L'TANYA WOOD
Winston-Salem,NC
Summary
Reliable Assistant Billing Coordinator enthusiastically pursuing opportunity to add immediate value to growing team. Inspired to help others and driven to apply unfailing work ethic to meet objectives. Industrious and committed with skills for multitasking and managing time well.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Assistant Billing Coordinator
Novant Health
2019.10 - Current
- Review claims for accuracy within the billing team
- Facilitate the efficient processing and translation of claims
- Regularly meet with management to address any issues that may arise in the billing department in relation to claims
- Maintain accurate records by consistently recording daily claim numbers and errors
- Generate reports as requested by management to provide necessary information and to evaluate needs
- Monitor work queues to ensure validity of claims
- Create Standard Operating Procedures (SOPs) to support the billers in their processes.
Claims Benefits Specialist
AETNA
2017.09 - 2019.06
- Review and process medical claims according to CMS guidelines
- Adhere to policies to process based on plan benefits and contractual agreements
- Work independently to produce required quantity per day and maintain quality
- Carefully review contracts for inpatient/outpatient visits, carveouts, DRGs, and stop-loss details that prevent auto-adjudication
- Resolve difficult claim edits that alert processors of issues that may halt auto-adjudication such as plan and state exception rules, maximum billable procedure codes, COB/EOB updates, etc
- Process reworks on claims that were possibly done incorrectly and enter new claims in the system using CMS-1500 and UB04 forms submitted by providers plus members benefit reimbursement requests.
Client Call Center Specialist
INMAR, INC.
2014.01 - 2017.06
- Provide call center support in the Healthcare Network division serving as Central Pay for large pharmaceutical client and some smaller independent pharmacies
- Assist pharmacy representatives with daily financial records, navigating the online website process for reconciling claims, solving inconsistencies in reports, password resets and username retrieval, and 24-hour TAT email response on issues.
Consumer Relations Representative
INMAR, INC.
2014.01 - 2017.06
- Provide call center support aimed at coupon rebates for large clients
- Assist customers with website navigation, coupon redemption, research and resolution issues requiring special payments
- Assist supervisor with entering key accounts
- Maintain accurate, current system files and records
- Receive and respond to inquiries from consumers and other departments regarding manufacturers’ rebates to maximize client satisfaction.
Customer Service Professional
SYKES HOMES POWERED BY ALPINE ACCESS
2013.07 - 2014.01
- Provide customer service for AT&T wireless accounts in a virtual call center support from home
- Handle acquisition/sales, account management, technical support, billing/collections, payments and payment arrangements, credit checks, and retention/saves.
Project Paralegal
WOMBLE, CARLYLE, SANDRIDGE, & RICE
1997.04 - 2012.01
- Conduct legal research for attorney practice to prepare documents for litigation
- Member of a project team to screen and prepare documents for use by plaintiffs’ attorneys, company personnel, and external law firms in support of liability litigation
- Provide accurate, efficient review and analysis of documents used in the discovery process for complex litigation cases
- Consult with attorneys for relevance of information and discrepancies on legal documents
- Use computer database called “Law Compliss” and “CV”
- Prepare letters and legal complaints for prosecution of default car loans, file pleadings at the courthouse, and check service dates with Sheriff Departments by mail and phone.
Education
Master’s in Healthcare Administration (MHA) -
Winston-Salem State University
Winston-Salem, NC05.2025
Electronic Health Records Specialist Certification -
Forsyth Technical Community College
Winston-Salem, NC09.2012
Bachelor of Science - Management Information Systems
High Point University
High Point, NC12.2003
Associate of Applied Science - Administrative Office Technology
Forsyth Technical Community College
Winston-Salem, NC05.1996
Skills
- Audit Support
- Deadline-oriented
- File Management
- Data entry proficiency
- Document Review
- Billing Software Knowledge
- Invoice Processing
- Due diligence
- Research
- Recordkeeping
- Claim submission
- Claims Processing
- Insurance Verification
- Contract Preparation
- Billing systems and software
- HIPAA Compliance
- Patient account management
- Record preparation
- Procedure Development
- Payment posting
- Month-end closing procedures
- Medical coding knowledge
- Billing Data Verification
- Work Planning and Prioritization
- Customer Service
- Payment Transactions
- Billing and Invoicing
- Word Processing
- Accounting Support
- Administrative Support
- Signature Verification
- Job Billing
- Account Reconciliation
- QuickBooks proficient
Accomplishments
- Used Microsoft Excel to improve inventory tracking spreadsheets.
- Implemented streamlined billing jobs processes to effectively track all billed patient accounts.
- Consistently achieves processes to reduce the amount of unnecessary payor claims attempting to bill as electronic that should bill as paper.
Personal Qualifications
Dedicated, creative, and skilled Billing Coordinator in the healthcare arena with several years of experience, maintains a professional demeanor, especially as it relates to customer service, expertly completes assigned tasks with a focus on recording and reporting claims, dependable team player with excellent communication, organization, writing skills, adhere to policies with plan benefits and contractual contracts.
Training
- Legal Support Staff of Winston-Salem 2002 - 2016
- NC Board Certified Paralegal 2002 - 2016
- Dan Mohr School of Real Estate 2007
- ACT National Career Readiness Silver Certificate 2012
- HIPPA Certified 2017
- Yellow Belt-Lean Six Sigma and Flawless Execution Certified 2016
- PENN Resilience Program for the UNC System Skill Training – 2024
- Microsoft Office
- Google Docs
- Outlook and Gmail
- Oral and written communications
- Medical and legal terminology
- QuickBooks
- Epic
Certification
- PENN Resilience Program for the UNC System Skill Training, WSSU – 2024
- HIPPA Certified, Novant - 2024
- HIPPA Certified, Inmar - 2017
- Yellow Belt-Lean Six Sigma and Flawless Execution Certified, Inmar - 2016
- Certified Paralegal, Womble Carlye - 2002-2016
- Legal Support Staff of Winston-Salem, Womble Carlye - 2002 - 2016
Timeline
Assistant Billing Coordinator
Novant Health
2019.10 - Current
Claims Benefits Specialist
AETNA
2017.09 - 2019.06
Client Call Center Specialist
INMAR, INC.
2014.01 - 2017.06
Consumer Relations Representative
INMAR, INC.
2014.01 - 2017.06
Customer Service Professional
SYKES HOMES POWERED BY ALPINE ACCESS
2013.07 - 2014.01
Project Paralegal
WOMBLE, CARLYLE, SANDRIDGE, & RICE
1997.04 - 2012.01
Master’s in Healthcare Administration (MHA) -
Winston-Salem State University
Electronic Health Records Specialist Certification -
Forsyth Technical Community College
Bachelor of Science - Management Information Systems
High Point University
Associate of Applied Science - Administrative Office Technology
Forsyth Technical Community College
- PENN Resilience Program for the UNC System Skill Training, WSSU – 2024
- HIPPA Certified, Novant - 2024
- HIPPA Certified, Inmar - 2017
- Yellow Belt-Lean Six Sigma and Flawless Execution Certified, Inmar - 2016
- Certified Paralegal, Womble Carlye - 2002-2016
- Legal Support Staff of Winston-Salem, Womble Carlye - 2002 - 2016
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