Colleen S Woods

Evaluate, Interpret, and identify issues in payment/reimbursement denials. resubmit claims for payment in major Hospital System.

Verify insurance via multiple software programs, utilizing EPIC

Contact Insurance providers to clarify coverage and troubleshoot any issues that may arise.

Provide top quality control and accuracy to facilitate revenue recovery.

• Identified appropriate solutions to minimize issues and quickly solve problems.
• Obtain updated insurance information from either patients or provider, to ensure accurate reimbursement for facility and correct billing for patient.
• Promoted to PRRI (scheduler) to PRRIII (referral coordinator) after first 6 months of employment.
• Scheduled patients for primary care appointments and specific specialties as needed per each individual situation.
• Participated in weekly meetings and brainstorming sessions to discuss new ideas, projects and assignments.
• Entered patient insurance, demographic and health information into software and confirmed records.
• Increased team efficiency by implementing LEAN process improvements
• Gathered current medical information and reviewed histories to gather details for surgeons.
• Adhered to HIPAA requirements to safeguard patient confidentiality.
• Scheduled patients according to availability, urgency and insurance authorization guidelines.
• Managed up to 75 patient referrals daily through multi-line telephone system.
• Verified documents and associated records to catch and resolve discrepancies.
• Developed productive working relationships with numerous insurance company representatives.
• Reviewed demographic, clinical and insurance information before sending to referred specialists.
• Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
• Answered questions and resolved concerns raised by both patients and specialists.
• Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
• Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
• Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
• Collaborated with team members to identify and accomplish agency objectives.
• Lead team huddles regarding current processes and new new changes to current processes.
• Commended for timeliness and accuracy in all documentation, from initial contact to account closeout.

• Scheduled patients according to availability, urgency and insurance authorization guidelines.
• Verified documents and associated records to catch and resolve discrepancies.
• Reviewed demographic, clinical and insurance information before sending to referred specialists.
• Answered questions and resolved concerns raised by both patients and specialists.
• Collaborated with team members to identify and accomplish agency objectives.
• Collected payments in card or cash for payment of reproductive services.
• Constant communications with physicians, mid level providers, schedulers and billing to provide the best all around patient experience.

• Checked patient insurance and collected pre-authorizations from providers.
• Worked with operating facilities to schedule procedures on behalf of 9 ENT surgeons.
• Gathered current medical information and reviewed histories to gather details for surgeons.
• Located scheduling barriers and implemented appropriate solutions.
• Collaborated and established strong working relationships with physicians, supervisors and colleagues.
• Coordinated work processes and routed paperwork to appropriate physicians and staff members.
• Booked surgeries according to physician volume and maintained prompt turnaround times.
• Conveyed information to patients about arrival times and preoperative procedures.
• Checked physician orders and schedule availability to make accurate appointments for tests and surgical procedures.
• Used accurate procedure codes for billing purposes and to help operating teams be correctly prepared for each operation.
• Routed case confirmations and made schedule updates each day.
• Organized patient medical records and worked with insurance company representatives to obtain authorization.
• Created and maintained accurate and confidential patient files according to regulatory mandates.
• Coordinated office schedules for new patients, diagnostic assessments and procedures.
• Communicated with patients to gather intake data and verify chart information.
• Worked with 9 doctors to prepare correct equipment and supplies for over 22 daily procedure appointments.
• Updated patient financial information to promote accurate record keeping.
• Adhered to HIPAA requirements to safeguard patient confidentiality.
• Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
• Managed medical practice administrative needs to provide patient satisfaction.
• Organized and maintained patient charts with proper classification and filing systems.
• Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.

Working in this position a a continuation of employment, while I search for a position that will utilize my qualifications and experience after recent relocation to Portland. I worked at both Portland Oregon location and Issaquah, Washington.

• Prompted customers to buy loyalty and protection plans, driving company revenue and meeting performance targets.
• Trained new team members in cash register operation, stock procedures and customer service.
• Packed and bagged products according to customer preferences.
• Rectified discrepancies between accounting records and cash drawer by researching daily transactions to pinpoint issues.
• Handled cash, card, check, gift card and coupon transactions for customer purchases.

Coordinate and manage 16 Operating Rooms, ensuring that resources, such as providers, anesthesiologist, equipment, and rooms are available and being used in the most efficient manner possible. Effectively communicate with clinics in reference to patient needs, time constraints, and scheduling conflicts, to best utilize all resources. Verified procedure codes and diagnosis codes with clinics to ensure the correct amount of time, equipment and providers were available to the surgical suites. Troubleshoot any issues that arise due to changes in the providers or patients schedules. Schedule Anesthesia Group provider to each procedure, coordinating with room, time, and procedures.

Represented the hospital in obtaining insurance authorizations for testing, procedures and surgeries in an extremely sensitive area of healthcare.  Guided patients to other forms of financial assistance, always mindful of the complexity of some financial situations.  Obtained recovery of  over $400.000.00 in lost revenue due to previous denials.  Documented problematic codes that would lead to insurance denials, corrected, and resubmitted for positive reimbursement.

