Amy Gillum

Process record requests from patients and other healthcare facilities for continuity of care. Answer phone calls and assist in retrieving medical records. Route third party calls to MRO for status updates and release requests for insurance, legal and workman's comp claims. Greet patients coming in to request records or drop off a request. Research multiple legacy systems for older records that have been requested. Pull itemized billing records for patients or send a no records statement for records not found in the system.

• Managed high volume of medical record requests, effectively prioritizing tasks while maintaining accuracy and timeliness.
• Ensured compliance with HIPAA regulations by maintaining strict confidentiality in managing sensitive patient information.
• Processed medical records requests from outside providers according to facility, state, and federal law.

• Assembled and prepped charts to prepare for batch scanning
• Researched loose sheets and printed bar code labels
• Analyzed charts for missing documentation and physician signatures
• Consistently assembled and analyzed patient charts above the required daily quota
• Accurately placed deficiencies on charts for physicians to complete
• Maintained a 48-hour turn-around time from the time of discharge to coding

• Processed applications for new or renewed Medicare Advantage plans
• Pended or sent denials for applications with missing information or member ineligibility
• Audited reports and corrected member account corrections
• Monitored fallout reports and identified how to correct
• Updated demographic information, billing changes, PCP changes and other miscellaneous inquiries routed from customer service
• Processed account receivables
• Updated broker commissions and prepared records for scanning
• Processed incoming enrollment applications daily
• Ran daily required reports from excel and corrected account errors
• Processed member demographic changes, billing corrections and PCP updates per member phone or mail-in requests
• Verified member eligibility for Medicaid and Medicare plans in a timely manner
• Sent member correspondence letters regarding their accounts

• Prepped and analyzed charts for new and existing patient appointments in the MSTI Oncology Clinic
• Called or faxed other healthcare facilities for outside records and imaging
• Fulfilled release of information requests by phone or fax
• Answered phones and assisted patient’s and other facilities to obtain records
• Scanned records into patient’s charts
• Trained and mentored new employees
• Consistently prepped patient’s charts two days in prior to appointment as required
• Obtained outside records needed for the patient’s appointment
• Considered the department expert for analyzing incoming ROI requests and determine if they are HIPAA compliant and route to other co-workers as appropriate
• Assisted other departments with pulling MSTI records for insurance audits

• Assembled inpatient and outpatient hospital charts to prepare for coding
• Tagged physicians for proper reports and signatures on reports and orders
• Checked-in charts and printed bar code labels
• Posted loose sheets and filed charts after coding
• Consistently assembled and analyzed charts above the required daily quota
• Accurately tagged physicians for proper reports and signatures in the paper record
• Maintained a 48-hour turn-around time from the time of discharge to coding
• Created detailed procedures for various functions of the department
• Trained students and new employees

• Provided assistance to the floors with patient reports
• Distributed batch print reports to the floors or appropriate areas within the department
• Logged in physician dictations and checked off operative procedure reports
• Answered phone calls from floors or physician offices requesting copies of patient reports
• Monitored doctor dictation requirements of 24-hour turn-around time
• Compiled daily list of doctors that did not dictate and typed red tag letters by specified deadline
• Imported documents into Vertisoft typed by the transcription department with accuracy
• Prioritized reports to be transcribed
• Successfully routed phone calls to appropriate areas