Summary
Overview
Work History
Education
Skills
Additional Contacts
Timeline
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Stacy R. Williams

Angier,NC

Summary

Dedicated and client-focused healthcare professional with seven years of experience at Mercalis, consistently demonstrating growth and advancement within the company. Experienced in frontline support roles and Program Supervisor positions, I have honed my leadership, case management, and patient advocacy skills. I excel at building strong relationships with patients, providers, and team members, which enhances service delivery and ensures compliance. My expertise in problem-solving, conflict resolution, and workflow optimization drives efficiency and service excellence. Passionate about professional development and eager to continue leveling up within Mercalis, I leverage my expertise in team management, problem-solving, and process optimization to drive success.

Overview

7
7
years of professional experience

Work History

Program Supervisor

Mercalis
11.2023 - Current
  • Conduct daily audits to ensure accuracy and compliance
  • Maintain state compliance regulations and oversee adherence
  • Manage a team, track key performance indicators (KPIs), and generate reports
  • Assign and prioritize tasks, overseeing project progress
  • Monitor Service Level Agreements (SLA) to maintain service quality
  • Assist in training new hires and conducting interviews for program expansion
  • Lead and support a team by providing guidance, motivation, and performance monitoring
  • Facilitated regular weekly team meetings and bi-weekly 1:1 sessions with my agents going over monthly metrics.
  • Managed documentation and compliance for patient reimbursement requests, verifying claims and processing approvals
  • Oversaw staff training and development programs, ensuring employees were equipped with the skills needed to excel in their roles.
  • Demonstrated strong leadership skills under challenging circumstances, effectively managing team dynamics during periods of transition or high-stress environments.

Temp Escalations Supervisor

Mercalis
06.2023 - 11.2023
  • Managed all escalation tickets and ensured timely resolutions
  • Maintained and updated claims tickets while monitoring processing timelines
  • Handled escalated calls with patients, providers, and pharmacies, ensuring customer satisfaction
  • Assisted in resolving high-priority issues and supported team members in escalations
  • Ensured timely issue resolution while maintaining quality service standards

Care Coordinator Team Lead

TrialCard, Inc.
05.2022 - 11.2023
  • Act as a liaison between team members, speciality pharmacies, healthcare providers and management
  • Resolve escalated patient, pharmacy, and provider concerns with professionalism
  • Conduct team meetings, report updates, and implement problem-solving strategies
  • Submit, review and update tickets in reference to rebates, add funds and exceptions
  • Used company software and databases to maintain records of services performed and patient conditions.

Customer Service Representative

Qualfon Data Services
09.2021 - 02.2023
  • Provided Medicare health insurance support, including claims processing and policy inquiries
  • Assisted customers with a warm, professional approach to resolve concerns
  • Maintained detailed records of customer interactions and resolutions
  • Educated patients on the type of insurance coverage they have
  • Maintained detailed records of customer interactions and transactions, ensuring accurate documentation and follow-up.

Care Coordinator

TrialCard
12.2021 - 05.2022
  • Assisted patients with copay assistance programs to ensure medication affordability
  • Act as a liaison between team members, management, and external stakeholders
  • Resolve escalated patient, pharmacy, and provider concerns with professionalism
  • Conduct team meetings, report updates, and implement problem-solving strategies

Support Coordinator

TrialCard
08.2019 - 12.2021
  • Ensured accurate processing of requests while maintaining compliance
  • Assisted patients with enrollment and financial assistance programs, ensuring they received necessary medication coverage
  • Worked closely with pharmacies, providers, and insurance companies to resolve medication access issues
  • Educated patients on program benefits, copay reductions, and alternative assistance options
  • Delivered exceptional customer service, addressing patient inquiries with empathy and efficiency

Intake & Triage Coordinator

TrialCard
07.2018 - 08.2019
  • Entered and verified patient information in databases with high accuracy
  • Reviewed documentation to ensure compliance with healthcare regulations
  • Managed patient enrollments, reimbursements, and inquiries
  • Served as the first point of contact for patients, healthcare providers, and pharmacies enrolling in copay assistance programs to ensure medication affordability
  • Collected and verified patient information, ensuring all documentation was accurate and complete before processing enrollment requests
  • Assessed patient eligibility for financial assistance based on program guidelines and communicated next steps for approval
  • Triaged incoming inquiries, directing urgent cases to appropriate departments to expedite medication access
  • Assisted patients with understanding their benefits, navigating insurance coverage challenges, and resolving barriers to medication affordability
  • Maintained compliance with HIPAA regulations, handling sensitive patient data with accuracy and confidentiality
  • Used internal systems to track patient applications, update records, and ensure seamless coordination between support teams and pharmacies

Education

Associate Degree In Business

Everest University Online
Orlando, FL

High School Diploma -

Triton High School
Erwin, NC
05.2004

Skills

  • Patient Assistance
  • Team Leadership
  • Performance Monitoring
  • Conflict Resolution
  • Problem-Solving
  • Customer Relations
  • Healthcare Compliance
  • Regulations
  • SLA Monitoring
  • KPI Monitoring
  • Data Entry
  • Documentation
  • Microsoft Office Suite/ SharePoint
  • Excel/Word
  • Remote Access
  • Strong Communication
  • Organizational Skills
  • Operational leadership
  • Staff training and development

Additional Contacts

Stacy Williams, journee1114@icloud.com, 910.709.6542, 66 Flowing River RD, Angier, NC, 27501

Timeline

Program Supervisor

Mercalis
11.2023 - Current

Temp Escalations Supervisor

Mercalis
06.2023 - 11.2023

Care Coordinator Team Lead

TrialCard, Inc.
05.2022 - 11.2023

Care Coordinator

TrialCard
12.2021 - 05.2022

Customer Service Representative

Qualfon Data Services
09.2021 - 02.2023

Support Coordinator

TrialCard
08.2019 - 12.2021

Intake & Triage Coordinator

TrialCard
07.2018 - 08.2019

Associate Degree In Business

Everest University Online

High School Diploma -

Triton High School
Stacy R. Williams