DIANE B. JAMES
Rocklin,CA
Summary
Knowledgeable professional with proficiencies in medical records management, coding and data entry. Proven ability to review and document clinical data, ensuring accuracy and compliance. Well-versed in ICD-10, CPT and HCPCS coding systems. CPC-A
Overview
32
32
years of professional experience
Work History
Radiology Scheduler
Dignity Health
03.2021 - Current
- Schedule, cancel, reschedule imaging appointments using Cerner software
- Work closely with sites to ensure patient orders and authorizations are current
- Upheld HIPAA regulations and standards for protecting patient information
- Verify CPT and ICD-10 CM codes on authorization match exam that was ordered by the physician
- Screen patients, inform of other testing required prior to exam
- Enter, verify and run patient insurance in IDX
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Front Office Administrator
Dr. Gary Peer, Internal Medicine
01.2012 - 08.2020
- Greet and check-in patients, collect any updated patient or insurance information.
- Offered office-wide EMR software support and training, including troubleshooting issues and optimizing usage.
- Created and updated physical records and digital files for 800+ patients to maintain current, accurate and compliant documentation.
- Obtained insurance authorizations and schedule specialist appointments
- Oversaw office inventory activities, including ordering and requisitions, stocking and shipment receiving.
- Optimized office schedule to balance team workloads.
- Organized patient informational seminars and events.
- Delivered clerical support by efficiently handling wide range of routine and special requirements.
Certified Pharmacy Technician
Target Corporation
08.2004 - 04.2011
- Coordinated verification and filling of more than 300 daily prescriptions in high-volume pharmacy environment.
- Set up and modified patient profiles in database to include current information such as medications and insurance details.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and insurance issues.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
Messaging Engineer I
Lam Research Corporation
02.1999 - 12.2001
- Created network and e-mail accounts for new employees.
- Broke down and evaluated user problems, using test scripts, personal expertise and probing questions.
- Followed up with clients to verify optimal customer satisfaction following support engagement and problem resolution.
- Responded to support requests from end users and patiently walked individuals through basic troubleshooting tasks.
Sr. Helpdesk Representative
Lam Research Corp.
01.1997 - 02.1999
- Troubleshoot PC hardware and software problems and inquiries from employees.
- Analyzed employee system issues to identify troubleshooting methods needed for quick remediation.
- Devised solutions to operations issues working closely via phone, email, live chat and web teleconference.
Department Administrator
Lam Research
02.1995 - 01.1997
- Researched, developed and implemented, Training Database and employee registration process.
- Co-Coordinated and administered bi-monthly management dinners for 150+ management staff.
- Evaluated success of training programs and recommended improvements to upper management to enhance effectiveness.
- Maintained department manager appointment schedule, including meetings and travel.
Sr. Receptionist
Lam Research Corp.
06.1991 - 02.1995
- Professionally represented the company and operated high volume, multi-line switchboard for 10+ buildings, Researched, designed and implemented scheduling system for lobby relief, Co-produced company phone directory, coordinated distribution to 4000+ employees.
- Managed office inventory by restocking supplies and placing purchase orders to maintain adequate stock levels.
Education
Pharmacy Technician Program Externship: (120 hours) Rite Aid, Fremont CA Certified Pharmacy Technician (PTCB) -
Boston Reed
Livermore, CAGeneral Education
Ohlone College
Fremont, CAHigh School Diploma -
Irvington High School
Fremont, CA06-1986
CPC CERTIFICATION - Medical Insurance Coding
AAPC
10.2023
Skills
- Medical coding understanding
- Medical insurance knowledge
- Strong communicator
- Electronic Medical Record Software - Cerner
- Microsoft Office
- Google Workspace
- Athena IDX
- Accurate and thorough
Timeline
Radiology Scheduler
Dignity Health
03.2021 - Current
Front Office Administrator
Dr. Gary Peer, Internal Medicine
01.2012 - 08.2020
Certified Pharmacy Technician
Target Corporation
08.2004 - 04.2011
Messaging Engineer I
Lam Research Corporation
02.1999 - 12.2001
Sr. Helpdesk Representative
Lam Research Corp.
01.1997 - 02.1999
Department Administrator
Lam Research
02.1995 - 01.1997
Sr. Receptionist
Lam Research Corp.
06.1991 - 02.1995
Pharmacy Technician Program Externship: (120 hours) Rite Aid, Fremont CA Certified Pharmacy Technician (PTCB) -
Boston Reed
General Education
Ohlone College
High School Diploma -
Irvington High School
CPC CERTIFICATION - Medical Insurance Coding
AAPC
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