Summary
Overview
Work History
Education
Skills
Timeline
Generic

Emerald Carter

Pewaukee

Summary

Dynamic professional with a proven track record at ProHealth Care, excelling in patient registration accuracy and HIPAA compliance. Recognized for enhancing operational efficiency through meticulous attention to detail and compassionate patient care. Adept at problem-solving and fostering teamwork, consistently exceeding productivity standards in fast-paced environments.

Extensive experience managing patient intake and facilitating communication between medical staff, ensuring seamless operations in emergency settings. Known for strong team collaboration and adaptability, displaying critical thinking and problem-solving skills to meet dynamic needs.

Overview

7
7
years of professional experience

Work History

Emergency Department Registrar

ProHealth Care
01.2021 - Current
  • Maintained strict confidentiality of sensitive patient information in compliance with HIPAA regulations.
  • Exceeded department-specific productivity standards, collection targets, quality audit scores for accuracy productivity and collection standards for registrations and insurance verifications.
  • Utilized audits and controls to accurately manage cash.
  • Improved patient registration accuracy by implementing thorough data verification processes.
  • Conducted patient intake interviews, recording and documenting relevant information.
  • Greeted visitors and initiated triage processes for clients to streamline patient flow.
  • Processed medical insurance claims and payments.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Performed various administrative tasks by filing, copying and faxing documents.

Dispute and Fraud Analyst

Sharp Decisions
11.2018 - 01.2021
  • Enhanced the efficiency of fraud detection tools by refining risk parameters and thresholds.
  • Assisted clients with resolving disputes effectively, minimizing negative impact on their accounts and overall experience.
  • Established effective communication channels between relevant stakeholders during high-profile cases, ensuring all parties remained well-informed of progress and outcomes.
  • Delivered timely and accurate reporting on fraud trends, dispute volumes, and associated financial impacts to senior management.
  • Identified fraudulent activities through meticulous analysis of transaction data and trends.
  • Collaborated with cross-functional teams to develop robust strategies against emerging fraud schemes.
  • Managed complex problem-solving for upper management in order to complete projects on-time and within budget.
  • Presented audit findings to accounting manager after reviewing results and paperwork.
  • Created detailed expense reports to facilitate reimbursement for business expenses incurred.

Education

High School Diploma -

New School For Community Services
Milwaukee, WI

Skills

  • Compassionate patient care
  • Clinical documentation
  • Healthcare ethics
  • Trauma management
  • Customer service
  • Teamwork and collaboration
  • Problem-solving
  • Time management
  • Attention to detail
  • Adaptable and flexible
  • Critical thinking
  • Organizational skills
  • HIPAA compliance
  • Active listening
  • Cash handling
  • Detail-oriented
  • Electronic health records
  • Office administration
  • Patient scheduling
  • Self motivation

Timeline

Emergency Department Registrar

ProHealth Care
01.2021 - Current

Dispute and Fraud Analyst

Sharp Decisions
11.2018 - 01.2021

High School Diploma -

New School For Community Services

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