Amelia Spears
Hot Springs,South Dakota
Summary
Competent A/R Coordinator with 20+ years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes.
Overview
22
22
years of professional experience
Work History
Office Manager
SD TELEHEALTH
01.2024 - Current
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Streamlined credentialing processes by implementing efficient tracking and documentation methods.
A/R COORDINATOR
Complete Health
03.2021 - Current
- Enhanced customer satisfaction by responding promptly to inquiries and addressing concerns professionally.
- Reduced claim denials and rejections by conducting thorough audits and addressing discrepancies prior to submission.
- Enhanced patient satisfaction with clear communication of payment expectations, resolving concerns, and providing flexible payment options.
- Collaborated with insurance providers to expedite claims processing and secure timely payments for services rendered.
- Assisted in staff training initiatives to develop knowledgeable team capable of handling complex billing situations effectively.
- Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
BUSINESS OFFICE MANAGER
Bennett County Hospital
06.2019 - 09.2020
- Command administrative oversight of Registration staff and Billing personnel while managing daily business activities, including engaging with patients and visitors, completing A/R billing, conducting monthly census for all departments, and more for nursing home and rural health clinic
- Monitor census for errors, ensuring accurate rates
- Key Accomplishments:
- Streamlined diagnostic and procedure coding processes, improving claims completion time by nearly five weeks for Emergency Room and as many as seven weeks for Acute Care
- Guide staff registration training, deploying innovative leadership to drive competencies, advance record accuracy, and safeguard patient information.
HEALTH INFORMATION MANAGER
BENNETT COUNTY HOSPITAL
04.2015 - 09.2020
- Guided all facets of medical records and health information management for high-volume clinic
- Transferred completed release of information (ROI) documents to Evident and coached staff through electronic training process
- Created and updated facility-wide policies and procedures conducted monthly statistics across departments, and compiled data to inform strategic planning
- Key Accomplishments:
- Supported hospital transition to EHR, securing Meaningful Use stages 1 and 2 and promoting increased quality of care, advanced care coordination, and heightened privacy and security of health information
- Organized and preserved remaining paper charts for storage, designing maps for identifying storage locations to foster accessibility.
MEDICAL BILLING SPECIALIST
DT TRAK CONSULTING, INC
01.2015 - Mar2015
- Directed patient insurance and billing process remotely for aging accounts associated with Avera St
- Mary’s Hospital
- Compiled patient data and services based on provider summaries, verified information and billing accuracy, submitted authorization requests, and prepared invoices
- Tracked and reviewed bills for precision and completeness and ensured documentation according to standard procedures
- Key Accomplishments:
- Employed acute attention to detail, to 120 +days aging accounts both quickly and accurately.
HEALTH INFORMATION MANAGER
Fall River Health Services
01.2010 - 01.2014
- Led team of 2 Transcriptionists, Medical Record Clerks, and In-House Coders care of patient health records, certifying all information is complete, accurate, and accessible to authorized viewers
- Provided CMS compliance support and education to hospital nursing staff and rural clinic staff
- Key Accomplishments:
- Played integral role in preparation and achievement of Meaningful Use stages 1 and 2, mentoring staff in Meaningful Use programming and teaching HIPAA compliance to safeguard confidentiality
- Transitioned Health Information Management department to new facility, facilitating MEDITECH electronic health system to initiate Meaningful Use process.
Medical Records Clerk
Fall River Health Services
01.2007 - 01.2010
- Oversaw comprehensive, for patient medical records
- Established and filed paper charts for all Outpatient, Emergency Room, Acute Care, and Swing Bed patients
- Transcribed charts for diverse patients and departments, scanning documents and transferring files to additional staff
- Key Accomplishments:
- Established multiple workflow processes, fostering operational efficiency and file access
- Honored with promotion to Health Information Manager for exceptional recordkeeping and championing transition to electronic records.
Education
Eastern Montana College Billing
Studied
Mount Marty College
Hot Springs High School
Skills
- Critical Thinking
- Health Records Review
- Account Management
- Daily Facility Operations
- Medical Terminology
- HIPAA Requirements
- Electronic Medical Record Software
- Business Administration
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Office Manager
SD TELEHEALTH
01.2024 - Current
A/R COORDINATOR
Complete Health
03.2021 - Current
BUSINESS OFFICE MANAGER
Bennett County Hospital
06.2019 - 09.2020
HEALTH INFORMATION MANAGER
BENNETT COUNTY HOSPITAL
04.2015 - 09.2020
MEDICAL BILLING SPECIALIST
DT TRAK CONSULTING, INC
01.2015 - Mar2015
HEALTH INFORMATION MANAGER
Fall River Health Services
01.2010 - 01.2014
Medical Records Clerk
Fall River Health Services
01.2007 - 01.2010
Eastern Montana College Billing
Studied
Mount Marty College
Hot Springs High School
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