Christal James
Miami Gardens
Summary
Medical Information Specialist known for high productivity and efficient task completion. Possess specialized skills in data analysis, medical literature research, and regulatory compliance which ensure accuracy and reliability in information dissemination. Excel in communication, problem-solving, and time management, enabling effective collaboration with healthcare professionals to support patient care decisions. Highly knowledgeable Medical Information Specialist with comprehensive experience in pharmaceutical and healthcare sectors. Demonstrated strength in managing medical data, ensuring regulatory compliance, and providing efficient support to healthcare practitioners. Strong communication skills paired with a commitment to improving patient care through accurate information management. Past roles have led to streamlined operations, enhanced data integrity, and improved service quality within diverse healthcare settings. Astute professional brings strong background in health records and information management. Focused on security and performance in face of changing industry demands and regulations. Analytical in approaching database and recordkeeping problems to identify optimal improvements.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Information Specialist
Baptist Hospital
Miami
01.2008 - Current
- Provided accurate medical information to healthcare professionals and patients.
- Answered incoming calls from patients seeking advice or requesting medical information.
- Reviewed and analyzed drug information literature for clinical relevance.
- Compiled and summarized patient information for doctors and healthcare providers to facilitate informed decision-making.
- Reviewed patient accounts, explained EOB, answered customer inquiries, and resolved issues regarding insurance coverage, billing, and claim status.
- Resolved billing issues from insurance carriers and patients, enhancing clarity and satisfaction.
- Responsible for all follow up on insurance claims to Medicare, Medicaid and commercial insurance.
- Reviewed, revised, and followed up on all denials to ensure accurate processing and resolution.
- Collected and posted charges/payments to patient's accounts including all major procedures.
- Maintained, updated, and organized all patient files in accordance with HIPAA regulations.
- Prepared reports summarizing data collected from various sources related to clinical and financial outcomes.
- Knowledge of UB04 billing form
- Monitored compliance with applicable state and federal laws pertaining to the release of confidential health care information.
- Gathered and reviewed medical records to ensure accuracy of patient information.
Customer Service Agent
Assurant Call Center
Miami
03.2007 - 10.2008
- Promoted and sold service upgrades, enhancing customer satisfaction and loyalty
- Coordinated technician appointments, optimizing service delivery for customer requests
- Diagnosed and resolved technical issues through phone support
- Assisted Direct TV customers with inquiries, ensuring timely resolution of issues
- Recorded updates to customer accounts accurately
Home Health Aide
Direct Care Nursing Home
Miami
09.2006 - 09.2007
- Administered medication to patients on prescribed schedules, ensuring adherence to treatment plans and promoting health outcomes.
- Assisted patients with daily routines, ensuring comfort and well-being through transportation, cooking, and cleaning.
- Transported patients to appointments and provided support during consultations, enhancing communication between patients and physicians.
Education
Diploma -
Williams H. Turner Technical Arts High School
Miami, FL06-2005
Medical Administrative Billing and Coding -
Broward Community College
Skills
- Medical Records
- Medical Coding
- ICD-10
- CPT Coding
- Medical Billing
- Medical Collection
- Insurance Verification
- EMR Systems
- Hospital Experience
- ICD-9
- Medical Scheduling
- Transcription
- Medical Office Experience
- Data entry
- Data organization
- Data reporting
- Information analysis
- Multitasking
- Analytical
- HIPAA compliance
- Accounting
- Written skills
Certification
Certified Billing and Coding Specialist
Personal Information
Proficient Medical Information Specialist with over 10+ years providing comprehensive analysis of medical records , ensuring accuracy and confidentiality.
Timeline
Medical Information Specialist
Baptist Hospital
01.2008 - Current
Customer Service Agent
Assurant Call Center
03.2007 - 10.2008
Home Health Aide
Direct Care Nursing Home
09.2006 - 09.2007
Diploma -
Williams H. Turner Technical Arts High School
Medical Administrative Billing and Coding -
Broward Community College