Debra Williams
Winston-Salem
Summary
Results-driven Healthcare Professional with expertise in data collection, research, and business reimbursement trends. Proficient in ICD-10, CPT, and HCPCS coding, with extensive knowledge of rural health guidelines and billing requirements. Strong organizational and communication skills enhance operational efficiency and team collaboration.
Overview
24
24
years of professional experience
Work History
Medicare & Commercial Team Lead
WakeMed Health & Hospitals
08.2024 - Current
- Lead and manage a team of 10–15 staff members, ensuring smooth coordination of responsibilities and resolution of escalations.
- Navigate complex account issues and provide solutions to maintain compliance and customer satisfaction.
- Support management with onboarding, orientation, and staff development, including training initiatives to enhance team performance
Senior Financial Biller & Analyst
TFG Billing
08.2024 - Current
- Verified billing accuracy to prevent claim errors and denials, before processing claims
- Processed appeals for various denial reasons
- Viewed contracts and single case agreements to ensure claim processing
- Reviewed payments and contractual agreements
Inpatient Denial Analyst
UNC Hospitals
01.2022 - 04.2022
- Managed high dollar inpatient denial cases effectively and efficiently.
- Analyzed trends in denials for pre-certifications and provider contracts.
- Achieved department productivity goals through focused case management efforts.
- Coordinated follow-ups on denials, ensuring accurate information was relayed.
- Facilitated communication among parties to determine appropriate next steps.
Financial Analyst & Medicaid Account Specialist
WakeMed Health & Hospitals
04.2002 - 09.2021
- Reduced claim denials by effectively processing inpatient and underpaid claims.
- Secured accurate prior authorizations through coordination with medical care teams.
- Ensured compliance by reviewing and processing claims with billing edits.
- Achieved processing accuracy by verifying eligibility on payer websites.
- Identified trends using denial reports to enhance future billing accuracy.
Education
Bachelor of Arts -
Livingstone College
Salisbury, North Carolina, NC05-1982
Skills
- Strategic Planning
- Team Leadership
- Revenue Cycle Management
- Compliance & Regulatory Knowledge
- Training & Development
- Attention to detail
- Conflict resolution
- Coaching and mentoring
- Performance monitoring
- Key performance indicators
- Regulatory compliance
- Trend tracking
- Deadline management
- Project management
- Program development
- Team supervision
- Complex Problem-solving
- Quality improvement
Timeline
Medicare & Commercial Team Lead
WakeMed Health & Hospitals
08.2024 - Current
Senior Financial Biller & Analyst
TFG Billing
08.2024 - Current
Inpatient Denial Analyst
UNC Hospitals
01.2022 - 04.2022
Financial Analyst & Medicaid Account Specialist
WakeMed Health & Hospitals
04.2002 - 09.2021
Bachelor of Arts -
Livingstone College