Haley Woods
Amory,MS
Summary
Results driven Medical Biller with over 10 years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Overview
12
12
years of professional experience
Work History
OMS Billing Specialist
Dental Claim Support
Savannah , GA
2022.08 - Current
- Tracked overdue payments from insurance companies to ensure prompt reimbursement.
- Advised management on strategies to improve efficiencies within the dental practice's billing department.
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
- Analyzed trends in denied claims or other problems that might indicate a need for policy changes or additional training.
- Corresponded with insurance companies via phone and email regarding claim statuses.
- Monitored changes in dental coding requirements and implemented updates accordingly.
- Analyzed rejected claims and identified errors in order to re-submit them for payment.
- Maintained updated knowledge of regulations related to dental insurance billing processes.
- Accurately posted insurance payments and ensured accounts balanced
Insurance Coordinator
Boyd Family Dentistry
Amory , MS
2015.06 - 2022.02
- Informed patients of claims status after filing insurance claims.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Obtained maximum reimbursement by following up on unpaid claims and reviewing monthly aging reports.
- Secured pre-authorizations and pre-certifications for minor surgical procedures performed in office settings.
- Organized information by using spreadsheets, databases or word processing applications.
- Submitted claims to insurance companies and clearinghouses.
- Prepared and reviewed insurance-claim forms and related documents for completeness.
- Maintained up-to-date knowledge of industry trends in order to provide customers with the best possible coverage options.
- Analyzed weekly and monthly financial reports and reviewed accounts receivable reports and insurance contracts to facilitate revenue cycle management.
- Filed insurance claims by obtaining and entering data related to patient, insurance provider, and medical code for procedures and services provided.
Dental Hygienist
Boyd Family Dentistry
Amory , MS
2013.07 - 2022.02
- Handled general office duties to support administrative staff during peak hours.
- Developed treatment plans based on diagnosis and discussed with dentists.
- Customized prophylactic treatment to individual patients' needs.
- Removed plaque and tartar from teeth using hand and mechanical scaler tools.
- Provided patient education on proper oral hygiene techniques and preventive dental care.
- Performed root planing procedures to remove plaque from below the gum line.
- Examined gums manually and visually to determine periodontal disease and screen for oral cancer.
- Maintained accurate records of patient treatment plans using electronic medical records software.
Dental Assistant
Magnolia Family Dentistry
Columbus , MS
2012.06 - 2013.07
- Took bitewing, periapical, panoramic and occlusal X-rays and prepared for dentists to review.
- Reviewed patient charts prior to visits to ensure that all relevant information was available for the doctor's review.
- Briefed patients on dental procedures and payment plans to help make informed decisions.
- Sanitized equipment, cleaned treatment rooms and restocked supplies after each patient's treatment to maintain cleanliness and prepare for next patient.
- Provided chair-side assistance during dental procedures, including passing instruments to the dentist and holding suction devices.
- Entered patient data into dental records system and observed confidentiality rules to maintain patient privacy.
- Fabricated temporary crowns or bridges from impressions taken by the dentist.
- Educated patients on treatment procedures and post-procedure home care.
- Created dental x-rays using traditional and digital methods to help dentists detect tooth decay, cavities and other issues needing to be treated.
Education
Associate of Applied Science - Dental Hygiene
Northeast Mississippi Community College
Booneville, MS2012-05
Skills
- Claims Processing
- Payment Posting
- Billing Dispute Resolution
- Audit Procedures
- Coding Proficiency
- Collections
- Medical Billing and Collections
- Quality Control
- Customer Account Management
- Account Reconciliation
References
References available upon request.
Timeline
OMS Billing Specialist
Dental Claim Support
2022.08 - Current
Insurance Coordinator
Boyd Family Dentistry
2015.06 - 2022.02
Dental Hygienist
Boyd Family Dentistry
2013.07 - 2022.02
Dental Assistant
Magnolia Family Dentistry
2012.06 - 2013.07
Associate of Applied Science - Dental Hygiene
Northeast Mississippi Community College
Similar Profiles
Caitlin GarciaCaitlin Garcia
Customer Success Manager at Dental Claim SupportCustomer Success Manager at Dental Claim Support
Jenna HagerJenna Hager
Revenue Cycle Manager - Contract at Dental Claim SupportRevenue Cycle Manager - Contract at Dental Claim Support
Hannah TarpleyHannah Tarpley
Remote Dental Biller at Dental Claim SupportRemote Dental Biller at Dental Claim Support