DANA WILLIAMS
Whigham
Summary
Insurance professional with strong background in verifying insurance coverage and benefits. Skilled in navigating complex systems, resolving discrepancies, and ensuring accurate information. Known for excellent team collaboration and adaptability to changing needs. Efficient in communication, problem-solving, and maintaining high standards for quality and results.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
Vascular Surgery Associates
10.2021 - 10.2025
- Verify demographic
- Register patient
- Complete verification of patient insurance benefits, obtain authorizations
- Obtain authorization for vascular ultrasounds, office visits
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
OPS Office Automation Specialist 1
State of Florida/Department of Health
03.2019 - 03.2025
- Manage Area secure folders and examine patient documents to verify conformance
- Validate data for errors and anomalies
- Enter patient data into the HIV/AIDS case registry to meet established deadlines
- Strong organizational skills
- Enter all information accurately and completely following the current standards for data processing
- Keen eye for details and changes
Medical Scheduler/Referral Coordinator
North Florida Women’s Care-Tallahassee Florida
03.2017 - 09.2018
- Answer phones, schedule/cancel/reschedule patients
- Verify insurance
- Accept and follow through on electronic referral
- Complete insurance verification
- Problem solving, set-up new patient portals
- Block schedule to ensure there is no overbooking on doctor schedule
- Managed cancellations or no-shows efficiently, proactively filling open slots with patients from waitlists or urgent care needs.
- Ensured compliance with HIPAA regulations while handling sensitive patient information during all aspects of appointment scheduling processes.
- Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
Patient Account Coordinator II/Patient Account Specialist
Tallahassee Memorial Hospital/Cancer Center
11.2013 - 10.2016
- Complete detailed verification of patient insurance benefits, obtain authorizations, work appeals and denials
- Interview, qualify and initiate applications for uninsured and underinsured patients for financial assistance programs
- Register patients, maintain minimum wait time call volume, manage patient schedule, order labs
- Supervise and train all new hires on practice duties, responsibilities, and software programs.
Patient Access Representative
Archbold Memorial Hospital
06.2012 - 11.2013
- Complete detailed verification of patient insurance benefits
- Register patients, maintain minimum wait time call volume, manage patient schedule, order patient labs
- File medical records and close out hospital cash accounts at the close of business shift.
Shift Coordinator/Machine Operator
Timken-Cairo Georgia
02.1998 - 05.2009
- Supervised Department.
- Maintained employee schedule, time, payroll, and periodic evaluations.
- Operated two machines, logged company down time, and productivity count.
Education
Business Administrative Tech & Medical Administrative Assistant Diploma Program -
Southwest Georgia Technical College
Thomasville, GA01.2010
Skills
- Government / Commercial Insurance
- Confidentiality / HIPAA / PHI
- Microsoft Office
- Insurance coverage verification
- Data entry proficiency
- Eligibility determination
- Prior authorization processing
- Customer service
- Electronic authorization processing
- Private insurance
- Deductible & co-pay calculation
Certification
- Medical Billing Clerk Certificate - Southwest Georgia Technical College (2010) – Thomasville, GA
- Medical Billing and Coding Certificate –Penn Foster (2020)
Timeline
Insurance Verification Specialist
Vascular Surgery Associates
10.2021 - 10.2025
OPS Office Automation Specialist 1
State of Florida/Department of Health
03.2019 - 03.2025
Medical Scheduler/Referral Coordinator
North Florida Women’s Care-Tallahassee Florida
03.2017 - 09.2018
Patient Account Coordinator II/Patient Account Specialist
Tallahassee Memorial Hospital/Cancer Center
11.2013 - 10.2016
Patient Access Representative
Archbold Memorial Hospital
06.2012 - 11.2013
Shift Coordinator/Machine Operator
Timken-Cairo Georgia
02.1998 - 05.2009
Business Administrative Tech & Medical Administrative Assistant Diploma Program -
Southwest Georgia Technical College
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