Resume
Resume:
JANICE W.G. WILLIAMS
Las Vegas NV 89129
**********@*****.***
SUMMARY OF QUALIFICATIONS
Providing 20+ years within the medical field has developed my professionalism in area of customer accounts, account inquires and investigation, claim processing and adjustments, insurance enrollment, account receivables and collections, patient liens and attorney liaison. Through my growth, I have brought the importance of communications and writing skills with a vast multiple of current and potential clients. These strong assertive qualities have allowed me the opportunity to venture into an entrepreneurship with collective clients.
SKILLS:
Medical Manager HPAS Windows
Word Perfect Excel 10 Key (by touch) 10,000 ksph
Chart Logic EMR Advanced MD Lytec Medical Office
EXPERIENCE
2006 – Present DL-JT Management Services LasVegas NV
Medical Biller / Collector / Lawyer Liaison
Investigate Aging Reports: provide customer service to all clientele: provide alternative payment
Schedules; prepare patient and insurance company billing invoices; research and contact insurance companies regarding underpaid claims and respond and investigate client account inquires; liaison to outside attorneys and paralegals.
2003 – Present Crystal Clean Cleaning Service LasVegas NV
President / Owner
Manage payroll accounts; manage three employees in quality cleaning results; prepare logistical orders for company’s everyday operations and coordinate customer relations with current and potential clients.
2004 – 2005 Red Rock Medical Group Las Vegas NV
Patient Account Representative
Managed past due insurance accounts; provide alternative resources for past due accounts; prepare patient and insurance company invoices and provide customer service to all company inquiries.
JANICE W.G. WILLIAMS
2002 – 2003 Flamingo Surgery Center / HCA-PAS Las Vegas NV
Billing and Collections / Underpayment Analyst
Prepared collection for past due accounts; provided alternative payments schedules; consolidate all contacts with future follow-ups; provide daily posted co-pay reports ; provided consolidated insurance billing reports of current and past due patients; prepared patient and insurance companies billing invoices utilizing UB92 software system and researched and contacted insurance companies regarding underpaid claims.
2000 – 2002 Managed Care Consultants Las Vegas NV
Call Center Specialist
Facilitated calls from patients regarding their insurance plans and co-payments; consulted with patients regarding alternative insurance companies with lower monthly payments and prepared and analyzed customer payment history for rapid returns.
1999 – 2000 Healthsouth Regional Business Office Las Vegas NV
Business Office Clerk
Collected service fees from insurance companies and patients; provided customer support for patient and billing inquires; prepared confirmation letters, EOB’s and other correspondence.
Patient Account Representative
Consolidated payment schedule and collected outpatient service fees; transcribed patient billing invoices with computerized and hardcopy documentation to ensure accuracy and appropriateness and documented account receivables while coordinating with insurance companies to expedite overdue payments.
1998 – 1999 Conseco-Bankers Life & Casualty Las Vegas NV
Customer Service Representative
Conduct initial intakes for short and long-term disability insurance claimants and respond to and investigate client account inquiries
1996 – 1998 Independent Health Resources Las Vegas NV
Claims Specialist
Adjudicated and processed medical claims; verified claim eligibility regarding HMO plan compliance, primary care physicians, dates of service and stop loss; calculated benefit compensability, generated monthly capitation and claims payment reports.
1988 – 1996 United Health Care of Illinois Chicago IL
Customer Service Representative 1992-1996
Claims Analyst 1988 – 1992
Claims/Office Assistant 1984-1988
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