HEIDI WILES
Hagerstown
Summary
Administrative leader offering experience prioritizing and delegating administrative tasks to drive goal achievement. Proficient in schedule coordination, resource allocation and office supply inventory management. Dedicated to training and mentoring top talent while cultivating a productive work culture.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Senior Reimbursement Analyst
Occam Health Services
07.2022 - Current
- Receive Inbound calls as well as place outbound call to patients, HCP, hospitals, Insurance payors, and Pharmacy's.
- Streamlined communication between departments by developing standardized protocols and documentation practices.
- Send and Receive program enrollment forms for assistance to providers.
- Determine medical necessity, using individual insurance carrier regulations.
- Maintain confidentiality and integrity of patient data.
- Conduct comprehensive insurance verifications for medications including calling the major medical plans and receiving the patients medical and pharmacy benefits.
- Provide day-to-day oversight and coordination of case load to ensure all case elements and tasks are completed.
- Communicate patient benefits and responsibility timely and accurately.
- Provide coordination of order for product, shipment of product in Salesforce/Veeva.
- Determine if patients are eligible for PAP programs.
- Communicate effectively with team.
- Deliver timely information to insurance representatives to resolve common and complex issues.
Office Manager
Dr Roberta Palestine
08.1996 - 05.2022
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Managed daily administrative tasks to ensure smooth operations within the medical office environment.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Assisted physicians with clinical documentation to ensure complete and accurate records for each patient visit.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Created reports, presentations and other materials for executive staff.
- Completed bi-weekly payroll for 25 employees.
- Managed supervisor itinerary and appointments and streamlined scheduling procedures.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Identified opportunities to streamline processes and improve office operations and efficiency.
- Cultivated strong relationships with vendors and partners supporting administrative operations.
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
- Developed internal requirements and standards to minimize regulatory risks and liability across programs.
- Built highly-efficient administrative team through ongoing coaching and professional development opportunities.
- Maintained primary relationship accountability for clients, overall servicing responsibility and client satisfaction to maximize profitability of client relationships.
- Implemented project management techniques to overcome obstacles and increase team productivity.
- Negotiated and executed contracts on behalf of department.
- Analyzed and solved multi-faceted problems that effected executive leaders and business initiatives.
- Built and managed processes for tracking and monitoring department performance.
- Improved office operations by automating client correspondence, record tracking and data communications.
Education
Bachelor of Science - Business Administration And Management
Strayer University
Washington, DC02.2025
Skills
- Human Resources
- Payroll and budgeting
- Microsoft Excel
- Strong Work Ethic
- Effective Multitasking
- Conflict Resolution
- Team Leadership
- Effective Communication
- Organizational Skills Development
- Team Supervision
- Revenue Forecasting
- Time Management
- Training and Orientation
- Analytical Thinking
Certification
Notary Public Washington County MD
Timeline
Senior Reimbursement Analyst
Occam Health Services
07.2022 - Current
Office Manager
Dr Roberta Palestine
08.1996 - 05.2022
Bachelor of Science - Business Administration And Management
Strayer University
Notary Public Washington County MD
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