Kelly Woods
Sugar Grove,VA
Summary
Highly-motivated employee with desire to take on new challenges and achieve goals for the Mount Rogers PACE program. Goal-oriented and familiar with managing records, scheduling appointments, and overseeing other administrative tasks in a fast-paced settings. Committed to engaging participants to help each understand the value of our program and services. Proficient at performing key administrative tasks in support of enrollment procedures. Strong coordination and leadership skills with the ambition to persevere.
Overview
16
16
years of professional experience
Work History
Intake/Enrollment Coordinator
Mount Rogers Pace
Marion, VA
12.2022 - Current
- Accept incoming referrals from participants, family and/or other sources
- Ensure new participants meet Long-Term Care requirements with DSS, including completing Medicaid applications
- Complete intake and follow-up on documentation to verify PACE eligibility
- Coordinate visits by potential participants and caregivers to the PACE center
- Conduct PACE presentations in the community, including DSS, hospitals, physicians and families
- Coordinate visits by potential participants and caregivers to the PACE center
- Coordinate and place PERS orders for AllCARE for Seniors and Mount Rogers PACE while maintaining a log of orders
- Collect data on referrals and potential enrollees who did not enroll
- Participate in staff meetings and in-service training as required
Business Teacher
Marion Senior High School
Marion, VA
08.2021 - 12.2022
- Provide effective teaching and training for students
- Encourage and motivate students to set, achieve, and maintain high standards of academic success
- Establish and maintain positive appropriate rapport with students
- Demonstrate mastery of content area, curriculum and current instructional practices
- Evaluate student progress using a variety of assessment techniques and provides timely and effective evaluative feedback to students
- Maintain current knowledge of effective educational materials
- Deliver instruction using a variety of strategies and resources
Medical Administrative Assistant
Ellis Home Oxygen & Medical Equipment
Marion, VA
08.2008 - 08.2021
- Review medical documentation provided to ascertain that it is in line with the insurance company policies
- Managed patient payments by collecting copays and deductibles
- Post patient payments to accounts
- Submit authorizations to all insurance companies for DME/HME equipment
- Discussed clinical notes with insurance companies to receive authorization for DME equipment ordered by the physician
- Accurately entered procedure codes, diagnosis codes, and patient information
- Interpreted medical reports to apply appropriate ICD-10 and HCPC Codes
- Remain up to date with all insurance requirements, including details of patient financial responsibilities, fee-for-service, and managed care plans
Education
Bachelor of Science, Business Administration -
University of Virginia’s College at Wise
Skills
- Knowledge of and ability to apply the PACE philosophy and principles
- Knowledge of HMO’s, Medicare, and Medicaid of Virginia Regulations
- Knowledge of Long Term Care Medicaid and proficient in completing Medicaid application
- Time management and problem solving skills
- Proficient in ICD-10 Coding/HCPCS Coding
- Excellent organizational and customer service skills
- HIPPA Compliance
- Patient-focused care
- Strong work ethic
- Ability to communicate effectively verbally and in writing
References
References available upon request.
Timeline
Intake/Enrollment Coordinator
Mount Rogers Pace
12.2022 - Current
Business Teacher
Marion Senior High School
08.2021 - 12.2022
Medical Administrative Assistant
Ellis Home Oxygen & Medical Equipment
08.2008 - 08.2021
Bachelor of Science, Business Administration -
University of Virginia’s College at Wise
Similar Profiles
Pamela ShupePamela Shupe
DSP at Mount Rogers Community ServicesDSP at Mount Rogers Community Services
KRISTEN LUNDYKRISTEN LUNDY
ID DD Support Coordinator / Case Manager at Mount Rogers Community ServicesID DD Support Coordinator / Case Manager at Mount Rogers Community Services
Charlene CrouseCharlene Crouse
Mount Rogers Sponsored Residential Provider at Mount Rogers Community ServiceMount Rogers Sponsored Residential Provider at Mount Rogers Community Service
Susan M. JonesSusan M. Jones
Tech 1 in biohazard chemical cleanup at First call environmentalTech 1 in biohazard chemical cleanup at First call environmental
LISA MITCHELLLISA MITCHELL
Nurse Manager, Free Medical Clinic at Mel Leaman Free ClinicNurse Manager, Free Medical Clinic at Mel Leaman Free Clinic