Kenyatta Woolfolk
Columbus,OH
Summary
Dedicated and detail-oriented recent graduate with over 13 years of experience in healthcare and patient financial services, specializing in ICD-10 and CPT coding, prior authorization management, and operational efficiency improvements. Recognized for strong leadership abilities in training staff and enhancing patient access processes, resulting in streamlined operations within medical environments. Proactive Financial Counselor equipped with extensive knowledge of healthcare insurance and adept at utilizing Epic and various payor portals to facilitate seamless communication between patients, physicians, and insurance companies. Committed to delivering exceptional patient care and support across diverse healthcare settings while effectively managing multiple tasks.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Financial Counselor
Ohiohealth
11.2025 - Current
- Screen patients for financial assistance
- Obtain financial documents to process assistance applications
- In-person visits to patients to collect on past due amounts if assistance is not available.
- Verify insurance coverage and refer to medicaid vendor if unable to locate active coverage.
- Call patients with upcoming appointments to screen for potential assistance eligibility
Prior Authorization Specialist
OHIO GASTROENTEROLOGY GROUP
06.2024 - 11.2025
- Initiate prior authorization requests for medications
- Advanced knowledge in ICD-10 and CPT coding
- Submit appeals for reconsideration
- Research visit notes in order to properly answer insurance questions
- Prove medical necessity by submitting clinical documentation
- Follow up on submissions until completed
- Call patients to ensure we have the most up to date contact information
- Work as a liaison between the provider and insurance companies
- Set up peer-to-peer meetings for further review on denied prior authorizations
- Train incoming PA Specialists and Physician Liaisons helping with PA work queue
Clinical Coordinator/ Leadership/ Prior Auth Specialist *Promotion*
OSU Physicians- Division of Otolaryngology and Facial Plastics
09.2023 - 06.2024
- ADMIN/DEPARTMENTAL COORDINATOR DUTIES
- Cash drawer: reconciling drawer, taking cash and checks down to deposit, and resolve errors/issues with balancing drawers
- Research billing discrepancies and find solutions
- Train other clinics on how to put in estimates (urology or any area that needs it)
- Update resource binders and training materials
- Find more efficient ways for daily operations and office support then communicate to clinical and administrative staff what those changes are.
- Liaison for escalated issues that arise before manager involvement
- Cosmetic product inventory and ordering
- Checks and balances for precerts initiated by the hospital precert team/ fix any issues that I find
- Submitting any errors to discuss possible solutions regarding precert and bridge the gap in communication between departments
- Help with challenging workflow to assist in better day-to-day operations
- Assist with anything the managers need help completing
- Submit prior authorization for Cochlear implant and BAHA/Bone bridge
- Managing social media patient requests for appointments
- FACIAL PLASTICS COORDINATOR DUTIES
- Maintain surgeon's daily calendar and snapboard.
- Put in estimates for cosmetic services
- Make sure visit types are correct
- Correct/update appointment messages
- Make sure surgeries have case requests attached
- Ensure surgery requests are collected 3 weeks in advance
- Place new botox referrals
- Schedule Optum deliveries
- Get prior authorization for in-office procedures
- Advanced knowledge in ICD-10 and CPT coding for in-office cosmetic procedures
- Follow up with patients that have been seen but haven’t scheduled their procedure
- Cover scheduling phones in absence
- Add FYI if not already in the surgical case request
- GENDER AFFIRMING COORDINATOR DUTIES
- Obtain prior authorization for gender affirming patients
- Advanced knowledge in ICD-10 and CPT coding for same-day surgery center procedures
- Call to schedule gender affirming patients from waitlist
- Speak to gender affirming patients about next steps after prior auth denial
- Schedule or re-schedule backflow clinic appointments when needed
- Submit appeals info after denial
- Schedule P2P (peer-to-peer) after denial
- Verify insurance coverage if there’s a discrepancy in the system
- Check that patients have coverage/benefits for the surgery they scheduled
Patient Access Representative/ Prior authorization specialist
The Ohio State University Wexner Medical Center
08.2021 - 09.2023
- Pre- register and register patients for outpatient services
- Collect co-pays, deductible, and coinsurance, as required.
- Verify and add insurance to keep the patient's account up to date.
- Access to several resources to help patients understand their insurance and whether they are in or out of network.
- Assisting our OSU New Albany location with prior authorization support in their Colorectal and Esophageal clinic for almost a year.
- Train incoming new hires and make sure they understand day to day operations.
Prior Authorization Specialist- Managed Care
Nationwide Children's Hospital
03.2019 - 08.2021
- Initiate prior authorizations and chase until complete
- Uploading medical records electronically
- Make sure documents are scanned to patient charts.
- Make phone calls to check referral status and attach any needed documentation.
- Fax clinical to make sure information is updated for approval or additional visits in a timely manner
Denial Coordinator (contract)
Buckeye Health Plan
02.2019 - 03.2019
- Manage approved and denied claims (past and current)
- Researched and performed follow up for denied claims for resolution.
