Summary
Overview
Work History
Education
Skills
Certification
Career Experience
Timeline
Receptionist

Dawn Wojick

Summary

  • Proactive, detail-oriented self-starter with interest and willingness to learn new skills.
  • Extensive administrative skills, strong communication and inter-personal skills to provide efficient techniques that will contribute and assist in maximizing the growth of the company. Travel arrangements Manage multiple schedules Coordinate and execute office events
  • Proficient in Microsoft Office (Excel, PowerPoint, Access, Outlook) Manage communications; phone messaging, calendars, expense reports, mail review, document flow processing draft concise internal and external correspondence.
  • Friendly and adaptable professional. Demonstrated abilities to resolve even the toughest challenges.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Patient Account Representative I

OHSU
Portland, OR
03.2023 - Current
  • Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
  • Research discrepancies in patient accounts to determine appropriate resolution.
  • Research denials and underpaid insurance balances.
  • Submit reconsiderations/appeals on behalf of the provider when appropriate, based on findings from research conducted into denied and/or underpaid claims.
  • Interacts with insurance companies and agencies in the resolution of unpaid balances.
  • Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
  • Responded promptly to customer inquiries via telephone or email in a professional manner.
  • Refunds
  • Adjustments per department policy.

Reimbursement Specialist

CloudMed
Remote
01.2022 - 03.2023
  • Oversaw the monthly invoicing for multiple clients.
  • Track payments and follow up on outstanding accounts.
  • Identify client rebills and follow-up trends that may impact revenue.
  • Generate client facing invoices (account level and summary)
  • Complete quarterly historical invoicing projects.
  • Attend and document Client HIS/EMR System Navigation Training.
  • Monitor client rebills performance via bi-weekly reconciliation and escalate timely delays, non-DRG payers, and removals to the associate managing the client account.
  • Manage client invoicing inquiries and work to resolve account discrepancies.
  • Contribute to the development of invoicing methodologies and application tool enhancements.
  • Develop summary guides on the invoicing process for each client.
  • Contribute towards achievement of DRG-V and CC service line goals.

Patient Account Representative I

OHSU
Portland, OR
06.2021 - 12.2021
  • Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
  • Research discrepancies in patient accounts to determine appropriate resolution.
  • Research denials and underpaid insurance balances.
  • Submit reconsiderations/appeals on behalf of the provider when appropriate, based on findings from research conducted into denied and/or underpaid claims.
  • Interacts with insurance companies and agencies in the resolution of unpaid balances.
  • Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
  • Responded promptly to customer inquiries via telephone or email in a professional manner.
  • Refunds
  • Adjustments per department policy.

Patient Account Representative I

University Medical Group
Remote
12.2020 - 06.2021
  • Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
  • Research discrepancies in patient accounts to determine appropriate resolution.
  • Research denials and underpaid insurance balances.
  • Submit reconsiderations/appeals on behalf of the provider when appropriate, based on findings from research conducted into denied and/or underpaid claims.
  • Interacts with insurance companies and agencies in the resolution of unpaid balances.
  • Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
  • Responded promptly to customer inquiries via telephone or email in a professional manner.
  • Refunds
  • Adjustments per department policy.

Billing / Prior Authorizations

Columbia Memorial Hospital
Astoria, OR
09.2018 - 11.2020
  • Billing Medicare and Medicare Advantage claims.
  • Investigated and resolved problem accounts for Medicare and Medicare Advantage claims.
  • Appeals for denied claims related to medical necessity and/or prior authorizations.
  • Prior authorizations for the OHSU Knight Cancer Center and other departments, as needed.
  • Problem solving related to diagnosis-related medical necessity prior authorizations.
  • Liaison between Columbia Memorial Hospital and insurance companies (including sub-contracted companies).
  • Miscellaneous tasks, as assigned by management.

Medical Billing Specialist / Administrative Assistant

Cedar Sinai Park (Aerotek – Contract position)
Portland, OR
01.2018 - 06.2018
  • Enter resident payments.
  • Enter resident charges.
  • Submitted statements to Long-Term Care insurance companies on behalf of the residents.
  • Customer Service.
  • Document proofreading/writing for Administration.
  • Miscellaneous tasks assigned by management.

Lead Biller & Administrative Assistant

Center for Natural Medicine
Portland, OR
07.2016 - 01.2018
  • Entered and billed all clinic services.
  • Provider billing and charting education.
  • Referrals and prior authorizations.
  • Investigate and resolve problem accounts.
  • Credentialing
  • Patient Advocacy.
  • Miscellaneous tasks assigned by management.

Billing Specialist – Patient Accounting

Tuality Healthcare (Contract position)
Hillsboro, OR
03.2016 - 07.2016
  • Billing of daily charges from the hospital.
  • Investigate and resolve problem accounts with insurance companies.

Administrative Assistant/Authorization Specialist

DePaul Treatment Centers (Contract position)
Portland, OR
11.2015 - 02.2016
  • Eligibility and Benefit verifications.
  • Authorization submissions for residential clients to insurance companies.
  • Investigated and resolved problem accounts, data entry, training, and filing.

Administrative Assistant/Department Coordinator II – Cardiothoracic Surgery

Palo Alto Medical Foundation
Santa Cruz, CA
10.2014 - 06.2015
  • Office point of contact for patients, Physician(s), care team(s), and Hospital
  • Greeted and registered patients.
  • Insurance coverage eligibility and benefit verification, and procedure/surgery scheduling.
  • Telephoned management, scheduled change implementation
  • Fee ticket preparation
  • Orientation/training for department new hire(s)
  • Miscellaneous projects as assigned by Physician/Management.

