L’TANYA F. WOOD
Winston-Salem,USA
Summary
Dedicated, creative, and skilled Billing Coordinator in the healthcare arena with several years of experience, maintains a professional demeanor, especially as it relates to customer service, expertly completes assigned tasks with a focus on recording and reporting claims, dependable team player with excellent communication, organization, writing skills, adhere to policies with plan benefits and contractual contracts. Reliable Assistant Billing Coordinator enthusiastically pursuing the opportunity to add immediate value to a growing team. Inspired to help others and driven to apply unfailing work ethic to meet objectives. Industrious and committed with skills for multitasking and managing time well.
Overview
28
28
years of professional experience
Work History
Assistant Billing Coordinator
Novant Health
10.2019 - Current
- Review claims for accuracy for the billing team
- Facilitate the efficient processing and translation of claims
- Regularly meet with management to address any issues with claims
- Maintain accurate records by recording daily claim numbers and errors
- Generate reports as requested by management to provide necessary information and to evaluate needs
- Monitor work queues to ensure the validity of claims
- Create SOPs for billers’ use to provide direction with processes
Claims Benefits Specialist
AETNA
09.2017 - 06.2019
- Reviewed and processed medical and hospital claims according to CMS guidelines
- Followed policies to process based on plan benefits and contractual agreements
- Worked independently to produce the required daily quota
- Carefully reviewed contracts for inpatient/outpatient visits, carveouts, DRGs, and stop-loss errors that prevented auto-adjudication
- Resolved difficult claim edits that alert processors of issues that may prevent auto-adjudication such as plan and state exception rules, maximum billable procedure codes, COB/EOB updates, etc
- Processed corrected claims for updates and entered CMS-1500 and UB04s submitted by providers
Client Call Center Specialist
INMAR, INC.
01.2014 - 06.2017
- Provided call center support and a24-hour TAT email response rate within the Healthcare Network division that served as Central Pay for pharmacies
- Assisted pharmacies with daily financial records, reconciliation, reporting issues, and helpdesk assistance
Consumer Relations Representative
INMAR, INC.
01.2014 - 06.2017
- Provided call center and email support aimed at coupon rebates for large clients
- Assisted supervisor with entering key accounts
- Maintained accurate, current system files and records
Customer Service Professional, AT&T wireless accounts
SYKES HOMES POWERED BY ALPINE ACCESS
07.2013 - 01.2014
- Provided virtual call center support from home for cell phone service
Project Paralegal
WOMBLE, CARLYLE, SANDRIDGE, & RICE
04.1997 - 01.2012
- Conducted smoking and health legal research for attorney practice to prepare documents for litigation
- Provided accurate, efficient review and analysis of documents used in the discovery process for complex litigation cases
- Prepared letters and legal complaints, filed pleadings, and checked service status
Education
Master of Healthcare Administration - undefined
Winston-Salem State University
Winston-Salem, NC05.2025
Bachelor of Science - Management Information Systems
High Point University
High Point, NC12.2003
Associate of Applied Science - Administrative Office Technology
Forsyth Technical Community College
Winston-Salem, NC05.1996
ADDITIONAL TRAINING, EDUCATION, CERTIFICATIONS
- Legal Support Staff of Winston-Salem2002 -2016
- NC Board Certified Paralegal2002 -2016
- Dan Mohr School of Real Estate2007
- ACT National Career Readiness Silver Certificate2012
- HIPPA Certified2017
- Yellow Belt-Lean Six Sigma and Flawless Execution Certified2016
- PENN Resilience Program for the UNC System Skill Training –2024
- Microsoft Office
- Google Docs
- Outlook and Gmail
- Medical and legal terminology
- QuickBooks
- Epic
- Phi Kappa Phi
- Electronic Health Records Specialist Certification -2012
Timeline
Assistant Billing Coordinator
Novant Health
10.2019 - Current
Claims Benefits Specialist
AETNA
09.2017 - 06.2019
Client Call Center Specialist
INMAR, INC.
01.2014 - 06.2017
Consumer Relations Representative
INMAR, INC.
01.2014 - 06.2017
Customer Service Professional, AT&T wireless accounts
SYKES HOMES POWERED BY ALPINE ACCESS
07.2013 - 01.2014
Project Paralegal
WOMBLE, CARLYLE, SANDRIDGE, & RICE
04.1997 - 01.2012
Master of Healthcare Administration - undefined
Winston-Salem State University
Bachelor of Science - Management Information Systems
High Point University
Associate of Applied Science - Administrative Office Technology
Forsyth Technical Community College
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