Gwendolyn Hodges
San Antonio
Summary
Billing and coding professional with extensive experience in medical administration. Focused on verifying insurance coverage, obtaining authorizations, and enhancing clinic operations through effective communication with staff and patients. Committed to maintaining compliance with regulations while actively pursuing advanced coding certifications.
Overview
4
4
years of professional experience
Work History
Inpatient admissions coordinator
Methodist Rehab Hospital
San Antonio
10.2025 - Current
- Verified insurance coverage, obtained authorizations and referrals, supported financial counseling activities, and served as a resource for clinic staff on insurance and benefits questions, enhancing overall patient admission processes.
- Acted as a resource to clinic staff regarding insurance and benefit requirements.
- Handled high-volume phone inquiries regarding appointments, insurance, and referrals, improving communication and service delivery for patients and clinic staff.
- Maintains accurate documentation of insurance and authorization information.
- Maintained up-to-date knowledge of insurance policies and regulations.
- Documented all interactions with insurance companies and patients accurately in records.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Managed workflow queues to prioritize tasks based on urgency and importance.
- Generated reports on status of pending insurance verifications, facilitating timely follow-up and resolution of outstanding issues.
Inpatient admissions coordinator
San Antonio Rehab Hospital
San Antonio
01.2024 - 10.2025
- Communicated with insurance companies to resolve discrepancies in coverage.
- Collaborated with healthcare providers to obtain necessary documentation for claims.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Responsible for verifying insurance coverage, obtaining authorizations and referrals, supporting financial counseling activities, and serving as a resource to clinic staff on insurance and benefits questions
- Assist patients with questions related to insurance coverage and financial responsibilities.
- Handle high-volume phone inquiries related to appointments, insurance, and referrals.
Full-time student
Ultimate Medical Academy
San Antonio
08.2022 - 01.2024
- Organized study sessions to support classmates in understanding complex subjects.
- Trained in diagnostic and procedural coding using ICD-10-CM, CPT, and HCPCS Level II
- Learned claims submission, payment posting, insurance verification, and denial resolution processes
- Practiced accurate documentation review to support coding compliance and reimbursement accuracy
Skills
- Accounts Receivable
- CMS 1500
- CMS 1450 (UB-04)
- Collections
- Co-Insurance
- Co-Pays
- Deductibles
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Eligibility of Benefits (EOBs)
- Front Office Operations
- Government (Medicare & Medicaid)
- Insurance Claim Processing
- Insurance Verification
- Managed Care Organizations (HMO, PPO, POS)
- Medical Billing & Coding
- Medical Office Procedures
- Posting Payments
- Revenue Cycle Management
- Scheduling
- Third Party Payers
- Workers Compensation
Timeline
Inpatient admissions coordinator
Methodist Rehab Hospital
10.2025 - Current
Inpatient admissions coordinator
San Antonio Rehab Hospital
01.2024 - 10.2025
Full-time student
Ultimate Medical Academy
08.2022 - 01.2024