Sheila Woodman
Healthcare
PO Box 502, Clinton,Maine
Summary
Friendly Healthcare Professional with backgrounds in various office settings. Knowledgeable about security, service and clerical requirements. Takes on multiple simultaneous tasks with excellent time management abilities and resourceful approach.
Overview
11
11
years of professional experience
2
2
years of post-secondary education
6
6
Certifications
Work History
CNA 1 Certified Nursing Assistant
Northern Light Health Lakewood Continuing Care
Waterville, ME
2022.10 - Current
- Assisted nursing staff with completing daily rounds, documenting vital signs, assisting nurses with wound care management, and answering call bells
- Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks.
- Maintained patient stability by checking vital signs, weight and recording intake and outtake information.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Promoted good oral and personal hygiene by aiding patients.
- Cared for patients with diagnoses such as, Congestive Heart Failure Respiratory Failure, Diabetes, Parkinson's Disease,Dementia, and Alzheimer's.
- Daily use of medical equipment, weight machine, bladder ultra sound scanner, mobile blood pressure monitor's, digital thermometer, oximeter, crash cart, sit to stand machine, and marisa machine.
- Daily use of Physical therapy, Occupational Therapy and Speech Therapy equipment with individual residents, while assisting the PT, OT and Speech Therapist.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Daily use of Point of Care (POC) Charting Kardex System, for Skilled Nursing Unit, Dementia and Long Term Care Units.
- Nursing Office tasks, answering phones and relaying messages to appropriate staff throughout the facility. Utilizing computers, copying, filing and organizing medical paperwork. Utilizing office equipment, printers, copiers and fax machines.
PSS - Personal Support Specialist
Care & Comfort Home Health Agency
Waterville, ME
2012.02 - 2021.10
- Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
- Built and maintained rapport with clients and family members to facilitate trusting caregiver relationship.
- Recognized and reported abnormalities or changes in patients' health status to home health agency supervisors.
- Provided safe mobility support to help patients move around personal and public spaces.
- Implemented physical therapy to support patient improvement in muscle tone, range of motion and injury recovery.
- Assisted with bathing and dressing guidance, grooming, meal preparation, and medication reminders.
- Maintained clean personal areas and prepared healthy meals to support client nutritional needs.
- Turned and positioned bedbound patients to prevent bedsores and maintain comfort levels.
- Entrusted to handle confidential and sensitive situations and written material in a professional manner.
- Completed regular check-ins and progress report for each client.
- Daily Documentation to keep communication open with other team members about the patients, so the team can plan for and provide the best care.
Insurance Verification Authorization Specialist
McKesson
Lewiston, ME
2017.03 - 2017.06
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Tracked referral submission during facilitation of prior authorization issuance.
- Checked documentation for accuracy and validity on updated systems.
- Follow up with patients and insurance companies about outstanding bills
- Researched denied claims and contacted insurance companies to resolve these issues.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Generated, posted and attached information to claim files.
- Coordinated with contracting department to resolve payer issues.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Determined appropriateness of payers to protect organization and minimize risk.
- Processed and recorded new policies and claims.
- Maintained confidentiality of patient finances, records, and health statuses.
Education
Associate of Applied Science - Medical Billing And Coding
Ultimate Medical Academy - Clearwater
Clearwater, FL 2010.02 - 2012.02
Skills
ICD- 9- CM, HCPCS, CPT, Medical Terminology, Anatomy & Physiology, HIPAA, Government Payers,
Third-Party Payers, Electronic Medical Records (EMR), MS Office, Worker's Compensation,
Managed Care (HMO, PPO, AND POS) MEDISOFT Proprietary Software, Office Management, Insurance Claim Processing Insurance,
Billing Procedures, Payment Posting, Medical Office Procedures including Scheduling Appointments, Insurance Verification, Collecting Co-Payments, and Deductible's
Certification
CNA - Certified Nurse Assistant
Timeline
CNA 1 Certified Nursing Assistant
Northern Light Health Lakewood Continuing Care
2022.10 - Current
CNA - Certified Nurse Assistant
2022-10
Insurance Verification Authorization Specialist
McKesson
2017.03 - 2017.06
PSS - Personal Support Specialist
Care & Comfort Home Health Agency
2012.02 - 2021.10
PSS - Personal Support Specialist
2012-02
World of Medicare
2012-02
Uniform Billing (UB)- 04
2012-02
CMS - Form 1500
2012-02
Understanding the Remittance Advice for Professional Providers
2012-02
Associate of Applied Science - Medical Billing And Coding
Ultimate Medical Academy - Clearwater
2010.02 - 2012.02