Patient Financial Specialist-Scheduler 3/Prior authorization specialist
Mount Carmel Health Corporate Services
11.2015 - 02.2019
- Register patients for outpatient procedures.
- Collect deductible, coinsurance, and past due balance payments when applicable.
- Scheduling/ re-scheduling surgical procedures (inpatient and outpatient), imaging, and follow up visits
- Schedule/ coordinate aftercare and outside facility visits
- Initiating and chasing prior authorizations
- Uploading medical records electronically
- Make sure all documents are scanned to patient charts in a timely manner
- Make phone calls to check referral status and retrieve progress notes.
Customer Care Rep-Scheduling/ Lead Assistant in training
Healthscope Benefits
10.2014 - 11.2015
- Answer questions regarding health insurance coverage, claims status, eligibility, and payments to members
- Filter calls for enrollment specialists
- Schedule consults with licensed brokers to go over plans and enrollment
- Train new CS agents on policies and customer service protocol
Intake Coordinator-Scheduling/Precert Specialist
Aetna
11.2013 - 10.2014
- Receive inbound calls to initiate precertification for medical procedures, both in and out patient. I also precert for diagnostic testing and an array of other medical needs.
- Administrative support
- Precert medical procedures for medical necessity.
- Schedule physical, occupational, and speech therapy visits.
- Make outbound calls to clinics and medical facilities to obtain clinical information.
- Collect plans of care for mental health visits and treatment.
- Precert for durable medical equipment (DME)
Credit Card Customer Care Representative/ Training Assistant
Alliance Data
01.2012 - 08.2013
- Receive inbound credit card inquiries from various retail companies
- Accept credit card payments and manage credit accounts
- Interact with various departments while resolving issues for customers
- Open new lines of credit to customers for retail companies.
- Extend lines of credit to existing members.
- Assist trainers with new hires. Monitor new hire calls to ensure premium customer service experience
Legal File Clerk
Stafford & Stafford Co LPA
09.2009 - 01.2012
- Organize and prepare files for an unlimited amount of clients
- Administrative support
- Scheduling client meetings to prep for court
- Open new client files for attorneys
- Use various computer programs and internet resources to research information for files.
- Manage more than 2,000 in-house client files.
- File, Copy, Fax, Binding etc.
- Perform clerical duties for attorneys, when needed.
- Answer incoming calls when call volume is high
- Transfer calls to individual’s as well as voicemail
- Greet clients and provide refreshments if needed
Photographer/sales rep
Sears Portrait Studio
01.2004 - 06.2005
- Scheduled photo sessions.
- Passport photo specialist
- Obtained certification in photographer through the Sears Portrait Studio program
- Specialize in taking and selling traditional and digital photos and products.
- Traditional film cutting and processing
- Create personalized photos for events, students, and other occasions
Education
Associate's degree - Liberal Arts And Sciences
Columbus State Community College
Columbus, OH12.2025
Certificate - Real Estate
Columbus State Community College
Columbus, OH05.2022
High school diploma or GED - undefined
Lakeside High School
Ashtabula, OH06.2005
Skills
- Team development
- Proficient in EMR software
- Insurance verification expertise
- Asset allocation
- Experienced with Microsoft office
- Insurance eligibility verification
- Professional telephone communication
- Financial counseling
- Financial agreement negotiation
Certification
- Real Estate Pre-Licensing May 2022 to Present
- HIPAA November 2013 to Present
- Driver's License
- CPR Certification
- First Aid Certification
Personal Information
- Work Permit: Authorized to work in the US for any employer
- Visa Status: Authorized to work in the US for any employer
Timeline
Financial Counselor
Ohiohealth
11.2025 - Current
Prior Authorization Specialist
OHIO GASTROENTEROLOGY GROUP
06.2024 - 11.2025
Clinical Coordinator/ Leadership/ Prior Auth Specialist *Promotion*
OSU Physicians- Division of Otolaryngology and Facial Plastics
09.2023 - 06.2024
Patient Access Representative/ Prior authorization specialist
The Ohio State University Wexner Medical Center
08.2021 - 09.2023
Prior Authorization Specialist- Managed Care
Nationwide Children's Hospital
03.2019 - 08.2021
Denial Coordinator (contract)
Buckeye Health Plan
02.2019 - 03.2019
Patient Financial Specialist-Scheduler 3/Prior authorization specialist
Mount Carmel Health Corporate Services
11.2015 - 02.2019
Customer Care Rep-Scheduling/ Lead Assistant in training
Healthscope Benefits
10.2014 - 11.2015
Intake Coordinator-Scheduling/Precert Specialist
Aetna
11.2013 - 10.2014
Credit Card Customer Care Representative/ Training Assistant
Alliance Data
01.2012 - 08.2013
Legal File Clerk
Stafford & Stafford Co LPA
09.2009 - 01.2012
Photographer/sales rep
Sears Portrait Studio
01.2004 - 06.2005
Certificate - Real Estate
Columbus State Community College
High school diploma or GED - undefined
Lakeside High School
Associate's degree - Liberal Arts And Sciences
Columbus State Community College