Dionne Murphy

• Research, reviews and resolves claims and benefit question with Customer Service and other Operations area.

Regularly converses by phone with members and providers, either directly or as transferred by customer service representatives.

• Receives an create pre-service/post service/Grievances request by telephone from customer service or through faxes.
• Documents in a computerized tracking system.
• Receive faxed information via document imaging system for inpatient admission, outpatient services, DME, and post service medical review, Responsible for triaging and data entry into Facets.
• Performs all duties in a manner consistent with the company's Code of Conduct and policies and procedures and other related duties as assigned to meet departmental and company objectives.
• Other duties as assigned.

• Enhanced the efficiency of the release of information process by implementing a streamlined system for handling requests.
• Ensured compliance with HIPAA regulations through diligent tracking and monitoring of protected health information disclosures.
• Decreased turnaround time for record requests by prioritizing tasks and utilizing organizational skills.
• Facilitated communication between medical providers, patients, and legal teams to ensure accurate and timely release of information.
• Handles all requests and inquiries for patient health information whether received via mail, fax, phone or in-person.
• Verifies the patient identity and confirms that the authorization is valid

• Developed and maintained successful partnerships with internal clients, vendors, and local/external customers.
• Rotate to various areas of the unit based on the needs of the department.
• Manage decontamination, processing, and sterilization of medical instruments.
• Manage distribution of supplies and equipment to various departments within the hospital.
• Assists administrative and operating personnel in the adherence to quality standards and promotes a customer focused culture.
• Manage the stocking and maintaining of the Pyxis Inventory System.

• Improved patient satisfaction by providing attentive and efficient transport services.
• Assisted nursing staff with patient care tasks, resulting in a more streamlined workflow.
• Maintained a clean and safe environment for patients, ensuring optimal recovery conditions.
• Collaborated with interdisciplinary teams to enhance the overall quality of patient care.
• Streamlined inventory management processes, guaranteeing sufficient supplies for patient care needs.
• Assisted in transferring patients between departments, facilitating efficient coordination of healthcare services.