Shenai Williams

Shenai Williams

Hospital & Health Care Professional

Location
Lithia Springs, Georgia (Greater Atlanta Area)
Industry
Hospital & Health Care

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Shenai Williams's Overview

Past
  • Provider Service Representative at Orthonet
  • Provider Service Rep at Orthonet
  • Provider Service Rep at Orthonet
Education
Connections

0 connections

Shenai Williams' Experience

Provider Service Representative

Orthonet

April 2011May 2012 (1 year 2 months)

Responsible for conveying the benefits and obligations of membership
* Distribute information to providers and staff
* Monitor services to ensure the provider satisfaction
* Ensuring that established OrthoNet care guidelines are communicated,
* Assists providers with practice management information when appropriate
* Handle escalated provider calls to ensure first call resolution
* Handle EOB's, Refund Requests & Stop Payment requests

Provider Service Rep

Orthonet

April 2011May 2012 (1 year 2 months) whiteplains ny

Responsible for conveying the benefits and obligations of membership
· Distribute information to providers and staff
· Monitor services to ensure the provider satisfaction
· Ensuring that established OrthoNet care guidelines are communicated,
· Assists providers with practice management information when appropriate
· Handle escalated provider calls to ensure first call resolution
· Handle EOB’s, Refund Requests & Stop Payment requests

Provider Service Rep

Orthonet

20112012 (1 year)

Claims Customer Service Representative Plan

Affinity Health Plan

Nonprofit; 501-1000 employees; Insurance industry

December 2010April 2011 (5 months)

Inputting data into customer accounts in order to document financial transactions.
* Utilize all technical documentation, including state and federal regulation and guidelines in order to ensure all customer accounts correctly reflect the activity that was performed.
* Identifying problems; examining solution options; implementing action plans; providing resources in order to resolve quality issues.
* Retrieve and enter claims information on facets computer database in order to open and review claims using available documentation. Ability to evaluate claim adjudication based on multiple payment methodologies
* Analyzing data in order to reconcile and resolve electronic pending reports and make recommendations.

Practice Manager

Dr

November 2008January 2010 (1 year 3 months)

Coordinate and supervise the operation and duties of administrative and clerical staff.
* Assure practice is open and appropriately staffed during regularly scheduled hours and that all facilities and equipment are available, operational, safe, and clean.
* Perform correct and timely billing of all patient office visits to all insurances via electronic and paper claims submission.
* Interact with patients, review patient feedback, and address patient service issues.
* Resolve and approve billing holds, financial refunds and accounting corrections
Develop monthly staff schedule, and provide input to payroll calculation.
* Assure staff is adequately trained and equipped to perform their jobs.
* Communicate and ensure compliance with company policies and procedures.
Select, train, supervise, and monitor quality and production levels of site staff.
Monitor supply inventories and order all supplies.
Inspect and maintain records on facilities and equipment.

Office Manager

Dynamic Sports Physical Therapy

November 2007November 2008 (1 year 1 month)

Maintains office services by organizing office operations and procedures; preparing payroll; controlling correspondence; designing filing systems; reviewing and approving supply requisitions; assigning and monitoring clerical functions.
* Maintains office efficiency by planning and implementing office systems, layouts, and equipment procurement.
* Designs and implements office policies by establishing standards and procedures
* Completes operational requirements by scheduling and assigning employees; following up on work results.
* Maintains office staff by recruiting, selecting, orienting, and training employees.
* Maintains office staff job results by coaching, counseling, and disciplining employees; planning, monitoring.

Senior Referral Secretary

Murray Hill Medical Group

May 2006July 2007 (1 year 3 months)

Obtain pre-authorization for MRI's and CT scans
* Process referrals for both specialist and PCP via insurance websites
* Train and supervised staff members on the processing of referral and policies and procedure
* Assisted patients with scheduling appointments
* Processing appeals for insurance denials

Billing Representative

Montefiore Medical Center

Nonprofit; 10,001+ employees; Hospital & Health Care industry

November 2000March 2006 (5 years 5 months)

* Patient Insurance Verification
* Posted all charges (insurance and patient payments)
* Resolve patient billing issues and inquiries
* Register patients via IDX and Phamis System
* Ordered necessary lab test
* Answer phones
* Scheduled provider meetings with fellow, student's vendors etc...

Radiology Technician Coordinator

Montefiore Medical Center

Nonprofit; 10,001+ employees; Hospital & Health Care industry

November 2000March 2006 (5 years 5 months)

* Inputting medical findings for all x-rays films
* Scheduled appointments and patient transportation
* Updating all patient medical information

Density Tech Trainee

Montefiore Medical Center

Nonprofit; 10,001+ employees; Hospital & Health Care industry

November 2000March 2006 (5 years 5 months)

Responsible for notifying MD's for all patient findings
* Typed all reports of patients findings for physicians review
* Perform Dexa Scans

Shenai Williams' Education

The College of New Rochelle

Business Administration and Management, General

20102014

The College of New Rochelle

Psychology /Special and Professional

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