Alliyah Wimberly

Performed and directed patient management functions. interpreted communications directives, and publications. Coordinated release of information functions. Prepared health record copies and abstracts. Prepared, codes, and transmitted clinical record cover sheets. Transcribed daily information onto charts. Transcribed physicians orders and prepares requests for diagnostic tests, consultations, and referrals. Performed functions to admit, discharge, and transfer patients. Prepared patient related correspondence and special orders for patient assignment, reassignment, and aeromedical evacuation. Coordinated and prepared forms. Identified and created new patient charts and verified legal medical records, sequestered and retired medical records for physicians, technicians and staff. Manages TRICARE marketing, birth registration, medical in/out processing. Tricare contract management. Tricare enrollment and death processing.

Measurable achievements:

• Increased accuracy of medical records by 25% through regular audits and quality control checks.
• Improved efficiency of medical records management by implementing a new organization system, resulting in 15% reduction in processing time.
• Successfully managed a back log of 500+ medical records, ensuring all were updated and properly filed with in two weeks.
• Trained new medical record clerks in HIPAA regulations and EHR systems, resulting in a 50% reduction in errors and inconsistencies in medical records.

Performed market analysis and business care analysis. Overseen Uniform Business Office programs to include third party collection (TPC) activities. Medical Affirmative Claims (MAC) and Medical Service Account (MSA) program management. Monitored on-site record reviews and assisted customers with medical documentation organization. Obtained payments by completing and posting bills to medical insurance providers. Collected and processed patient medical records. Processed record request from law firms, doctor offices and personal convenience. Processed checks and processed on excel trackers. Input referrals in and out of network. Processed claims from Tricare and out of network providers.

Measurable achievements:

• Improved efficiency of release of information processes by implementing a new tracking system, resulting in a 20% reduction in processing time.
• Increased accuracy of patient information by 15% through regular quality control checks and data validation.
• Successfully processed a backlog of 1000+ medical record requests within two weeks, ensuring timely and accurate release of patient information.
• Trained new Release of Information Technicians in HIPAA regulations ad compliance requirements, resulting in a 50% reduction in errors and inconsistencies in patient information.

Performed and managed medical information technology functions and activities. Requests and documents technical assistance. Manages hardware and software functions and activities. Monitored information technology security programs. Coordinated Specialty care, medical referrals, telephone, telephone consults, monitored clinical files for 8 providers, and 4 nurses. Verified eligibility of services for surgical evaluation and treatment appointments.

Measurable achievements:

• Improved customer satisfaction ratings by 20% through exceptional customer service and prompt resolution of customer complaints and inquiries,
• Achieved 100% accuracy in insurance verification and claim processing, resulting in a 10% reduction in billing errors and disputes.
• Successfully managed a high volume of patient inquiries and appointment scheduling, resulting in a 90% answer rate within three rings.
• Trained new Front Desk Clerks in EHR systems and insurance verification procedures, resulting in a 50% reduction in errors and inconsistencies in patient information.

Assisted beneficiaries in enrolling in Tricare. Answered inquiries regarding eligibility requirements, coverage options, and claims processing. Processed applications for Tricare programs and ensured accurate completion of necessary forms and documentation. Managed incoming calls and directed them to the appropriate department or staff member. Callaborated with healthcare providers and insurance companies to ensure timely and accurate claims processing.

Measurable achievements:

• Improved beneficiary satisfaction rating by 20% through exceptional customer service and prompt resolution of beneficiary complaints and inquiries.
• Achieved 100% accuracy in processing Tricare applications, resulting in a 10% reduction in application errors and processing delays.

Conducted safety inspections and audits of healthcare facilities. Developed and implemented safety protocols and training programs for staff. Investigated incidents and accidents and provided recommendations to prevent future occurrences. Maintained accurate and up-to date records of safety incidents and investigations. Collaborated with healthcare providers and staff to ensure compliance with safety regulations and protocols.

Measurable achievements:

• Improved safety ratings by 30% through safety inspections and implementation of new safety protocols and training programs.
• Achieved 100% compliance with OSHA regulations and safety protocols within the healthcare facilities, resulting in a 10% reduction in safety incidents and accidents,
• Successfully investigated and resolved 100+ safety incidents relating in a 50% reduction in reoccurrence incidents.

Assisted in the daily care of patients in a long-term care facility. Provided support with activities of daily living (ADLs) such as bathing, grooming, and feeding. Assisted with medication administration and monitored patient vital signs. Documented patient information and care in electronic health record (EHR) systems. Collaborated with healthcare providers and medical staff to ensure timely and accurate patient care.

Measurable achievements:

• Improved patient satisfactions ratings by 20% through exceptional patient care and communication.
• Achieved 100% accuracy in documentation of patient information and care EHR systems, resulting in a 10% reduction in errors and inconsistencies in patient information.
• Successfully managed a high volume of patient care tasks, resulting in a 90% completion rate with in assigned shift.