CHANAYA SIMMONS
Weymouth
Summary
Hardworking employee with 13 years of diverse professional background, excelling in roles that require high attention to detail and extensive administrative skills. Proven track record in maintaining confidentiality in compliance with HIPAA regulations, managing medical records, and resolving complex health insurance claims. Demonstrates proficiency in Microsoft Office and typing speed of 60 wpm. Known for a collaborative approach and problem-solving skills, ready to utilize these strengths in a challenging new role with room to grow.
Overview
13
13
years of professional experience
Work History
Medical Record Coordinator
Teladoc Health
07.2017 - Current
- Manage all aspects of individual cases (collect records, document and track packages)
- Process cases in a timely manner to provide efficient healthcare services to patients
- Outreach to facilities and clinical offices to verify requests and obtain TATs
- Verify all incoming documents, radiology mail and pathology material belonging to member in question before upload
- Maintain confidentiality of all medical records and sensitive information compliant with HIPAA regulations.
- Reviewed payment requests for accuracy, completeness, and authorization prior to processing.
Clinical Administration Coordinator
United Health Group
05.2017 - 06.2017
- Maintain accurate and up-to-date provider enrollment records in the system
- Process portal user access for new enrollees
- Verify licenses, NPIs, etc
- Via various databases.
Infant Teacher
Government Center Childcare
11.2015 - 05.2017
- Provide daily supervision for seven infant children ages 4 months-15 months
- Maintain safe environment for infants
- Motivate fine and gross-motor skill development
- Record daily notes per individual
- Document developmental notes per individual infant in notebooks on a weekly basis
- Occasionally answer incoming phone calls to daycare center
- Perform CPR and First Aid when necessary.
Member Service Representative
Tufts Health Plan
04.2013 - 11.2015
- Screen an average of 50 incoming customer calls per day
- Educate members about insurance plans
- Resolve complex claims and billing issues
- Addressed customer inquiries via email
- Communicated with member experience department regarding appeals and grievances.
Front Desk Representative
Hotel Buckminster
10.2011 - 04.2013
- Check guests in/out of hotel with professional demeanor
- Process payments via cash, check and/or credit/debit
- Processed an average of 20-30 reservations/day via computer system
- Escorted guests and their luggage to assigned rooms
- Answered email inquiries
- Resolved guest complaints; involved supervisor when escalated/necessary.
Education
A.S. Management -
Fisher College
Boston, MA05.2010
Skills
- Confidential Record Management
- Telephone Etiquette
- Microsoft Word/Outlook/Excel
- Type: 60 WPM
- Salesforce Experience
- Proofreading/Detail Oriented
- Team Player
- Problem Solving
- Health Information Systems
- HIPAA Compliance
References
References available upon request.
Timeline
Medical Record Coordinator
Teladoc Health
07.2017 - Current
Clinical Administration Coordinator
United Health Group
05.2017 - 06.2017
Infant Teacher
Government Center Childcare
11.2015 - 05.2017
Member Service Representative
Tufts Health Plan
04.2013 - 11.2015
Front Desk Representative
Hotel Buckminster
10.2011 - 04.2013
A.S. Management -
Fisher College
Similar Profiles
Wanyun WuWanyun Wu
Strategy & UX Researcher at Teladoc HealthStrategy & UX Researcher at Teladoc Health
EMILY BELLEMILY BELL
Medical Assistant at Teladoc HealthMedical Assistant at Teladoc Health
John DavignonJohn Davignon
Customer Service Representative at Teladoc HealthCustomer Service Representative at Teladoc Health
Bethany MedinaBethany Medina
Member Services II at Teladoc HealthMember Services II at Teladoc Health
Laura BarrettLaura Barrett
Clinical rotation, med-surg/oncology at Boston Medical Center, BostonClinical rotation, med-surg/oncology at Boston Medical Center, Boston