Lead scheduler and co- supervisor managing 31 schedulers and registrars for 8 locations. Trained in use of IDX, DECRAD, and RIS scheduling systems. Trained new hires onsite, in all aspects of their positions. Participated and made recommendations as to hiring New associates. Attended all meeting with senior management to update on production issues and address any concerns. Updated knowledge base of software, writing procedure protocols to enable all schedulers to be equipped with real time information to perform their tasks at top level. Streamlined procedures for more efficient, productive means of scheduling of all provider types.. Working scheduler, scheduling up to 60 procedures per day, to augment the scheduling team.

Responsible for accurately scheduling approximately 75 tests, exams, and procedures, daily.  Coordinating clinic appointments, managing priorities, and communicating with patients, providers, and coworkers. Verified patient insurance coverage for positive financial reimbursement.   Assisted supervisor and manager in staffing needs. Tasked with being "super user" during transition to EPIC electronic medical record to address any issues that might arise to impede productive and efficient scheduling of procedures, tests, and imaging.

Managed patient scheduling and room coordination, for 30 physicians and physician's assistants. Instructed and provided patient information for upcoming tests and procedures. Scheduled in excess of 80 procedures per day, in addition to compiling and mailing pre-procedure information. Utilized multiple software systems to effect complete scheduling processes according to department protocol. Used superior communication skill to develop rapport with customer, patients, and coworkers, ensuring both internal and external customers received the highest level of care Trained new employees on radiology systems and protocols. Trained in Lean Six Sigma with my team, earning a $1000.00 prize for implementing a cost saving platform.

Responsible for assisting up to 420 passengers per day, which included providing safety information and adhering to standard policies and procedures. Provided excellent customer service, ensuring a pleasant and safe travel experience. Coordinated with ramp agents to verify that all baggage was placed on the correct outgoing flight. Greeted passengers, verified tickets and directed passengers to assigned seats. Address any concerns immediately, providing information helpful for the situation. Explained the use of safety equipment and answered passenger's questions.

Supervised unaccompanied minor during flights. Trained emergency medical assistance personnel in case of inflight medical emergency

Responsible for the scheduling and performing various physical testing on patients, including phlebotomy, vital signs, EKG testing, weight and urine samples which were used to qualify patients for life insurance policies.  Performed administrative tasks, scheduling appointments and accurately documenting information. Documentation, packaging and mailing specimens to independent laboratory for processing.

Managed all scheduling of appointments, testing, biopsies and resources for both Pediatric Diagnostic Imaging and after promotion, with patients for the Department of Pediatric Neurosurgery, within the hospital. . Utilized, daily, EPIC EMR, knowledge of medical terminology, ICD9 codes, CPT coding, to ensure accurate billing for all included testing. Assisted in surgery scheduling for Pediatric Neurosurgery procedures and surgeries, to included scheduling rooms, providers, dates and times, to utilize resources more efficiently, creating a better, more streamlined, workflow. Scheduled appointments, input orders, and coordinated outside testing and imaging for patients at outside clinics.

Applied HIPAA privacy and security regulations while handling patient information.

While in my capacity as a Patient Access Resource Specialist, I was applied for and was assigned as the Diagnostic imaging Scheduler for Pediatrics at Doernbecher Children's Hospital on the OHSU campus. In my position, I was the only scheduler for multiple modalities and the liver transplant scheduler.

Later, I applied for, and was assigned a transfer to Pedatric Neurosurgery as a Patient Care Coordinator and surgery scheduler. I was responsible for coordination and scheduling for all testing and procedures for patients. Communicated requirements and schedules for patients' families, in the most time efficient schedule for providers and families. Coordinated with multiple departments ensuring the needs and requirements of the patient are addressed at the highest level.

Supervisor for training and development of multiple soldiers over my tenure. Scheduled minor surgical procedures that required careful and accurate coordination of time, resources, providers, and assistants. This was part of my duties on the medical surgical floor, Ob/Gyn, and Internal Medicine over the 5 years that I was stationed at HMEDDAC hospital in Heidelberg Germany. Worked as admissions clerk for main hospital. Admitted soldiers and family members for various procedures, and surgeries, for both inpatient and outpatient admissions and registrations. Performed various duties, which included assisting physicians in medical procedures, ordering tests and exams, scheduling follow up appointments and interpreting results. Utilized ICD 9 and CPT coding daily, to ensure accurate billing of military resources. Prepared US ARMY Hospital Heidelberg, for successful JHACO inspections. Served as special assistant to high ranking military personnel, performing administrative tasks as scheduling personal appointments, answering phone calls, organizing official event and coordination of travel. Represented the command, when needed, at various official meetings and events. Obtained my EMT-B

Performed EKG and stress tests for high level officers for preventative testing and diagnostics.

certification during Basic Training

Scheduler and Treatment Coordinator for Hematology/ Oncology.

• Assisted in developing and implementing patient care plans.
• Monitored, evaluated, and reported patient progress to physicians.
• Coordinated with other healthcare professionals to ensure optimal patient care.
• Developed strategies for improving quality of service delivery to patients.
• Maintained accurate medical records for all patients under care.