KARLETTA WOODS

Fairburn, GA ***** 470-***-**** ad1slv@r.postjobfree.com

PROFESSIONAL SUMMARY

Licensed Insurance Agent with an organized detail-oriented approach. Excellent oral, written and interpersonal communication skills, and the capacity to multitask in a structured work environment. Strengths in meeting & exceeding quarterly goals, stimulating morale, and decision making backed by training in business and healthcare administration as well as policies and procedures. Recognized consistently for outstanding customer service, motivating staff, and leadership. SKILLS

● Department leadership

● Healthcare billing

● Insurance policy review

● oral, written and interpersonal communication

skills

● Medical Office Management

● MS Office

● ICD-9 and ICD-10 Coding

● Disability and Payment processing

● Insurance Verification

● Medicare/Medicaid

● Customer service call center

● Citrix Application

WORK HISTORY

API Insurance Agent (USAA), 07/2021-Current

Teletech Withholdings - Duluth, GA

● Licensed P&C Insurance Agent in 49 states

● Point of contact for member addressing billing concerns and policy modifications

● Handle confidentiality and proprietary information

● first call resolution, reliability and deescalation

● Research policy, coverage and eligibility provisions Patient Outreach Service Specialist(Floater), 11/2020 - 11/2021 Wellstar Lab Outreach - Marietta, GA

● Patient registration via EPIC.

● Insurance and ICD-10 data entry.

● Laboratory test order entry; Quest, LabCorp, and Wellstar.

● Resolve customer service issues.

● Phlebotomy specimen collections.

● Quality Assurance and maintenance checks on all equipment.

● Transcribed physicians orders for out of network providers. Patient Service Technician, 12/2018 to 12/2020

Labcorp – Atlanta, GA

● Performs blood collection procedures for a variety of complex tests, such as oral glucose tolerance tests, blood culture collection procedures.

● Verified insurance and ICD-10 diagnostic codes for physicians, corrected any discrepancies as well as other clerical duties with limited errors.

● Proficient in LabCorp and Quest patient registration systems.

● Built rapport with patients to ensure continual customer satisfaction.

● Developed and trained staff to increase to ensure a high standard of efficiency, integrity, and quality control.

● Minimized laboratory liability through constant risk management review.

● Investigated all unsafe situations and complaints and instituted corrective/preventive action plans.

● Proficiently performs specimen processing procedures as well as clerical duties with limited errors.

● Protected patients by following SOPs, OSHA, CLIA, and corporate compliance guidelines. Phlebotomy Billing Coordinator, 08/2014 to 12/2018 American Clinical Laboratories Inc – Stone Mountain, GA

● Orchestrated day-to-day operations of the billing department, including medical coding, payment posting, accounts receivables, charge offs, bankruptcies and collections.

● Investigated and identified payer problems, or issues such as denials for medical necessity or non covered services and prior authorizations.

● Reconciles payments on Pre/ Bankruptcy petitions and flagged new bankruptcy filings within the system.

● Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.

● Prepared billing statements for patients and verified correct diagnostic coding.

● Used EMR and Beacon to input information into a computerized patient record system.

● Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.

Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.

OFFICE MANAGER/Phlebotomist Technician, 01/2011 to 01/2014 Any Lab Test Now – Atlanta, GA

● Delivered expert clerical support by efficiently handling a wide range of routine and special requirements.

● Interacted with patients professionally by phone, email or in-person to provide information and directed to desired staff members.

● Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities.

● Oversaw office inventory activities, including ordering and requisitions, stocking and shipment receiving.

● Resolved unusual test orders by contacting physicians, nursing stations or reference laboratories.

● Investigated and identified payer problems, or issues such as denials for medical necessity or non covered services and prior authorizations.

EDUCATION

Health Information Technology Billing and Coding, certification 06/2018 Certified Life Coach 03/2020

Licensed Property and Casualty Insurance Agent 09/2021

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