Duane Williams Email & Phone Number

California, United States

Los Angeles, Ca

Responsible for the process of billing Medi-Cal and Managed Medi-Cal programs for medical services rendered to patients admitted to nursing facilities. Process included the collection and analysis of medical records and facility census for qualification of services, verification of eligibility, and request for authorizations. Preparation of CMS1500 claim form for submission to insurance company which involved ensuring the claim form was prepared in line with the documentation received, diagnosis rendered, authorizations provided and all other points to ensure timely payment of claim. Experience covers the review of EOBs and Remittance Advice Detail reports, appeal processing for incorrect or non-payment of claims as well as posting payments received from payer. Tasks also included reviewing aging reports to ensure claims were accounted for and outstanding payments were being collected

San Bernardino, California

Responsible for the tracking of purchase orders submitted to supplier within the Loma Linda University Health Center supply chain. Using electronic data interface processes within Oracle and Global Health Exchange operational systems to ensure products ordered are fulfilled by Loma Linda and charged appropriately based on contract or quoted pricing. Using critical thinking to analyze system holds related to pricing, quantity or receiving to ensure invoices are accepted and paid correctly through the accounts payable process. Involved in collaborating with team members to improve current processes regarding system data point inputs and supply chain process flow.

Responsible for the retrieval of company’s accounts payable invoices, as well as processing them through the payable account system. This involved the analysis of each invoice to determine the appropriate general ledger code to assign and the terms associated with vendor’s contract. The coding process would also involve the creation of data uploads to assign the proper ledger code to the proper cost center. Working with vendors to reconcile Cabinets To Go accounts payable with specific vendor's receivables to ensure compliance with terms of contract in regards to payment aging times and ensuring that billing was accurate according to contract relationship.

Rancho Cucamonga, Ca

Responsible for the financial and operational management of SoCal Property Services which included the billing and collections of all payables due SoCal Property Management or their clients, reduced uncollectable by 6%. Reviewed property insurance policy and documents communicating with providers to determine coverage of maintenance incidents resulting in decrease of clients out of pocket cost. Responsible for auditing records to ensure completeness and accuracy. Ensured pertinent information was entered into data base for electronic retrieval and query of record. Developed a system for the scanning and storage of physical documentation in electronic form.