Sheila Woodall
Summary
Experienced Medical Billing & Coding Specialist with over 20 years of expertise in insurance verification, denial management, claims processing, and revenue cycle operations. Skilled in Medicaid and commercial insurance plans, CPT/ICD-10 coding, payment posting, and resolving complex billing discrepancies. Known for accuracy, strong follow-through, and improving reimbursement outcomes while supporting patients and providers with clear, compassionate communication.
Overview
26
26
years of professional experience
Work History
Insurance Verification & Denials Specialist
Families First
- Current
- Verify patient eligibility and benefits for Medicaid and commercial insurance plans, ensuring accurate coverage before services.
- Review, research, and resolve claim denials, identifying root causes and submitting corrected claims or appeals.
- Communicate with insurance companies to clarify coverage, authorization requirements, and claim status.
- Process prior authorizations and document all verification steps in the system.
- Collaborate with billing and clinical teams to prevent recurring errors and improve reimbursement outcomes.
- Assist patients with understanding benefits, out-of-pocket costs, and required documentation.
- Maintain high accuracy and productivity while meeting strict deadlines.
Billing & Collections Specialist
T & W Management
01.2018 - 01.2023
- Managed collections for multiple facilities, ensuring timely and accurate payment posting.
- Researched coding discrepancies and corrected claims to reduce denials and increase reimbursement.
- Communicated with insurance companies and patients to resolve billing issues.
- Maintained detailed documentation and supported office operations to improve workflow efficiency.
Medical Billing & Coding Specialist
Akron Digestive Disease
01.2000 - 01.2018
- Processed claims, posted payments, and managed patient and insurance billing.
- Verified insurance coverage and obtained authorizations for procedures.
- Resolved denials by researching coding issues and submitting corrected claims.
- Supported front-office operations, scheduling, and patient communication.
- Improved billing accuracy and reduced claim turnaround times.
Education
High School Diploma - undefined
Buchtel High School
Skills
- Insurance Verification (Medicaid & Commercial)
- Denial Management & Appeals
- CPT, ICD-10, HCPCS Coding
- Claims Submission & Follow-Up
- Payment Posting & Reconciliation
- Prior Authorizations
- Patient Billing & Collections
- EOB/ERA Review
- Workflow Planning & Process Improvement
- EMR/EHR Systems
- Customer Service & Patient Support
Timeline
Billing & Collections Specialist
T & W Management
01.2018 - 01.2023
Medical Billing & Coding Specialist
Akron Digestive Disease
01.2000 - 01.2018
Insurance Verification & Denials Specialist
Families First
- Current
High School Diploma - undefined
Buchtel High School
Youth Cheerleading Coach & Founder
- Founded and managed a youth cheer and football organization.
- Coordinated events, fundraising, scheduling, and parent communication.
- Mentored youth and promoted teamwork, discipline, and confidence.