Education

Associate of Arts - Law And Society

Foothill College
Los Altos, CA

Skills

  • Proactive
  • Detail-oriented self-starter
  • Willingness to learn new skills
  • Dependable
  • Adaptable
  • Computer literate
  • Excellent communication skills
  • Analytical skills
  • Organizational skills
  • Extensive administrative skills
  • Strong communication and interpersonal skills
  • Proficient in Microsoft Office (Excel, PowerPoint, Access, Outlook)
  • Manage communications
  • Problem solver
  • Travel arrangements
  • Manage multiple schedules
  • Coordinate and execute office events
  • Medical Billing
  • Coding
  • File coordination
  • Insurance Verification
  • Collections experience
  • Follow-up skills
  • Physicians' orders
  • Medical Terminology
  • Patient Care
  • HIPAA understanding
  • Insurance Billing
  • Excellent judgment
  • HIPAA Compliance
  • Verbal and written communication
  • Insurance collaboration
  • Administrative Support
  • Payment Processing
  • Medical terminology knowledge
  • Team Collaboration

Certification

Certified Revenue Cycle Specialist - CRCS

Career Experience

  • OHSU, Remote, Portland, OR, 03/2023, Present, Patient Account Representative I, Processes and documents transactions on insurance accounts in EPIC, Research denials and underpaid insurance balances, File reconsiderations and medical necessity appeals, Interacts with insurance companies and agencies in resolution of unpaid balances, Refunds, Adjustments per department policy
  • CloudMed, Remote, 01/2022, 03/2023, Reimbursement Specialist, Oversee the monthly invoicing for multiple clients, Track payments and follow-up on outstanding accounts, Identify Client rebills and follow-up trends that may impact revenue, Generate client facing invoices (account level and summary), Complete quarterly historical invoicing projects, Attend and document Client HIS/EMR System Navigation Training, Monitor Client rebills performance via bi-weekly reconciliation and escalate timely delays/non-DRG payers/removals to the Associate managing the Client account, Manage client invoicing inquiries and work to resolve account discrepancies, Contribute to the development of invoicing methodologies and application tool enhancements, Develop summary guides on invoicing process for each Client, Contribute towards achievement of DRG-V and CC service line goals
  • University Medical Group, Remote, Portland, OR, 12/2020, 6/2021, Patient Account Representative I, Processes and documents transactions on insurance accounts in EPIC, Research denials and underpaid insurance balances, File reconsiderations and medical necessity appeals, Interacts with insurance companies and agencies in resolution of unpaid balances, Refunds, Adjustments per department policy
  • Columbia Memorial Hospital, Astoria, OR, 09/2018, 11/2020, Billing / Prior Authorizations, Billing Medicare and Medicare Advantage claims, Investigated and resolved problem accounts for Medicare and Medicare Advantage claims, Appeals for denied claims related to medical necessity and prior authorizations, Miscellaneous tasks as assigned by management, Prior authorizations for the CMH Cancer Center, and other departments as needed, Problem solving related to diagnosis related medical necessity prior authorizations, Liaison between CMH and insurance companies (including sub-contracted companies)
  • Cedar Sinai Park (Aerotek – Contract position), Portland, OR, 01/2018, 6/2018, Medical Billing Specialist / Administrative Assistant, Enter resident payments, Enter resident charges, Submitting statements to Long Term Care companies for residents, Customer Service, Document proofing / writing for Administration, Miscellaneous tasks assigned by Management
  • Center for Natural Medicine, Portland, OR, 07/2016, 1/2018, Lead Biller & Administrative Assistant, Billing all clinic charges, In office referrals, Investigate & resolve problem accounts, Credentialing, Patient Advocacy, Miscellaneous tasks assigned by Management
  • Tuality Healthcare (Contract position), Hillsboro, OR, 03/2016, 7/2016, Billing Specialist – Patient Accounting, Billing of daily charges from the hospital, Investigate and resolve problem accounts with Insurance companies
  • DePaul Treatment Centers (Contract position), Portland, OR, 11/2015, 2/2016, Administrative Assistant/Authorization Specialist, Authorization submissions for residential clients to insurance companies, Investigated and resolved problem accounts (billing), data entry, training, and filing
  • Palo Alto Medical Foundation, Santa Cruz, CA, 10/2014, 6/2015, Administrative Assistant/Department Coordinator II – Cardiothoracic Surgery, Office point of contact for patients, Physician(s), care team(s), and Hospital, Greeted patients, patient registration, insurance coverage eligibility and benefit verification, procedure/surgery scheduling, Telephoned management, scheduled change implementation, fee ticket preparation, orientation/training for department new hire(s), Miscellaneous projects as assigned by Physician/Management

Timeline

Patient Account Representative I

OHSU
03.2023 - Current

Reimbursement Specialist

CloudMed
01.2022 - 03.2023

Patient Account Representative I

OHSU
06.2021 - 12.2021

Patient Account Representative I

University Medical Group
12.2020 - 06.2021

Billing / Prior Authorizations

Columbia Memorial Hospital
09.2018 - 11.2020

Medical Billing Specialist / Administrative Assistant

Cedar Sinai Park (Aerotek – Contract position)
01.2018 - 06.2018

Lead Biller & Administrative Assistant

Center for Natural Medicine
07.2016 - 01.2018

Billing Specialist – Patient Accounting

Tuality Healthcare (Contract position)
03.2016 - 07.2016

Administrative Assistant/Authorization Specialist

DePaul Treatment Centers (Contract position)
11.2015 - 02.2016

Administrative Assistant/Department Coordinator II – Cardiothoracic Surgery

Palo Alto Medical Foundation
10.2014 - 06.2015

Associate of Arts - Law And Society

Foothill College
Dawn Wojick