Summary
Overview
Work History
Education
Skills
Timeline
Generic

Winifred Hodgson

Raeford

Summary

Detail-oriented Assistant Billing Manager experienced in supervising teams and overseeing billing operations. Skilled in medical coding and refund processing, dedicated to maintaining precise records and ensuring compliance with regulations for optimal revenue cycle management.

Overview

27
27
years of professional experience

Work History

Assistant Billing Manager

Fayetteville Heart Center
Fayetteville
05.2025 - Current
  • Supervised a team of 2 billing clerks to enhance operational efficiency.
  • Oversaw daily billing department operations, ensuring accurate and timely claims processing.
  • Executed daily data entry for hospital charges to maintain precise records.
  • Work charge review work queue and make sure documentation is complete before billing out to insurance companies.
  • Process paper denials, as well as denials in work queues.
  • Work on front-end payer rejections to ensure claims are received in a timely manner.
  • Post patient and insurance payments in Epic, as well as in our legacy system of NextGen.
  • Credentialing of insurances to ensure payments.
  • Process returned mail, and update accordingly.
  • In charge of making adjustments for the office, such as deceased adjustments, prompt pay adjustments, as well as charging late fees and damage fees for our monitors.
  • Work claim edit work queue, and alert the office manager of any issues.
  • Work on medical records requests for insurance companies.
  • Work on refund and overpayment requests by insurance companies.
  • Assist in any patient complaints.
  • Run daily reports for NSF fees, and apply charges to patient accounts accordingly.
  • Verify insurances, and assist the front desk with any issues in verification.

Medical Biller

Fayetteville Heart Center
Fayetteville
10.2016 - 04.2025
  • Managed insurance verification to ensure proper coverage of services rendered.
  • Maintained patient confidentiality while handling sensitive financial information.
  • Assisted in generating billing reports to support administrative functions.
  • Educated patients on their bills and payment options during inquiries.
  • Submitted electronic claims to various insurance carriers.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
  • Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
  • Communicated with insurance representatives to complete claims processing or resolve problem claims.
  • Maintained accurate records of all billing activity in accordance with departmental standards.
  • Processed refunds requests timely and accurately according to established protocols.
  • Provided training and support to new staff members regarding billing processes.
  • Organized information for past-due accounts and transferred to collection agency.
  • Prepared detailed financial reports as requested by management team.
  • Collected, posted and managed patient account payments.
  • Processed invoice payments and recorded information in account database.
  • Monitored past due accounts and pursued collections on outstanding invoices.
  • Pulled in payments from clearinghouse and uploaded into our legacy system.
  • Participates in educational activities and attends monthly staff meetings.

Front Desk Receptionist/Medical Records Clerk

Valley Cardiology/Carolina Cardiology PA
Fayetteville
10.2007 - 05.2016
  • Greeted patients and visitors warmly at the cardiology clinic entrance.
  • Managed multi-line phone system to schedule appointments efficiently.
  • Maintained patient records and ensured confidentiality compliance with regulations.
  • Coordinated with medical staff to prepare for patient consultations and procedures.
  • Handled billing inquiries and processed payments accurately at the front desk.
  • Provided clear directions to patients regarding clinic services and locations.
  • Developed strong relationships with patients to enhance their overall experience.
  • Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
  • Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
  • Performed data entry into computer systems to maintain accurate records of customer information.
  • Handled payment processing and provided customers with receipts and proper bills and change.
  • Assisted with scheduling appointments for clients and visitors.
  • Provided administrative support such as filing documents, photocopying and scanning materials.
  • Handled cash transactions accurately, balancing the register at the end of each shift.
  • Explained policies and procedures to visitors.
  • Signed for packages, recorded deliveries, and distributed to personnel.
  • Managed incoming and outgoing mail, courier services, faxes and other correspondence.
  • Verified insurance on Allscripts website prior to patients appointment with physician, made patients aware if unable to receive prior authorization in time for appointment and rescheduled once authorization was obtained. At times have had to attain prior authorization for test/procedures ordered by physician.

Patient Account Representative/Medical Records Clerk

Healthsouth Diagnostic Center
Fayetteville
05.1999 - 05.2007
  • Processed documentation regarding patient charts and discrepancies concerning insurance claims. Provided explanation of billing procedures and process to patients regarding billing statements.
  • Forwarding billing statements and patient medical records to requested recipients utilizing signed release of information form.
  • Assisted with multi-line switchboard coverage. Responsible for processing bank deposits on daily basis including reconciliation of fee activities and preparation of paperwork for deposit.
  • Reviewed next day schedule, ordered charts accordingly and requested charts to be delivered from outside storage facility. Updated patient charts with service dates provided, including radiology reports.
  • Complied with HIPAA laws and regulations..

Sales Associate

Dan River
Fayetteville
06.1998 - 08.1999
  • Reconciled cash drawer and forwarded cash to supervisor at end of shift.
  • Operated and processed payments for merchandise on multi-function cash register.
  • Assisted customers with product selection and availability.
  • Resolved customer complaints in an effective and timely manner.

Education

High School Diploma -

Douglas Byrd High School
Fayetteville, NC
06-1998

Skills

  • Insurance verification
  • Claims processing
  • Data entry accuracy
  • Medical coding
  • Refund processing
  • Revenue cycle management
  • Regulatory compliance
  • Problem solving
  • Team supervision
  • Payment processing
  • Financial reporting
  • Effective communication
  • Debt collection
  • Teamwork and collaboration

Timeline

Assistant Billing Manager

Fayetteville Heart Center
05.2025 - Current

Medical Biller

Fayetteville Heart Center
10.2016 - 04.2025

Front Desk Receptionist/Medical Records Clerk

Valley Cardiology/Carolina Cardiology PA
10.2007 - 05.2016

Patient Account Representative/Medical Records Clerk

Healthsouth Diagnostic Center
05.1999 - 05.2007

Sales Associate

Dan River
06.1998 - 08.1999

High School Diploma -

Douglas Byrd High School

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Winifred Hodgson