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
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
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
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
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
- Basic Life Support (BLS)
- Registered Health Information Technician (RHIT) in progress
- Certified Pharmacy Technician (CPhT)
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