CIOX Health

May 2017 - October 2020

• Traveled throughout the United States to hospitals, medical facilities, and specialty practices to scan medical records at various provider offices.

• Pulled records from assigned patient list to conduct internal audits to verify the accuracy of demographics, billing, and dates of service information.

• Accessed and identified information within medical record using a variety of EMR and EHR programs.

• Printed, scanned, copied, indexed, assembled, and uploaded to health information cloud for final assessment

• Accurately and efficiently conducted medical record review services.

• Ability to store all PHI/Client personal information in a secure manner to prevent hacking or phishing. Able to use internet security software and protocols to keep all private information safe. Health Information Management / Medical Records Specialist, STEP BY STEP, INC . March 2020 - August 2020

• Triaged outpatient Therapy (OPT) notes using Checkpoint EHR to ensure accuracy of information.

• Communicated with administrative team regarding changes, and followed up to make sure changes were made.

• Verified that services provided were parallel with the information in the system to ensure accurate billing.

• Conducted internal audits and received, entered, and updated patient data and information.

• Received, completed, and documented Release of Information (ROI) requests.

• Monitored documentation input for accuracy and protected patient privacy and confidentiality.

• Ability to store all PHI/Client personal information in a secure manner to prevent hacking or phishing. Able to use internet security software and protocols to keep all private information safe. New Business Coding Associate / Customer Service, Lincoln Financial Group April 2017 - March 2018

* Processed claims, developed, implemented, and sought policy improvement, and handled reconciliations.

* Completed billing and reimbursements, collected on past due amounts, and provided customer service.

* Confirmed compliance with industry standards, regulations, and company policies and procedures. Tele - App Specialist / Customer Service, Lincoln Financial Group - Term Accel Division September 2016 - April 2017

* Scheduled and conducted phone interviews to obtain information to complete life insurance application documents.

* Communicated with other departments, collaborated medical exams, and scheduled follow-up calls.

* Ensured items were addressed quickly and provided ongoing updates and communication to participants.

Supervisor / Habilitation Technician, Mercy Home Services November 2012 - August 2016

* Developed and reinforced documentation and communication and implemented and communicated policies.

* Provided training, adhered to federal and state policies for group homes, and oversaw provision of services.

* Communicated and partnered with interdisciplinary team of pharmacists and physicians on behalf of residents.

Housing Specialist, Integral Resource Center BKA IRC June 2013 - March 2016

Assessed housing barriers and developed housing procurement, financial, and self-sufficiency case management plans for My Clients.

Disability Specialist, The Servant Center

March 2012 - December 2015

Determined eligibility for assistance and benefits, ensured accuracy of documentation, and helped with appeals for Homeless Veterans to Help them activate their VA Benefits. Also helped with the SSI/SSDI Benefit Application Process for our Disabled Vets. Accounts Payable / Receivable Clerk, Tyco / Simplex Grinnell August 2008 - November 2012

* Provided financial, administrative and clerical services to ensure effective, accurate administrative operations.

* Followed policies, processed vendor invoices, and completed and scheduled check and refund requests.

* Answered inbound phone calls, coordinated mail, and reviewed vendor statements and balances for accuracy.

Call Center Supervisor / Customer Service, Integral Resources, Inc June 2007 - April 2010

* Placed outbound calls to raise money for political campaigns.

* Supervised and monitored calls to ensure adherence to FCC regulations and standards.

* Completed work in a timely and accurate manner and protected individual privacy and confidentiality. International Concourse Supervisor / Customer Service, Delta Airlines May 2000 - July 2007

* Supervised cleaning and servicing crew of 30 employees and scheduled and coordinated customer reservations.

* Served as liaison for United States Customs to help passengers with re-entry back into the country.

* Ran background checks for new employees, and ensured passengers boarded flights in a timely and orderly manner.

