Elizabeth Brown
Forks,WA
Summary
Meticulous Medical Records Clerk with seven-year history processing medical records requests while delivering highest quality customer service. Builds rapport with staff and patients to foster smooth and effective department operations. Strong knowledge of Release of Information policies and procedures and HIPAA regulations.
Overview
10
10
years of professional experience
Work History
Billing Clerk
Nicholas Worley Trucking
05.2022 - Current
- Managed invoicing and payment processing operations.
- Verified accuracy of billing data and corrected discrepancies.
- Audited billing records to verify accuracy and completeness.
- Interacted with customers to resolve billing disputes and respond to inquiries.
- Used data entry skills to accurately document and input statements.
Prior Authorization Specialist
Forks Community Hospital
05.2021 - 10.2021
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Medical Records Assistant
Forks Community Hospital
01.2017 - 05.2021
- Filed records for timely retrieval.
- Audited files for completion and accuracy.
- Reviewed charts and flagged incomplete or inaccurate information.
- Maintained patient records systems by archiving, scanning and indexing important documents and files.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Supported medical staff by providing organized and accurate medical records.
- Printed and photocopied documents to provide patients with copies of medical records.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Medical Records Clerk
Forks Community Hospital
03.2015 - 05.2017
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
- Supported medical staff by providing organized and accurate medical records.
- Maintained patient records systems by archiving, scanning and indexing important documents and files.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Printed and photocopied documents to provide patients with copies of medical records.
- Responded to patient inquiries to provide information and details of medical records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Scanned and uploaded medical records into electronic medical records system.
- Sorted and distributed incoming and outgoing medical records.
- Followed up with medical staff regarding missing information in patient records.
Admitting Receptionist
Forks Community Hospital
03.2014 - 03.2015
- Verified patient details and insurance coverage.
- Registered patients for labs, emergency room, surgeries, admissions and radiology.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained payments from patients and scanned identification and insurance cards.
- Greeted and interacted with patients to provide information and answer questions.
Education
High School Diploma -
Forks High School
Forks, WA06.2013
Skills
- Clerical Support
- Scanning and Imaging Software
- EMR Systems
- Records Accuracy
- Document Scanning
- Paperwork Processing
- Medical Transcription
- Medical Release of Information ROI
- Quality Control Checks
- Doctor Communication
- Records Management
- Medical Terminology Understanding
Timeline
Billing Clerk
Nicholas Worley Trucking
05.2022 - Current
Prior Authorization Specialist
Forks Community Hospital
05.2021 - 10.2021
Medical Records Assistant
Forks Community Hospital
01.2017 - 05.2021
Medical Records Clerk
Forks Community Hospital
03.2015 - 05.2017
Admitting Receptionist
Forks Community Hospital
03.2014 - 03.2015
High School Diploma -
Forks High School
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