Summary
Overview
Work History
Education
Skills
Certification
Leadership Experience
Timeline
Generic

Susan Williams CPC-A

Denham Springs,LA

Summary

Certified Professional Coder. Experienced in medical insurance and utilization review with 27 years of comprehensive insurance expertise across multiple departments. Proven track record in insurance operations, utilization review, and cost analysis for surgical procedures. Seeking a role that leverages my current capabilities while offering new opportunities for growth and learning.

Overview

30
30
years of professional experience
1
1
Certification

Work History

Medical Office /Prior Authorization Specialist

Bone and Joint Clinic of Baton Rouge
02.2003 - 09.2024
  • Initially started at the appointment desk where I learned the computer systems and assisted patients to set appointments. I moved to the front desk, where I greeted and checked in patients, collected any pre service fees such as copays or prepayments. I then transitioned to a specialized role focused on data entry of patient information into our billing system.
  • Leveraging my extensive insurance background from previous roles, I played a key role in mentoring new employees and developing comprehensive training materials. These handbooks detailed insurance insights aimed at keeping our front desk and appointment staff up-to-date with the latest changes in insurance policies.
  • One of my significant contributions was the establishment of the Precertification/Pre-authorization department. Within this role, I also developed informative forms to educate patients about their financial responsibilities related to upcoming surgical and radiological procedures.
  • Working closely with physicians and administration, I streamlined the insurance verification and authorization processes, utilizing my strong data entry and problem-solving skills to secure necessary authorizations for upcoming medical and radiological procedures

Data Entry /Payment Posting Specialist

Physicians Practice Management Solutions
01.1998 - 08.2000

Data entry of insurance payments posted to specific patient accounts.

Medical Office Receptionist

Baton Rouge Clinic
01.1995 - 01.1998

I started at the front desk at the Baton Rouge Clinic. I then moved to the patient accounting area where I enjoyed helping patients face to face and over the phone understand their billing statements. I was given an extra responsibility to train new employees in our department which I enjoyed very much. I moved to the data entry department the last year of my employment where I entered information from the charge sheets into the billing system.

Education

High School Diploma -

BATON ROUGE COMMUNITY COLLEGE
BATON ROUGE, LA

CPC-A - Medical Coding Certification program

AAPC
01.2025

Skills

  • Medical Coding CPC-A AAPC
  • Data Entry
  • Utilization Review
  • Customer Service
  • Payer Contracts
  • Problem Solving
  • Cost Calculation
  • Insurance Verification
  • Friendly, positive attitude
  • Problem-solving
  • Time management
  • Dependable and responsible
  • Medical terminology

Certification

CPC-A AAPC

Leadership Experience

While I consider myself a capable leader, I find my greatest satisfaction in fostering the success of others. I thrive in roles where I can support and empower my team members to excel. Being part of a team that achieves collective goals brings me immense fulfillment, and I take pride in contributing to our shared successes.

Timeline

Medical Office /Prior Authorization Specialist

Bone and Joint Clinic of Baton Rouge
02.2003 - 09.2024

Data Entry /Payment Posting Specialist

Physicians Practice Management Solutions
01.1998 - 08.2000

Medical Office Receptionist

Baton Rouge Clinic
01.1995 - 01.1998

CPC-A AAPC

High School Diploma -

BATON ROUGE COMMUNITY COLLEGE

CPC-A - Medical Coding Certification program

AAPC
Susan Williams CPC-A