Results-driven Health System Specialist with extensive experience in analyzing data, improving operational efficiency, and implementing strategic initiatives to optimize healthcare services. Proven track record of achieving measurable outcomes and driving organizational success.Medical Coding and Billing: Proficiency in ICD-10 and CPT diagnoses, symptoms, and procedures, ensuring accurate billing and efficient healthcare management.Claims Processing: Reviewing and processing insurance claims to ensure they are accurate and comply with policy termsHIPAA Compliance: Knowledge of the Health Insurance Portability and Accountability Act (HIPAA) is essential to ensure the privacy and security of patient information.Customer Service: Excellent communication skills to interact effectively with clients, healthcare providers, and insurance companies. This includes explaining insurance benefits and resolving any issues.Data Analysis: The ability to analyze data to identify trends and make informed decisions which involve using software tools like Salesforce CRM and Microsoft Excel.Policy Development and Risk Management: Understanding how to develop and manage insurance policies, assess risks, and ensure compliance with regulations.Medical Terminology: Familiarity with medical terminology to help in understanding medical reports and communicating effectively with healthcare professionals.
Williamarkus
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Chief Executive OfficerWilliamarkus Aug 2019 - Present* A feel-good premium clothing brand rooted in culture and values. * Created sustainable luxury brand that's affordable giving people an opportunity to invest into a lifestyle brand.* Established strategic partnerships resulting in increased market share and brand recognition.* Managed cross-functional teams to drive innovation and achieve organizational goals.* Led cross-functional teams to develop and implement strategic business plans.* Developed and executed marketing campaigns that increased brand visibility and customer engagement.* Implemented operational improvements that increased efficiency and profitability.
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Healthcare Account OriginatorAmerican Anesthesiology May 2018 - Aug 2019Sunrise, Florida, Us* Used Med Suite, Epic Systems, and MS Excel workbooks to authenticate, verify, and update Medicaid and Medicare coverage for members.Customer Support: * Support team while using Slack to quickly address customer issues by collaborating in real-time and sharing solutions.* Participated in risk management strategies to safeguard confidential data, according to HIPAA & other government regulations.* Managed client accounts and provided exceptional customer service in a healthcare-related role.* Performed billing, coding, and insurance verification in a healthcare setting.* Developed relationships with healthcare providers and coordinated services for clients.* Utilized electronic health records systems for documentation and information management.* Assisted patients in understanding and navigating their healthcare benefits and coverage.* Ensured compliance with regulatory requirements and maintained accurate patient records. -
Intake Specialist & Insurance Verification Claims AnalystBlue Cross Nc May 2013 - Dec 2017Durham, Nc, Us* Received Over 70 plus inbound calls per day, speaking with providers to determine members eligibility and pre-certification for procedures allowed under their coverage.* Managed patient referrals and scheduled appointments, ensuring timely delivery of healthcare services.* Verified insurance coverage and patient benefits for accurate billing and claims processing through revenue cycle management.* Resolved insurance claim denials by collaborating with providers, payers, and patients for timely reimbursements.* Performed data entry and maintained accurate patient records for a medical clinic.* Collaborated with insurance companies to resolve coverage issues and discrepancies. -
Healthcare SpecialistKelly Services Jun 2009 - Feb 2012* Supported escalated inbound/outbound customer service calls in lieu of manager availability, while responsible for responding to written and phone inquiries.* Provided members with benefit coverage to enroll in BCBSNC Insurance. i.e. member documentation, insurance cards.* Proficient in medical terminology and electronic health records systems for patient care coordination.* Skilled in conducting patient assessments and developing personalized health care plans.* Provided customer service and support to assist with insurance enrollment inquiries, managed and processed new and existing insurance. -
Medicaid Insurance SpecialistHewlett Packard Enterprise Dec 2004 - Mar 2009Houston, Texas, Us* Per HIPAA, and daily use of HCPCS coding ICD 9-10, processing 1500 as well as UB-04 forms for immediate consideration to resubmit claims.* Managed medicaid insurance inquiries, eligibility determinations along with speaking to members pertaining to their Explanation of Benefits.* Coordinated with healthcare providers to ensure accurate billing and claims submission.* Conducted outreach programs and education for healthcare enrollment requirements.* Stayed up to date on Medicaid regulations and policy changes to provide accurate assistance.* Strong background in investigating and resolving complex claim issues and discrepancies.* Proficient in interpreting insurance policies, coverage limits, and claim procedures.* Excellent communication skills with experience in effectively communicating with clients and third-party vendors. -
Reservations SpecialistMarriott Hotels Mar 2001 - Apr 2004Bethesda, Maryland, Us* Processed 50-100 reservation requests, changes, and cancellations received by phone, fax, or mail per day.* Identified guest reservation needs and determine appropriate room type.* Verified availability of room type and rate.* Explained guarantee, special rate, and cancellation policies to callers.* Accommodated and documented special requests for all members.* Managed hotel reservations for high volume of guests, ensuring accuracy and satisfaction.* Utilized strong communication skills to confirm bookings and handle customer inquiries promptly.*Collaborated with team to optimize room availability and maximize revenue through strategic pricing.
Markus Williams Education Details
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Shaw UniversityGeneral -
Shaw University
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Enloe High School
Frequently Asked Questions about Markus Williams
What company does Markus Williams work for?
Markus Williams works for Williamarkus
What is Markus Williams's role at the current company?
Markus Williams's current role is Member Accounts Specialist.
What schools did Markus Williams attend?
Markus Williams attended Shaw University, Shaw University, Enloe High School.
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