Mary Kay Woodrum

• Scheduled surgeries by coordinating with medical staff and patients to ensure timely appointments.
• Managed patient records using electronic health record (EHR) systems for efficient data retrieval and accuracy.
• Communicated effectively with patients regarding pre-operative instructions and post-operative care requirements.
• Collaborated with surgical teams to optimize daily scheduling processes, minimizing delays and enhancing patient flow.
• Assisted in training new staff on scheduling protocols and EHR usage to maintain operational consistency.
• Monitored appointment schedules, adjusting as necessary to accommodate last-minute changes and patient needs.
• Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
• Arranged pre-operative and post-operative appointments for surgical patients.

Verified insurance coverage and obtained pre-authorizations.

• Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.

• Adhered to strict HIPAA guidelines to protect patient privacy.
• Coordinated patient scheduling, check-in, check-out and payments for billing.
• Managed multi-line phone system and pleasantly greeted patients.
• Checked patient insurance, demographic and health history to keep information current.
• Maintained current and accurate medical records for patients.
• Obtained insurance authorizations for diagnostic testing and surgeries.
• Worked with patients regarding any discrepancies regarding there patient account.
• Assisted with ICD 10 coding and CPT coding.
• Communicated with billing company regarding physician charges.
• Covered for medical assistant when needed.

• Reached out to insurance carriers to obtain prior authorization for testing and surgical procedures.
• Input all patient data regarding claims and prior authorizations into system accurately.
• Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
• Tracked referral submission during facilitation of prior authorization issuance.
• Fielded telephone inquiries on authorization details from plan members and medical staff.
• Researched denied claims and contacted insurance companies to resolve these issues.
• Reviewed insurance coverage for patients to determine which party was liable for payment.

• Adhered to strict HIPAA guidelines to protect patient privacy.
• Coordinated patient scheduling, check-in, check-out and payments for billing.
• Managed multi-line phone system and pleasantly greeted patients.
• Obtained insurance authorizations for diagnostic testing.
• Maintained current and accurate medical records over three EHR systems.

• Reached out to insurance carriers to obtain prior authorization for testing and procedures.
• Input all patient data regarding claims and prior authorizations into system accurately.
• Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
• Tracked referral submission during facilitation of prior authorization issuance.
• Verified eligibility and compliance with authorization requirements for service providers.
• Researched denied claims and contacted insurance companies to resolve these issues.

• Viewed reports regularly to make sure processing was conducted efficiently.
• Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
• Examined claims forms and other records to determine insurance coverage.
• Determined inpatient payments to providers based on members benefits, provider contracts, and member eligibility.
• Worked as team lead to claims department.

• Posted payments and processed refunds.
• Worked with outside entities to resolve issues with billing, claims and payments.
• Electronically submitted bills according to compliance guidelines.
• Reconciled statements with patient records.
• Monitored flags and resolved urgent items with accuracy and efficiency.
• Followed up with insurance companies.
• Responded to customer concerns and questions on daily basis.
• Contacted insurance companies regarding unpaid claims and denials.