Jeanette Arlene Woolman
Mt. Vernon,WA
Overview
29
29
years of professional experience
Work History
Client Service Rep I
Ciox Health
10.2016 - 10.2022
- Process records and HEDIS requests of records for numerous facilities. Including but not limited to Evergreen Monroe, Evergreen Kirkland, Ankle and Foot Clinic, and WWMG. Ended prn for all facilities. Processed records from home.
Discharge Planner Assistant
Skagit Valley Hospital
10.2022 - 05.2023
- Looked for appropriate beds for patients that where in-house. Called from Skagit county to Thurston County. Verified insurance eligibility and benefits for In patient stay. Worked denial list for wrong prognosis and diagnosis.
HUC/CNA
Providence Health & Services
Everett, WA
10.2019 - Current
- Admits, discharges and transfers patients; assembles charts; copies and faxes information. Admits include vitals, communication with family members, and preparation for procedures. Distributes mail; answers phone; orders forms and supplies; monitors inventory; assembles admit and other patient packets; schedules appointments. Attends and participates in change of shift report, answers phone using script, communicates in a clear courteous, friendly manner; assists co-workers with duties. Updates departmental files, transcription and entry of orders, appropriately maintains progress reports, lab reports, history and physical reports, and all departmental files to ensuring timely availability of information to other staff members.
- Part time
Medical Records Specialist
Providence Health & Services
, WA
07.2015 - 10.2019
- Scan all records into to the appropriate patient folder on a daily basis in our electronic medical record system. Use independent decision making skills to respond to complex situations with confidence. Analyze, assess, code and find resolution to problem charts in an efficient matter.
- Full time
- Broadway Campus
Access Service Technician/Scheduler
Providence Hospice
, WA
12.2012 - 07.2015
- Assist with initial and ongoing communications/coordination between hospice and private insurance companies or Department of Social and Health Services to ensure that patient benefits are negotiated and understood at the onset of care and that the necessary ongoing communication requirements of private insurance companies and DSHS are fulfilled. Verify patient eligibility for the Medicare and/or Medicaid Hospice Benefit. Work closely with other Intake Staff to ensure responsiveness to referral sources with the appropriate follow through. Complete intermittent Hospice/Quality Assurance projects. Schedule nurses, physicians, bath aids, Medical Social Workers, and Chaplains to visit patients that are currently on hospice. Keep schedules for clinicians current and flowing. Schedule hospice admits, and other clerical and scheduling duties as assigned. Reviewing and sending records for recertification periods, confirming patient was still hospice eligible and all criteria was still meeting Medicare guidelines before sending to reviewing physician. This being date sensitive and benefit period sensitive. Applying appropriate code for diagnosis. Worked denials for drugs, equipment and 60/60/30 day reviews.
- Everett WA; King and Snohomish County.
Government Re-Imbursement Specialist
Providence Regional Medical Center
Everett, WA
11.2002 - 12.2012
- Trained and capable of covering all financial counselor positions. Screen low-income and low-resource patients for Medicare, Medicaid, WSHIP and any other payer source for their in-patient stay. Apply and process for Medicare; aged and/or disabled, Medicaid and charity, from application start to finish. Decipher if patient is Cobra eligible, or if can profit from other insurance. Receipt and receive cash payments; greet and resolve patient disputes and questions about bills, services and payments. Resolve denied claims for payment. Quote patient prices on procedures and obtain insurance information from floors, phone conversations and office visits. Pull Medical records for review. Medical records where to be reviewed and faxed to L&I for claim consideration, beginning and continual claims. Records were also requested for secondary insurance and auto claims. Pull & Review records for: Observation vs. Inpatient status of hospital claims. Review records for complaint calls, before sending to complaint department; this included pulling records and claim, comparing, asking for erroneous claims to be adjusted.
- Everett WA.
Surgery Scheduler
Western Washington Medical Group
09.1997 - 09.2000
- Responsible for scheduling surgeries and anesthesia for 3 campuses. Including, but not limited to, pulling correct surgery cards, allotting correct amount of time, prioritizing procedures and taking direction from chain of command. Responsible for auditing and analyzing medical records for denied and underpaid claims at Pacific Campus in order to insure Western Washington Medical Group re-imbursement was fair on all procedures. If payment was not obtained, responsible for seeing what could be done to get reimbursed, which included review of medical records and claims.
Timeline
Discharge Planner Assistant
Skagit Valley Hospital
10.2022 - 05.2023
HUC/CNA
Providence Health & Services
10.2019 - Current
Client Service Rep I
Ciox Health
10.2016 - 10.2022
Medical Records Specialist
Providence Health & Services
07.2015 - 10.2019
Access Service Technician/Scheduler
Providence Hospice
12.2012 - 07.2015
Government Re-Imbursement Specialist
Providence Regional Medical Center
11.2002 - 12.2012
Surgery Scheduler
Western Washington Medical Group
09.1997 - 09.2000