ANTHONY MIKES
Mesa
Summary
Dynamic Human Resources Specialist with a proven track record at WGNSTAR, excelling in compliance and data management. Skilled in HR processes and talent acquisition, I enhance efficiency and foster employee engagement. Adept at navigating complex regulations, I ensure accuracy in records while promoting a collaborative workplace culture.
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.
- Managed I-9 processing, ensuring compliance with onboarding protocols.
- Completed E-Verify checks, facilitating smooth employee integration.
- Conducted background and drug screenings, enhancing hiring accuracy.
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
Sitka, AK12.2023
Skills
- Efficiency and productivity
- Data analysis
- Change management
- Communication skills
- Confidentiality practices
- Talent acquisition
- Strategic thinking
- EMR systems expertise
- Performance management
- Multitasking abilities
- Medical billing processes
- HR management fundamentals
- Insurance verification techniques
- Collaboration and teamwork
- HIPAA compliance knowledge
- Organizational skills
- Problem-solving strategies
- Patient records management
- Training development initiatives
- Conflict resolution skills
- Employee engagement strategies
- Database management proficiency
- Talent management
Affiliations
- US Navy
Personal Information
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
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