Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Generic
ANTHONY MIKES

ANTHONY MIKES

Mesa

Summary

Experienced HR professional with a strong background in HR management and communication, with over ten years of industry experience. Recognized for strategic thinking and adeptness in database management, medical billing, and EMR systems to ensure compliance and operational efficiency. Dedicated to cultivating a supportive work culture and optimizing processes to drive organizational achievement.

Overview

11
11
years of professional experience

Work History

Human Resources Specialist

WGNSTAR
12.2024 - 05.2025
  • Maintained accurate HR records and compliance documentation, ensuring adherence to regulatory

standards while minimizing errors.

  • Led new hire orientations, ensuring clear understanding of policies, fostering compliance.
  • Implemented workforce planning techniques to adeptly match talent with task requirements.
  • Managed onboarding maintenance, improving HR processes for efficiency and compliance.
  • Processed employee record changes in Paylocity with precision, ensuring data accuracy.
  • Improved HR record management efficiency through meticulous data handling.
  • Ensured compliance with HR policies by accurately updating employee information.

Release of Information Specialist

MRO Corporation
12.2021 - 11.2024
  • Manage complex ROI issues and ensure accurate data entry into ROI On-Line database.
  • Verify requestor details under HIPAA before releasing records, ensuring compliance.
  • Efficiently handle physician requests, faxing and scanning records promptly.
  • Uphold facility policies and accurately record cash payments for requests.
  • Streamline record retrieval from various sources, enhancing process efficiency.

Referral Coordinator

4C Medical Group via Optum Care
01.2019 - 08.2021
  • Verified insurance eligibility, ensuring accurate claims processing and patient satisfaction.
  • Streamlined patient check-in by efficiently prepping charts, enhancing daily operations.
  • Facilitated referrals and verified demographics, supporting seamless insurance claim handling.
  • Collected and managed authorizations for services, ensuring compliance and smooth procedures.

Prior Authorization Rep

Phoenix Children's Hospital
01.2018 - 12.2018
  • Logged patient data and clinical notes in EMR, ensuring accuracy and efficiency.
  • Facilitated communication of prior authorizations, enhancing patient and insurer relations.
  • Updated demographic information, supporting seamless patient care transitions.
  • Streamlined prior authorization process, enhancing efficiency in EMR system updates and insurance communications for medical procedures.

Payment Specialist

Medical Revenue Experts
08.2016 - 06.2017
  • Arranged payments, resolved billing issues, collected balances, enhancing patient satisfaction.
  • Addressed inquiries, updated appointments, calculated co-pays, improving patient communication.

Payment Specialist

Anchorage Women's Clinic
09.2015 - 04.2016
  • Managed EMR software for patient records, enhancing data accuracy and workflow efficiency.
  • Coordinated schedules and patient arrivals, ensuring seamless clinic operations.
  • Collected and safeguarded patient information, maintaining HIPAA compliance.
  • Optimized billing processes by updating codes, improving financial accuracy.
  • Led insurance tasks, ensuring timely claims and payment processing.

Medical Billing Specialist

Alaska Billing Services
11.2014 - 05.2015
  • Verified 90-120 patient accounts daily, ensuring accurate codes for billing efficiency, improving payment processing.
  • Streamlined billing processes by accurately verifying diagnosis codes and authorizations for diverse insurance providers, enhancing efficiency and reducing errors.
  • Meticulously reviewed and rectified patient records, ensuring data integrity and resolving overdue balances to maintain financial health of the organization.

Education

Bachelor's Degree - Human Resources Management

University of Alaska Southeast Online
12.2023

Skills

  • Efficiency (Skillful)
  • Data Analysis (Beginner)
  • Change Management (Skillful)
  • Communication (Skillful)
  • Confidentiality (Experienced)
  • Talent Acquisition (Skillful)
  • Strategic Thinking (Skillful)
  • EMR Systems (Experienced)
  • Performance Management (Skillful)
  • Multitasking (Skillful)
  • Medical Billing (Experienced)
  • HR Management (Beginner)
  • Insurance Verification (Experienced)
  • Collaboration (Skillful)
  • HIPAA Compliance (Skillful)
  • Organization (Skillful)
  • Problem-solving (Skillful)
  • Patient Records Management (Experienced)
  • Training Development (Skillful)
  • Conflict Resolution (Skillful)

Affiliations

  • US Navy

Timeline

Human Resources Specialist

WGNSTAR
12.2024 - 05.2025

Release of Information Specialist

MRO Corporation
12.2021 - 11.2024

Referral Coordinator

4C Medical Group via Optum Care
01.2019 - 08.2021

Prior Authorization Rep

Phoenix Children's Hospital
01.2018 - 12.2018

Payment Specialist

Medical Revenue Experts
08.2016 - 06.2017

Payment Specialist

Anchorage Women's Clinic
09.2015 - 04.2016

Medical Billing Specialist

Alaska Billing Services
11.2014 - 05.2015

Bachelor's Degree - Human Resources Management

University of Alaska Southeast Online