Summary
Overview
Work History
Education
Skills
Timeline
Generic

Theresa G. Woods

Portsmouth

Summary

Reliable and dedicated employee who excels in prioritizing and multi-tasking to achieve superior results. Committed to providing exemplary customer service while achieving all departmental goals. Extremely organized, professional and have a willingness to learn.

Overview

25
25
years of professional experience

Work History

Billing Specialist

Harbor Point Behavioral Health
06.2020 - Current
  • Insurance billing and follow-up for educational and residential services.
  • Agency billing and follow-up for several Virginia localities serviced.
  • Cash posting daily including the monthly reconciliation of cash to ensure the cash amounts are balanced at the close of each month.
  • Assist the Billing Office Director with monthly charge adjustments.
  • Work correspondence for all insurance carriers including but not limited to Virginia Medicaid, Magellan, Optima, United Healthcare, Anthem.
  • Respond to incoming calls from patients, agencies regarding balance due on claims.

Billing Specialist

First Home Care
04.2018 - 06.2020
  • Insurance billing and follow-up for multiple behavioral health programs serviced by First Home Care.
  • Agency billing and follow-up for several Virginia localities serviced.
  • Cash posting daily including the monthly reconciliation of cash to ensure the cash amounts are balanced at the close of each month.
  • Assist the Billing Office Director with monthly charge adjustments.
  • Work correspondence for all insurance carriers including but not limited to Virginia Medicaid, Magellan, Optima, United Healthcare, Anthem.

Patient Account Representative

Bayview Physicians Group
04.2017 - 04.2018
  • Insurance billing and follow-up on physicians claims.
  • Process correspondence from insurance carriers to resolve claim issues, such as but not limited to insurance retractions, refunds, and denials.
  • Provide exemplary customer service to patients calling in regarding their accounts.

Billing Specialist

Harbor Point Behavioral Health Center
06.2015 - 04.2017
  • Insurance billing and follow up for acute and residential treatment center claims
  • Obtain claim information/status via insurance company’s websites and/or contacting their customer service department via telephone
  • Process and distributes correspondence
  • Insurance verification
  • Educational billing
  • Work various reports using Microsoft Excel

Senior Patient Account Representative

Sentara Patient Accounting
02.2002 - 06.2015
  • Insurance billing and follow up for hospital claims
  • Obtain claim information/status via insurance company’s websites and/or contacting their customer service department via telephone
  • Review charity applications and calculate various sources of income to determine eligibility for financial assistance
  • Assist in the interview process of new hires within the department as well as assist in the training of new hires
  • Assist Patient Account Representatives in claim resolution on escalated claims

Customer Service Representative II

Household Credit Services
03.2000 - 02.2002
  • Work with card holders to resolve billing issues by reviewing, refunding and/or transferring balances of credit accounts and update demographic information
  • Recorded delinquent information concerning member's credit card accounts within the computer system and determined a solution to resolve the issue

Education

Diploma - undefined

Woodrow Wilson High School
Portsmouth, VA
06.1997

Skills

  • Billing systems and software
  • Insurance verification
  • Invoice processing
  • Customer service
  • Claims processing
  • Data entry proficiency
  • Decision-making
  • HIPAA compliance
  • Account reconciliation
  • Invoice generation
  • Claim submission
  • Payment posting
  • Customer engagement
  • Month-end closing procedures
  • Patient account management
  • Relationship building
  • Invoicing proficiency
  • Team collaboration
  • Research and due diligence
  • Collections
  • Regulatory compliance
  • Accounts receivable management
  • Records organization and review
  • Collection practices
  • Problem-solving
  • Attention to detail
  • Multitasking and organization
  • Verbal and written communication
  • Analytical thinking
  • Conflict resolution
  • Dispute resolution
  • Revenue cycle management
  • Collections management
  • Insurance claim processing
  • Billing cycle management
  • Accounts receivable expertise
  • Business operations support
  • Ttime management
  • Insurance confirmation
  • Billing dispute resolution
  • Statement processing
  • Billing best practices
  • Cash posting
  • Monthly billing management
  • Billing and invoicing
  • Microsoft office
  • Payment collection
  • Account updating
  • Customer service support
  • Payment processing
  • Paperwork and documentation
  • Deadline adherence
  • Collections processing
  • Billing data verification
  • Billing document creation
  • 10-key data entry
  • Financial transactions
  • Job billing
  • Work Planning and Prioritization
  • Inquiry handling
  • Invoice documentation management
  • Word processing
  • Collections duties
  • Billing statement review

Timeline

Billing Specialist

Harbor Point Behavioral Health
06.2020 - Current

Billing Specialist

First Home Care
04.2018 - 06.2020

Patient Account Representative

Bayview Physicians Group
04.2017 - 04.2018

Billing Specialist

Harbor Point Behavioral Health Center
06.2015 - 04.2017

Senior Patient Account Representative

Sentara Patient Accounting
02.2002 - 06.2015

Customer Service Representative II

Household Credit Services
03.2000 - 02.2002

Diploma - undefined

Woodrow Wilson High School

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Theresa G. Woods