To pursue a career where I can utilize my experience as an Office System Technology/ Medical Coder with superior attention to detail and skills in evaluating and correcting health records. Excellent work ethic and exemplary time management skills over a period of 8 yrs plus in the medical Industry.
Overview
12
12
years of professional experience
Work History
Scheduler Coordinator - Star Health
Centene
Corpus Christi, TX
11.2023 - Current
Work with Level 1 and Foster Kids
Consistent phone details managing outbound and inbound calls, mostly an outbound facility
Schedulers place outbound calls to members and schedule our members for their Assessments that the member may be due for
Schedulers will receive incoming calls with the potential to be placed on an active queue line (individual averages 30 plus calls)
Schedulers must keep up with email communication throughout the day as well as to be able to handle a caseload of members and SCs nurses
calendars
Very fast paced and dual screens utilized; multitasking is a must
Is a remote position that will receive inbound and place outbound calls
regarding Medical/ and pharmacy benefit investigation
Employee will utilize data from the Medea transaction
to complete a medical benefit investigation
This process involves calling on a specific payers to gain
the necessary missing data to finalize the benefit
investigation
Once the data is obtained from the payer, the
Reimbursement Specialist will enter the data into the
Connect (internal portal)
The Reimbursement Specialist may also complete other
documentation as required for daily reporting and
performance measurement activities.
Healthcare Intake Specialist
Aston Carter
San Antonio, Texas
05.2021 - 09.2021
Analyze and prioritize orders based on initial
assessment of documentation and customer outreach
,Verify third party payor benefits and eligibility (online
or telephonically Review and payer specific
requirements and coverage criteria to determine
required documents and accurate billing criteria
Conduct in Dept. review of clinical documentation (
medical records, prescriptions, OP Notes, H&P) based
on billing criteria.
Call customer or field personnel to obtain the missing documentation required for billing. Provides a high
level of customer service in a competitive market.
Requires repetitive keyboarding over 95% of the time and phone usage 60% of the time.
Medical Records Specialist
South Texas Radiology Imaging Center (STRIC)
San Antonio, Texas
10.2018 - 02.2021
Answering phones, creating manual or digital tracking
logs using information systems: creating work orders;
printing films and burning CD's; medical terminology
knowledge, experience in an office setting; great
customer service and great work history
Scanned documents into electronic health record system according to established procedures.
Processed requests for copies of patient medical files within designated timeframes.
Managed release of information requests and identified requestors as patient, relation or provider.
Purged outdated files.
Collected, filed, scanned, and retrieved confidential patient information.
Handled incoming calls and directed callers to appropriate department or employee.
Tracked and processed release of information requests.
Billing Coordinator
Emcare Inc
San Antonio, TX
08.2013 - 12.2016
Ensures the proper preparation and accountability of
the Emergency Department charts for the
Emergency Department physician billing
Obtains a copy of current Emergency Department log
on a daily basis
Identifies and marks log /track sheets of hospital
admittance, outpatient services, direct admits
Submits billing information, counts records to ensure
reconciliation with the Emergency Dept
Log, and submit trauma patient billing
Answer phone calls and handle inquiries
Collects previous day's patient charts, sorting in date
and time order
Reconciles missing or suspended list with required lag
time
Collects critical care charges of procedures, such as
procedures performed in
ICU/hospital and obtains/pulls charts, demographic,
and insurance information