Customer Service Medical
Resume:
Sharon Woodley
Portsmouth, VA 23701
**********@*****.***
Innovation + teamwork + productivity =success. Attitude = Altitude
Objective ________________________________________________________________________
My over all goal is to find a career that would cultivate my extensive & experinced skills
of what I already know in the Administrative/patient care side of healthcare and combine
that with my degree studies in Information Technology/Business Systems Analysis to
benefit and progress a "forward thinking" company in a
technical/administrative/customer service environment. I would also like to obtain a
rewarding position that will allowing me to be a strong supportive unit and to be able
to demonstrate that I have the organizational skills, technical support skills, customer
services skills, and strong team building, leadership skills to benefit a large healthcare
facility.
Profile __________________________________________________________________________
Self motivated, Knowledge in medical Terminology. Excellent customer Service skills on the phone
and with walk ins, proficient in O/S Windows Microsoft systems and Windows software
applications such as Windows Office suites. as well as an assortment of internal healthcare
application database networking systems such as Medic, Intergy and Epic eCare). I am skilled in
all routine clerical/general office skills such and copying, filing, organizing accouts, data entry,
etc. I have leadership and training skills, positive team building and team member skills and
support. and I am skilled in management and training roles.
Skills Summary __________________________________________________________________
Medical Insurance billing Processing and Answering multi phone
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and follow up Posting credit cards, lines
50 60 WPM checks and cash Proficient in creating and
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Data entry/Demographics payments working reports
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General Office and front Customer Service
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office Skills Scheduling
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Marketing & Sales
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Employment History and Professional Experience _____________________________________
01/22/2010 current Center for pain Management
913 Halifax Ave
Portsmouth, VA 23707
Title: Office Medical Insurance Biller Out Side Contractor
Supervisor: Dianne Coleman 757-***-****
Main duties: Posting charges with CPT and ICD 9 codes, posting Anthem Blue Cross Blue Shield HMO
and PPO payments and denials on patient accounts. I process outstanding insurance pending. I do data
entry, Demography, helping patients with their accounts both in the phone and at the front desk.
Post and work self pay payments and denials
Follow up with aged pending reports for insurance
Run financial reports and back up
Balance and updating daily batches for finance ledgers
Run HCFA claims and filing all insurances manually and electronically
Run bill cycles for patient’s statements
Converting smoothly from Medic experience to Medic Tiger, Which is a windows base.
I maintain patient accounts for five specialty doctors in an office environment
Working HMO’s, Referrals & Workman’s Comp.
3/31/2008 1/22/2010 Sentara Home Care Services
535 Independence parkway, suite 200, Chesapeake, VA 23320
Title: Patient Account Rep. / Medical Biller
Supervisor: Genie Chisholm 757-***-****
Main Duties:
Work A/R reports and work special projects
Follow up on Certificate of Medical Necessities (CMN) and Pre Authorizations
Bill and follow up on accounts that have Medicare as primary insurances as well as follow up on 2ndry
insurances
Input Patient demographics
Verify insurance eligibility
Work denials, payments and charges that need to be moved to patient responsibilities or 2ndry insurance
work overpayments and equipment hold report
Answer patient inquires on a multi line phone system and walk ins.
Process payments, charity applications and distribute to the person intended
12/12/2006 3/29/2008 Operation Smile
6435 Tidewater Drive, Norfolk, VA 23509
Title: Donor Relations Coordinator
Supervisor: Jann Schultz 757-***-****
Main Duties: Answer incoming calls for donations, concerns, and questions on the organization. Make
out bound calls for credit cards that have declined and thank calls to current donors. Process gifts bought
from the website. Process out going mail. Create and process information packages, thank you packages
and fundraiser packages. Process new donations, renewals, and cancellations. Front desk answering phone
calls. Process donations via walk in. Process UPS, Fed EX and USPS daily mail.
03/2004 12/12/2006 K & S Cleaning Service, Inc.
Portsmouth, VA
Title: Part Owner of a small company
Supervisor: self owner 757-***-****/757-***-****
Main Duties: Run a small residential and commercial Cleaning company. I managed and ran a four
employee crew. I managed financial and inventory bookkeeping. I have time and organizational skills and
management skills. I have excellent customer service and employee skills. I have focus detail and goal for
perfection for y customers.
5/2001 03/2004 Sentara Homecare Services
535 Independence parkway, suite 200, Chesapeake, VA 23320
Title: Patient Account Rep. / Medical Biller
Supervisor: Scott Bartlow 757-***-****
Main duties: to process insurance claims and changes for services and equipment rendered and follow up
on patient accounts. Manually process HICFA 1500 claims for primary commercial/ Medicare/ Medicaid
and 2ndary insurances, electronically bill through the internet using PMG for all Anthem/Blue Cross Blue
Shield claims. Answer a four line customer phone system and follow up on several spreadsheets and A/R
reports. Work EOB/Denials and remits on a daily bases. Create and implement pro active reports,
processes, and procedures that help bring in more revenue and reimbursements. Obtain and follow up on
required authorizations. Train new PAR (Patient Account Reps.)
Sentara Personnel
Chesapeake, A 23320
Title: Office Receptionist Assignment as a temp with Tidewater Medical
Group/Central Billing Office
Supervisor Nadine White Shook 757-***-****
Main Duties:
Greeter: greet visitors and direct the to the appropriate dept (TMG/SMG)
Telephone: answer a three phone line
Mail: responsible for retrieving and distribution of internal and external mail. Separating insurance EOB
w/and without payments and distribute to appropriate rep.
Claims: Responsible for running paper claims, attaching EOB’s mailing out claims
Supplies: responsible for maintaining office inventory
Payments: Responsible for taking payments for patients who come to office and payments given to the
appropriate rep. immediately.
3/2000 05/2001 Med. Systems Associates
3241 Western Branch Blvd., Chesapeake, VA 23321
Title: Demographer charger
Supervisor: Dianne Coleman
Main Duties: Input new patient registration and insurance information. Text and verify title 18’s for
Medicare claims. Update existing information, transfer cash payments, adjustments, credits, and charges to
patient’s accounts. Answer five line phone lines; maintain patient’s records for 8 Hospitals, 13 nursing
facilities and 12 practices. I Charged procedures and diagnosis for DOS (dates of services)
Education _______________________________________________________________________
1980 1988 Grammar school, Woodridge Elementary School
1988 1992 High School Diploma, Silver Spring Christian Academy
1992 1995 Major in RN, Prince Gorges Community Collage
2003 Certification in Medical billing/coding and Medical Terminology through Sentara Healthcare
2008 Current University of Phoenix online (working on a Bachelors Degree in ITSA)
Current CPR/First Aid certified
Reference _______________________________________________________________________
Dianne Coleman Supervisor 215 0180/681 1091
Carol Darden Co worker 215 0180/399 2447
Kyla Shawyer Supervisor 321 7645/217 7655
Lisa King Team Senior at Sentara 292 6547
Ted Miller Practice Adminstrator 339 0759 ext.218/636 6786
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