C. Marie Woods
Horn Lake
Summary
Dynamic Senior Revenue Cycle Specialist with extensive experience at MedEx CA, excelling in accounts receivable management and medical billing. Proven expertise in EPIC systems and insurance verification, coupled with exceptional problem-solving skills. Recognized for achieving high dollar revenue collections while ensuring compliance with HIPAA and coding standards.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Senior Revenue Cycle Specialist
MedEx CA
San Francisco
05.2021 - Current
- Responsible for All Outstanding Accounts Receivables.
- Ensuring all Billable Claims are Billed in a Timely Manner.
- Running (AR) Reports to Determine all Discrepancies/or Errors.
- Following Up on all Outstanding Aging Accounts.
- Utilizing Medical Billing Software, that Healthcare Facilities use to Track Patient Care Episodes from Registration and Scheduling Appointments.
- Checking Claim Status via the Payor Portals.
- Monitoring of Aged old Claims Report (30,60,90) Days.
Revenue Reimbursement Specialist
NCO Financial Systems
Cleveland
02.2003 - 12.2021
- 25 Years of experience in Accounts Receivables.
- Expert knowledge in EPIC System.
- Expert in EDI Transmitting and Tracking Reports.
- Advanced Knowledge of All Insurance coding and Billing of Multiple Procedures.
- Research Data Analysis Expert.
- Resourceful and Reliable Worker.
- Hospital Inpatient and Outpatient Patient chart auditing abilities.
- Patient referrals Expert.
- Expert in Commercial and or Private Insurances.
- Attention to Detail for all Insurance Carriers.
- Knowledge of Commercial/ Private Insurances.
- High Dollar Revenue Received for A/R Collections.
- Excellent Problem Solver.
- I Understand the Universal Coding for a Multitude of the Medical Specialties.
Medical Biller/Denial Management
Total Health Care
Cleveland
03.1995 - 02.2003
- Company Overview: Community Based Healthcare
- Researched CPT and ICD-9 Coding Discrepancies for Compliance and Reimbursement accuracy.
- Determined prior Authorizations for Medication and Outpatient procedures.
- Correctly Coded a Billed Medical claims for Various.
- Hospital and Nursing Facilities.
- Pre-certified Medical and Radiology Procedures, Surgeries and Echocardiograms.
- Community Based Healthcare
Skills
- Clerical and administrative experience
- Dental reception
- Organizational skills
- Accounts receivable management
- Epic systems proficiency
- ICD-9 and ICD-10 coding
- EHR and EMR systems
- Anatomy knowledge
- Medical office operations
- Medical scheduling expertise
- HCPCS coding
- Insurance verification processes
- Medical terminology proficiency
- Revenue cycle management strategies
- Patient care coordination
- HIPAA compliance knowledge
- CPT coding expertise
- Auditing skills
- Hospital experience in healthcare settings
- Medical billing and collections
- Microsoft Excel proficiency
- Customer service excellence in healthcare
- Dentrix software experience
- Microsoft Office suite proficiency (Word, Outlook)
- Medical records management
Certification
- Salesforce Certification, Present
- Healthcare Cyber Security Certification, Present
Timeline
Senior Revenue Cycle Specialist
MedEx CA
05.2021 - Current
Revenue Reimbursement Specialist
NCO Financial Systems
02.2003 - 12.2021
Medical Biller/Denial Management
Total Health Care
03.1995 - 02.2003
Similar Profiles
Antoinette HallAntoinette Hall
Emergency Medical Technician at MedexEmergency Medical Technician at Medex
Kabir JamaliKabir Jamali
Clinical Rotations, PA Student at MEDEX NorthwestClinical Rotations, PA Student at MEDEX Northwest
Jacqueline MaxwellJacqueline Maxwell
Benefits Counselor at Medex/US Enrollment ServicesBenefits Counselor at Medex/US Enrollment Services
Shankorien DavisShankorien Davis
Customer Service Representative at TeleperformanceCustomer Service Representative at Teleperformance
Victoria JordanVictoria Jordan
Lead Content Teacher at Kingsbury Middle SchoolLead Content Teacher at Kingsbury Middle School