Experienced Health Information Specialist with 16 years in Medical Records. Skilled in medical records abstracting, Hedis medical record reviewing, verifying insurace, and managing patient records.
Overview
22
22
years of professional experience
Work History
Customer Support Specialist III
Change Healthcare
Atlanta, GA
04.2022 - Current
Responsibilities included Retrieving and uploading documentation within the client's system
Follow up with facilities to check the status of Medical Record Request and to fax, or email request for DRG audits
Review, prioritize, and analyze daily inventory within systems and Excel
Performs quality audits verifying the accuracy of the legal medical record, navigating between multiple medical systems to verify the completeness of the medical records
Responsible for the facilities health record integrity associated with the following HIM processes record scanning, record analysis, deficiency monitoring, releasing patient information, master patient index and/or registry maintenance
Daily retrieval of medical records
Perform timely daily prepping and scanning of the patient's medical record
HIM Associate II
Tek Systems- R1 RCM/ Sutter Health
Atlanta, GA
11.2023 - 06.2024
Responsible for completing requests for release of medical records by examining both electronic and paper -based records to determine type of document, scope of authorization and legality of release
Review request, establish legitimacy and carries out the delivery of information according to policy and procedures
Health Information Specialist III
WellStar Health System/ Atlanta Medical Center
Atlanta, GA
09.2020 - 09.2021
Responsibilities include providing timely processing of the patient record, prepping, scanning and indexing of patients' medical records into Electronic Health Record (EHR)
Review documents, create indexes to allow the end users to locate documents quickly and easily for continuity of patient care, coding billing, release of information compliance and regulatory standards
Customer Service Representative
WellStar Health System/ Cobb Hospital
Austell, GA
12.2019 - 09.2020
Responsibilities included serving as the initial representative for the organization and is responsible for maintaining direct contact with patients of all ages, families, and visitors to provide emotional support, assistance, and a mechanism for grievances
This position's duties require courtesy and patience in speaking with patients, families, and others to maintain sound public relations
Medical Record Clerk
Cobb County Detention Center/WellStar Health system
Marietta, GA
06.2019 - 11.2019
Responsibilities included maintaining medical records operations by following policies and procedures, and reporting changes
Regarding completing medical record by reviewing information; notifying health care providers of record deficiencies, tracking outstanding records, and providing medical record information by answering questions and requests of patients, hospital staff, law firms, insurance companies, and government agencies
Securing patient confidence and protecting clinic operations by keeping the information confidential; following release-of-information protocols always
Patient Access Specialist
WellStar Comprehensive Care Clinic
Marietta, GA
07.2018 - 03.2019
Responsible for obtaining complete and accurate demographic, financial and insurance information
Conducted intensive screening for all Medicare, Medicaid, and managed care patients for pre-certification requirements pertaining to eligibility
Scheduling/ rescheduling patients' appointments using Epic Software, obtaining prior authorizations for procedures
Data Entry Technician II
Alabama Department of Mental Health Substance Abuse
Montgomery, AL
05.2015 - 05.2016
Implement data entry to support Substance Abuse client enrollment, contract utilization claims, adjudication, and provide reimbursement processes
Engaged in conferences, trainings, and assisting with compiling information for preparation of budget reports and funding requests
Responsibilities included enrolling consumers all within the state of Alabama using ASAIS System
Secretary (WL)
Healthcare Staffing
Dublin, GA
01.2014 - 04.2015
Conducted professional interviews with consumers to gather appropriate information for Intake process
Illustrate available services and billing process to consumer, Verifies consumer eligibility on website or via phone for insurance and financial status
Contact insurance carrier for initial authorization for treatment as required by Amerigroup, Cenpatico, Medicaid, and Well care carriers
Types correspondence, reports, etc
From dictation or handwritten notes by physicians and clinicians
Responsible for taking down minutes in weekly meetings and setting appointments for head director of facility
Medical Record Clerk/ Medical Billing
Dublin Internal Medicine
Dublin, GA
04.2008 - 08.2011
Created new medical records and retrieved medical records by gathering appropriate record folders and contents; assigning and recording new record numbers
Collects delinquent accounts by establishing payments arrangements with patients; monitoring payments; following up with patients when payment lapses occur
Health Information Management Associate
Fairview Park Hospital
Dublin, GA
02.2003 - 07.2008
Administer physicians with medical records; file loose medical records; responsible for organizing loose sheets in terminal digit order and filing on charts as needed
Duties also included scanning assembled medical records
Responsible for taking medical charts to assigned floors and departments in the facility and obtaining medical release forms for patients complying with HIPAA standards
Abstracted key data elements according to SIM and Medical Review, and assigned ICD-9-CMl, CPT diagnostic and procedural codes for billing
Education
Associates of Science - Occupational Studies
Washtenaw Community College
Ann Arbor, MI
05.2021
High School Diploma -
West Laurens High School
Dublin, GA
01.2002
Skills
Patient registration procedures
Proofreading
Editing
Medical related rules and regulations
HIPAA Compliance
Microsoft Office Applications
Meditech
E-Clinics
Adobe Acrobat
Epic
Typing speed of 60 WPM
Medical Terminology
Data entry
Patient interviewing
Insurance verification
Pre-registration
Prepping
Scanning medical records
CPT Coded
ICD-10
Care Plans
Document Review
Timeline
HIM Associate II
Tek Systems- R1 RCM/ Sutter Health
11.2023 - 06.2024
Customer Support Specialist III
Change Healthcare
04.2022 - Current
Health Information Specialist III
WellStar Health System/ Atlanta Medical Center
09.2020 - 09.2021
Customer Service Representative
WellStar Health System/ Cobb Hospital
12.2019 - 09.2020
Medical Record Clerk
Cobb County Detention Center/WellStar Health system
06.2019 - 11.2019
Patient Access Specialist
WellStar Comprehensive Care Clinic
07.2018 - 03.2019
Data Entry Technician II
Alabama Department of Mental Health Substance Abuse