Gwendolyn Woodard - Healthcare Scheduling and Billing Professional
Resume:
Gwendolyn Woodard
.
Professional Summary
Detail-oriented and compassionate healthcare professional with over 10 years of experience in patient services, insurance verification, prior authorizations, and front-office operations. Proven ability to coordinate care efficiently, support patients through complex medical processes, and streamline communication between providers, patients, and payers. Skilled in EMR systems, HIPAA compliance, and maintaining high standards of accuracy and patient satisfaction in fast-paced medical environments. Work History
Medical Billing Solutions LLC. - Revenue Cycle Specialist- Remote/ Part-time Atlanta, GA
02/2015 - Current
• Accurately assign ICD-10, CPT, and HCPCS codes for medical procedures and diagnoses.
• Process and submit insurance claims, ensuring compliance with billing regulations.
• Review and correct coding errors to minimize claim denials and maximize reimbursements.
• Communicate with insurance companies and healthcare providers to resolve billing discrepancies.
• Maintain patient records and ensure confidentiality under HIPAA regulations.
• Conduct audits to improve billing accuracy and reduce financial losses.
• Utilize software’s such as Epic, Collaborate Md, or Citrix for efficient claim processing. Sage Health- Patient Experience Associate
Gulfport, MS
01/2023 – 01/2025
• Scheduled an average of 60 patients per day, reducing wait times by 10 minutes.
• Coordinated provider availability to optimize scheduling efficiency.
• Verified patient insurance using RTE, ensuring 100% accuracy in billing and coverage.
• Coordinate with insurance companies to secure prior authorizations and precertification’s for treatments and imaging services, reducing delays in patient care
• Maintained confidential records, following HIPAA regulations.
• Operate several different systems, displaying an ability to multitask.
• Conduct check- in check- out process via Electronic Health Record.
• Processed patient co-payments accurately and efficiently, ensuring compliance with billing policies.
• Scan documents to patients account ensuring documents are clear when saved.
• Collect updated demographic information and accurately codes information on all patients, including contact numbers, emergency contact, mailing address, marital status, insurance payer, insurance group and policy number, physician name and patient type. Emory Healthcare – Patient Access Rep/ Scheduler- Remote/Work from home Duluth, GA
08/2022 - 1/2024
• Serve as the primary point of contact for patients regarding appointments, procedures, and follow-up care. For Brain Health specialties, Neurosurgery, Psychiatry, Sleep Disorders, and Acupuncture.
• Confirm patient coverage, pre-authorizations, and eligibility.
• Maintain accurate instructions and resolve concerns.
• Adhere to HIPAA regulations and healthcare policies.
• Scheduled on average 80 to 100 patients a day.
• Knowledgeably discuss the online Patient Portal and explain the advantages of the system, encouraging them to provide their email address. Skils
• CRM Software (Salesforce), Epic, Athena,
Citrix, Centricity, CollaborateMD
• Calm and Professional Under Pressure
• Verbal and Written Communication
• Issue and Complaint Resolution
• Multitasking and Prioritization
• Prior authorizations & precertifications
• Revenue Cycle Management
• Efficient and Detail-Oriented
• Call Volume and Quality Metrics
• Upbeat and Positive Personality
• Building Customer Trust and Loyalty
• Appointment Scheduling
• Medical Records Management
• HIPAA Compliance
• De-escalation Techniques
• Audits and reporting
• Data management and Record keeping
Education
5/2019- Present
Southern New Hampshire University
Manchester, NH
No Degree: Bachelor of Science, Child
Development Psychology
05/2013
Charles R. Drew High School
Riverdale, GA
High School Diploma
*****************@*****.***
Riverdale, Georgia 30274
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