1. R I T A W I L L I A M S , C P C
CHICA GO, IL. 60628
773-407-5673  RITA W 224@Y A HOO. COM
OBJECTIVE
To obtain a job that will allow me to contribute to an organization’s goals by utilizing my
attention to details and skills in bill review, bill resolution and medical coding.
EMPLOYMENT HISTORY
4/2015 - Present
Conifer Health Solutions
Tinley Park, IL
Representative, Physicians Service AR IV
The primary purpose of the REP, PHYS SVC AR IV is to pursue reimbursement of services
rendered and achieve accounts receivable resolution. I work through open accounts
receivables (denials and delinquent accounts) by actively calling payer organizations or
utilizing web-based connectivity. I manage accounts by utilizing the IDX Paperless
Collection System and Epic follow-up work queues.
 Contact insurance carriers through website, email or telephone to resolve outstanding
accounts
 Analyze and resolve moderately complex insurance denials including coding review to
prevent errors within appeals process
 Appeal and/or resubmit unresolved invoices to insurance carriers
 Research and respond to insurance correspondence
 Update registration information, post denial codes and adjustments in practice
management systems
 Analyze weekly denial reports to spot trends; assess opportunities to improve internal
workflows within entire revenue cycle
 Maintain internal logs (Excel format) and compile system reports
 Assist in employee training and mentorship; perform quality assurance checks on team
members
 Contact client for missing data elements or confirmation of information
 Participate in system testing related to upgrades and enhancement.
9/2014 – 4/2015
Virtual Customer Service Representative
Chicago, IL

2. Provide world-class customer service by appropriately and accurately answering in detail, member
and provider questions on insurance policies, including eligibility and benefits.
Investigate and facilitate resolutions to all issues pertaining to claim payment.
Route all other issues to the appropriate departments.
3/2001 – 9/2014
Rising Medical Solutions
Chicago, IL
2010 - Present
Supervisor, Specialty Bill Review
Supervise 6 employees
Answer complex questions regarding Worker’s Compensation fee schedules, PPO applications, and
other technical matters.
Investigate, resolve all customer complaints, inquiries and resolve errors as needed
Develop, implement, and maintain Specialty Bill Review policies and procedures.
Design, implement, and monitor efficient and effective workflows
Analyze and troubleshoot system needs and work with Technical Operations and IT to design and
implement enhancements
Analyze statistical and financial reports and quality trends
Conduct team huddles
Enforce company policies and procedures
Assist SBR Manager, as needed
Coach, motivate, and train assigned staff, focusing on knowledge and skill development and continual
performance improvement
Oversee Quality Assurance (QA) of all departmental work products, providing ongoing feedback
Provide world-class customer service by promptly answering inquiries and questions from existing
clients
Assist in new client implementation
Participate in ongoing training while keeping up with industry trends in order to enhance job skills and
knowledge
Conduct formal and informal performance appraisals of all direct reports, rewarding performance and
taking corrective counseling steps when necessary, including termination
2008 - 2010
Large Medical Bill Audit – Team Lead
Assign, distribute and monitor work-flow in order to improve productivity and achieve
Turn Around Time (TAT) objectives
Re-assigning work as required
Analyze and evaluate work processes and quality of output, making suggestions for improvement
and carrying out implementation of changes
Serve as a liaison between management and employees
2001 – 2008
Large Medical Bill Auditor

3. Accurately and appropriately audit large medical bills using Rising’s bill review software; Including
all medical bill formats (HCFA, UB, Rx and NSF)
Achieve production goals to maintain turn-around-time per client contracts
Maintain a 95% accuracy rate
5/1998 - 3/2001
Advocate Health Care
Chicago, IL
Intake Coordinator
Checked patients in and out of the clinic
Processed patient payment transactions, encounters and co-pays
10/1996 - 5/1998
Concentra
Rosemont, IL
Bill Review Specialist
Processed medical and Auto bills
Negotiated payment for Auto claims
4/1990 - 10/1996
MedView Services
Chicago, IL
Claims Auditor - Team Leader
Assign and monitor PPO applications
Update existing PPO information for internal and external use
Provider customer service by answering calls and emails concerning PPO parameters
EDUCATION
University of Illinois/Chicago
SOFTWARE KNOWLEDGE
EPIC Office; Excel, Power Point Ingenix -
CERTIFICATIONS
CPC - Certified Professional Coder - AAPC May 2011 - January 2016
CMBRD - CA Medical Bill Review Designation