AMBER JONES

· Collaborated with physicians to ensure the timely completion of hospital applications.

· Kept close tabs on documentation expiration dates, communicating with the correct personnel to submit files prior to expiration.

· Offered a high level of assistance during managed care auditing process and conducted internal file audits.

· Used MSOW and other facility systems to maintain facility databases containing physician records, files, and credentialing documents.

· Set up NPI numbers for providers and facilities and updated current profile information.

· Performed database queries, compiling information according to requests and logging logistics changes.

· Performed primary source verifications such as criminal histories, licenses and board certifications.

· Confirmed facility and user credentials to initiate and maintain registration and enrollment processes.

· Tagged documents according to tiered access thresholds, updating packets, reviewing reports and forwarding items requiring approval or verification.

· Organized Professional Physician CME Courses and Files according to Joint Commission Standards.

· Directed, supervised, and evaluated medical, clerical, or maintenance personnel.

· Established solid relations with leadership and staff by attending meetings and coordinating interdepartmental information exchanges.

· Monitored inpatient bed use, facilities, and staff to provide optimal use of resources.

· Serves as the Administrative Lead for day-to-day departmental activities such as meeting preparation, supply ordering, and equipment repair requisitions.

· Coordinates admissions, discharges and transfers within the Organization.

· Explains services, policies, procedures, rules and regulations to applicable staff while also providing necessary assistance to customers in relation to their admission and hospital stay.

· Assigns all patient beds, assuring that admissions, discharges and transfers are accomplished in accordance with established hospital guidelines.

· Verifies bed status and placement of patients in a collaborative manner and contacts the Charge Nurse with bed placement issues promptly.

· Communicates with representatives of the nursing units on a daily basis to help decide the day's plan of action concerning bed disposition Deals discreetly with sensitive, confidential information concerning professional and personal information about staff and hospital programs/operations.

· Discharges patients in the electronic health record system, EPIC, per protocol immediately after a patient leaves.

Confirms empty bed status reports with the Charge Nurse each shift according to policy Maintains accurate census and bed control and communicates environmental needs as appropriate.

Supervise all operational activities for the Main Registration Department including Bed Management , and
Labor & Delivery .
Identify and solve problems and complaints from patients, visitors, and staff within the department .
Coordinate admitting procedures with activities of other departments .
Assist Director of Patient Registration in development and implementation of department objectives and
programs.
Implements the Hospital's admission policies through appropriate registration and bed assignment procedures.
Conduct routine audits and review of all staff accounts and productivity reports .
Perform technical duties of all supervised staff as necessary .

• Oversee the day to day operation of a program that houses 120 students and promotes the growth of students socially, emotionally and academically, while providing exercise thru recreational activities.
• Ensure the use of positive behavior guidance among program staff members
• Lead enrollment, recruitment, and retention of students & families
• With the administrator is responsible for hiring, training, orientation, supervision, and professional development of program staff.
• Monitor attendance, staff hours, and overall staff performance.
• Facilitate program evaluation and progress reports
• Maintenance of open, effective communication and interaction among the programs and partners; engagement of parents/families
• Performance of other duties as requested by supervisor or school principal

Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests
for information.
Made copies, sent faxes and handled all incoming and outgoing correspondence.
Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
Created and maintained spreadsheets using advanced Excel functions and calculations to develop reports and
lists.
Handled cash and deposits using the proper accounting procedures and documentation.
Researched and resolved collections and billing disputes with tact and efficiency.
Thoroughly investigated past due invoices and minimized number of unpaid accounts.
Recorded and filed patient data and medical records.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology
reports as well as clinical studies) in support of existing diagnoses.
Wrote clear and detailed clinical phone messages for physicians.
Scheduled surgeries and procedures in conjunction with Surgical Tech.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient
information.
Efficiently performed insurance verification and pre-certification and pre-authorization functions.

Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.

Directed patient flow during practice hours, minimizing patient wait time.
Confirmed patient information, collected copay's and verified insurance.
Provided administrative support for several Physicians.
Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Resolved and clarified issues with patient medications and collaborated with local pharmacies.
Quickly responded to staff and client inquiries regarding CPT codes.
Completed registration quickly and cordially for all new patients.
Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services
rendered.
Wrote clear and detailed clinical phone messages for physicians.
Acquired insurance authorizations for procedures and tests ordered by the attending physician.
Arranged and assisted with hospital admissions.
Strictly followed all federal and state guidelines for release of information.
Prepared prescription refill requests on behalf of the physician.
Scheduled patient appointments.
Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
Recorded and filed patient data and medical records.
Organized, updated and maintained over 200 patient charts.
Recorded patients' medical history, vital statistics and test results in medical records.

Escorted patients to examination rooms and prepared them for physician exams.
Served as a liaison between patients and physicians to assist patients in understanding their treatment plans.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient
information.