Julie Williams

Experience

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  DuraMed Medical Services

  Jan 1991 - Jan 1998

  Reimbursement Specialist

  • Analyzed all insurance and Medicare denials and took appropriate action to secure reimbursement throughwritten and in-person hearings according to appeal procedures• Written and oral communication with payers to include correlating diagnoses and medical necessity forequipment• Obtained appropriate and required documentation from referral sources to include physicians, nurses,social workers, and therapist in order to document medical necessity and meet coverage requirements forreimbursement• Coordinated preparations for accreditation survey by ACHC (Accreditation Commission for Health Care) Show less

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  Margaret J Weston Medical Center

  Aug 2002 - Jul 2003

  Grant Researcher/Grant Writer

  Researched funding sources for grant opportunities to determine center's eligibility• Compiled required supporting documentation to include statistical information to support center's eligibilityfor funding• Completed grant applications for private sources and federal agencies in accordance with stated grantapplication requirements and regulations• Researched and monitored new and current compliance regulations and government actions concerninghealthcare• Developed departmental assignments and schedules for standards compliance to include QA and PI.• Effectively communicated with CEO, CFO, board members, and administration of various agencies relatedto community health services and funding Show less

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  Nephrology Associates, PC

  Sept 2003 - Jul 2007

  Practice Administrator Assistant

  Chart reviews for correct coding and supporting documentation for E/M codes• Data analysis and compilation of reimbursement statistics using Excel spreadsheets• Payroll, accounts payable, accounts receivable using NextGen software• Physician and mid-level provider facility and payer credentialing• Physician CME tracking, license renewals, travel arrangements, meeting registrations• Release of Information• Effectively communicate with practice administrator, physician partners, office staff, and Medical Staff Officepersonnel at various hospitals and dialysis centers Show less

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  Kidney Care Associates

  Sept 2004 - Apr 2013

  Business Coordinator

  • Track patients in clinical trials and earnings from clinical trials based on completed patient visits andprocedures performed using Excel spreadsheets• Prepare and present statistics regarding patient status in clinical studies and earnings from clinical studies• Payroll, accounts payable, and accounts receivable using Quickbooks software• Track and compute physician compensation for drug study participation• Maintained business license and corporate renewals• New hire forms for new employees to include I-9, background screenings, and tax forms• Effectively communicate with physician partners, office staff, and pharmaceutical company personnel Show less

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  Disability Benefits, Inc

  Aug 2010 - Apr 2015

  Certified Non-Attorney Disability Representative

  Successfully managed a caseload of approximately 200 Social Security Disability claimants• Extensive knowledge of and ability to apply the rules and regulations set forth in the Code of FederalRegulations regarding Social Security Disability• Case preparation to include review and summarization of all relevant medical records, financial, andemployment history and preparing and submitting a written pre-hearing brief to the administrative law judgeoutlining disability criteria met and the supporting medical documentation• Represent claimant at in-person hearing with federal administrative law judge• Effectively communicate with administrative law judge and question vocational expert, and/or medical expertpresent at hearing in order to establish the claimant met criteria for disability• Effectively communicate with claimant, local Social Security Office, DDS, Office of Disability Adjudication andReview, and claimant's healthcare providers Show less

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  ADP

  Apr 2015 - Nov 2016

  Account Manager - Healthcare Reform (Affordable Care Act)

  Provide client service and support for 22 corporate clients of ADP's Affordable Care Act HealthcareCompliance Platform• Subject matter expert regarding ACA eligibility, affordability, and reporting• Proactively track client's current employees to ensure compliance with ACA regulations regarding benefitseligibility, affordability, and reporting• Effectively communicate the results of eligibility and affordability calculations• Monitor HR, payroll, leaves and benefit file loads from in-house partners and 3rd party vendors• Troubleshoot file errors, unexpected calculation results, and billing inconsistencies• Effectively communicate with internal senior leadership team, data operations, internal benefit, payroll, andHR partners as well as client HR directors, payroll managers, CFO's and project managers verbally and inwriting Show less

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  MCBS

  Dec 2016 - Sept 2023

  Compliance Manager