Education

Cooperate Continuing Education Degree in Healthcare Information Technology Fayetteville Technical Community College - Fayetteville, NC August 2021 to Present

Associate of Science in Health Science

Ultimate Medical Academy - Tampa, FL

November 2016 to January 2018

Skills

• Medical Billing

• Medical Office

• Medical Administrative

• Patient Registration

• Medical Records Management/Coordinator (10+ years)

• Payment Posting

• Denials

• Appeals

• Referrals

• Accounts Receivable Healthcare Payers

• CMS 1500 Claim Form

• Medicare / Medicaid Process (10+ years)

• Medical Records Coordination (10+ years)

• Third Party Payers Managed Care (HMO, PPO, POS)

• ICD-9-CM

• ICD-10-CM Coding

• Introduction to CPT Coding HIPAA Compliance

• Medical Charts

• Basic Anatomy & Physiology (10+ years)

• Healthcare Settings Insurance Verification

• Reimbursement Systems

• Healthcare Claim Cycle

• Medical Terminology (10+ years)

• Allscripts (5 years)

• eClinicalWorks (5 years)

• Accounting (10+ years)

• Triage (10+ years)

• EMR Systems (5 years)

• Medical Transcription (10+ years)

• Medical Coding

• Nursing (4 years)

• Cybersecurity (10+ years)

• Experience Administering Injections (10+ years)

• Vital Signs (10+ years)

• Phone Etiquette (10+ years)

• Epic (10+ years)

• Clerical Experience (10+ years)

• Quality Assurance (10+ years)

• Medical Scheduling (10+ years)

• QuickBooks (10+ years)

• Auditing (5 years)

• Cerner

• PTSD Care

• Hospitality

• Customer service

• Documentation review

• Employee Orientation

• Spanish

• Intermediate

• CRM Software

• CRM/GENESYS INTERFACE

• Laboratory Experience

• Management

• Negotiation

• Project management

• Medical terminology

• Medical collection

• SAP

• Google Suite

• Social work

• Military

• Behavioral health

• Medical documentation

• Windows

• Leadership

• Computer skills

• Microsoft Office

• Hospital experience

• Microsoft Excel

• Kinnser/Well Sky EMR System (Less than 1 year)

• Way Star EMR Billing System (Less than 1 year)

• Superbill

Languages

• SPANISH - Intermediate

Links

https://www.linkedin.com/in/deborah-wilson-37258138?lipi=urn%3Ali%3Apage

%3Ad_flagship3_profile_view_base_contact_details%3BeZyXexV5TSOXrvsCUq6PMA%3D%3D Certifications and Licenses

BLS HCP

January 2020 to January 2022

CPR (Adult / Child / Infant / Choking) Automated External Defibrillation / First-Aid Advanced ADAVANCED HIPPA COMPLIANCE

EDUCATION

Johns Hopkins University

2024-2024

Diploma, Healthcare Security

Healthcare Patient Privacy, Cybersecurity Data Protection Fayetteville Technical Community College

2023-2024

Diploma, Healthcare Information Technology

I learned how Healthcare delivery organizations should follow a zero trust approach to cybersecurity to safeguard patient data, intellectual property and more, especially as AI solutions become more integrated into everyday operations. Ultimate Medical Academy

2016-2018

Associate of Science Health Science, Medical Billing & Coding Medical billing and coding translates patient diagnoses, services, and procedures into universal codes for healthcare claims, ensuring accurate billing and reimbursement from insurance companies and patients. Coders analyze medical records to assign correct codes, while billers use these codes to create and submit claims, manage payments, and follow up on denied claims to maintain the financial health of a healthcare provider. This crucial process facilitates the healthcare revenue cycle by ensuring healthcare providers are paid for their services.

SKILLS

Medical Billing Medical Office Medical Administrative Patient Registration Medical Terminology Charge Entry Payment Posting Denials Appeals Referrals Accounts Receivable Computer Systems and Software Applications for the Medical Office & ROI Completion Process Greenway, AllScripts/AllScripts Pro, MediPointe, Talk EHR, Kario, MBCS, EMDS, Centricity, Athena Net, Next Gen/Epic, ECW & EClinical Works Electronic Medical Records (EMR) Electronic Health Records (EHR), HEDIS Certified Medical Practice Management Systems Medical Records Management for the Billing Specialist CMS1500 Claim Form Superbill Medicare / Medicaid Government Payers Third Party Payers Healthcare Payers Managed Care (HMO, PPO, and POS) Meaningful Use HEIDIS EMR Retrievals BLS Certification (First Aide/CPR) ICD-9-CM ICD-10-CM Coding Introduction to CPT Coding HIPAA Compliance Medical Charts Basic Anatomy & Physiology Healthcare Settings Insurance Verification Reimbursement Systems Medical Basics and Healthcare Claim Cycle

CERTIFICATION AND LICENSES

Behavioral health

BLS HCP

Google Suite

Medical Billing Certification

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