Michelle Woodford
Doylestown
Summary
Dynamic medical billing professional with extensive experience at Akron Children's Hospital, adept in claims processing and insurance verification. Proven track record in resolving denied claims and training new staff, ensuring data accuracy and compliance. A collaborative team player committed to optimizing billing operations and enhancing revenue cycle efficiency.
Overview
13
13
years of professional experience
Work History
Govt Billing Collections Rep
Akron Children's Hospital
Akron
03.2017 - Current
- Handled contracts and payments on accounts.
- Performed other duties as assigned by supervisor or manager.
- Work on insurance denials, and correct them to get billed out correctly.
- Review late charges per insurance carrier, and decide if they can be billed out or written off.
- Review and combine consecutive insurance acts per carrier to see if they can be combined or not.
- Efficiently uses Epic software to resolve denied or rejected claims accurately.
- Accurately identifies problems related to unpaid claims and reports trends to the Manager and Team members.
- Send appeals for untimely claim submissions to the payers.
- Worked on denied and rejected claims per payer to get them paid correctly.
Medical Billing Representative
Team Health
Akron
04.2012 - 03.2017
- Assisted in training new staff on billing procedures.
- Completed appeals and filed and submitted claims.
- Posted charges, payments and adjustments.
- Performed quality control of data entry system to verify proper posting of claims and payments.
- Conducted follow-up calls with third party payers to check on claim status and resolution.
- Analyzed EOBs for accuracy and compliance with contractual arrangements between provider and payer.
Education
Bachelor of Arts - Sociology/ Psychology
University of Akron
Akron, OH12-1999
Skills
- Epic software
- Claims processing
- Insurance verification
- Data entry accuracy
- Payment posting
- Contract management
- Team player
- Follow-up communication
- Training new staff
Accomplishments
- Employee of the Month Nov 2016- TeamHealth
- Little Things that Count Employee July 2024 and May 2025 - Akron Children's Hospital
Timeline
Govt Billing Collections Rep
Akron Children's Hospital
03.2017 - Current
Medical Billing Representative
Team Health
04.2012 - 03.2017
Bachelor of Arts - Sociology/ Psychology
University of Akron
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