Dorlyne Pierre
Orlando
Summary
Motivated with a successful track record in the effective management and utilization of health data systems. Proven ability to lead and collaborate with multidisciplinary teams, driving process improvements and fostering a culture of excellence. Committed to upholding confidentiality, ethical standards and delivering high-quality healthcare services through comprehensive health information management.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Care Woker- Auditor
Magellan Behavioral Health Services
Orlando, FL Remote
08.2019 - Current
- Followed established auditing processes to meet internal and regulatory requirements.
- Communicated with auditee staff to obtain necessary information for audits.
- Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.
- Assists in the mentoring and training of new Care Workers.
- Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources.
- Participates in operational activities, including data collection, tracking, and analysis.
Health Information Management Internship
UF Health Shands Hospital
Gainesville, FL
05.2023 - 07.2023
- Supported the health information management team in organizing and maintaining patient records, gaining exposure to electronic health record (EHR) systems and ICD-10 coding.
- Helped in the implementation of a record indexing system, contributing to improved efficiency and accuracy in record retrieval.
- Worked on data quality checks and participated in audits, gaining valuable experience in maintaining data integrity and compliance with healthcare regulations.
- Gathered, organized and input information into digital database.
Pharmacy Technician
AdventhHealth Hospital
Orlando, FL
10.2018 - 08.2019
- Actively performs all pharmacy technician functions and maintains active proficiency in standard work parameters, hospital and pharmacy specific computer systems, and operational programs
- Central/Distributive operations
- Sterile compounding
- Decentral/ Automated Dispensing Cabinet delivery pharmacy operations
- Controlled substances handling
- Participates in appropriate utilization of medication automation, technology, and computer systems. Maintains expertise in electronic medical records processed and accurately interprets records.
Pharmacy Technician Claim Processor
Aspire Health Partners
Orlando, FL
01.2017 - 11.2018
- Maintain and update patient billing and insurance information in the system
- Submit prior authorizations for State insurance
- Interact with insurance company on daily basis., overrides, rejections, and insurance updates
- Interact with client facilities staff, PDP (Medicare), CMS, NJM and NYM, if necessary
- Follow up and resolved pending billing issues
- Assist pharmacies with claims adjudication
- Research and correct pharmacy invoices
- Assign accurate codes (CPT, ICD-10) to medical services, ensuring compliance with coding standards and regulatory requirements.
Education
Associate of Science - Health Information Technology
Valencia College
Orlando, FL05.2024
Skills
- Health Information Technician
- Electronic Health Records (EHR) systems
- ICD-10, CPT/ ICD-9, HCPCS Level II coding
- Data analysis and reporting
- HIPAA compliance
- Record indexing and retrieval
- Team leadership
- Attention to detail
- MS Word, Excel, PowerPoint, Outlook, Teams
- EPIC, Pyxis, IP Framework
- Third-party billing/adjudication
- 30 words per min
Certification
- Basic Life Support (BLS)
- Registered Health Information Technician (RHIT) in progress
- Certified Pharmacy Technician (CPhT)
Timeline
Health Information Management Internship
UF Health Shands Hospital
05.2023 - 07.2023
Care Woker- Auditor
Magellan Behavioral Health Services
08.2019 - Current
Pharmacy Technician
AdventhHealth Hospital
10.2018 - 08.2019
Pharmacy Technician Claim Processor
Aspire Health Partners
01.2017 - 11.2018
Associate of Science - Health Information Technology
Valencia College