Emily Stiles
China,ME
Summary
Accomplished healthcare professional with over ten years of experience providing compassionate, patient-centered care in a variety of settings. Exemplary time management and organizational skills and highly experienced in patient assessments, treatment planning, and collaboration of care. Expertise in several electronic health record systems, including NextGen, Epic, Soarian, and TouchWorks.
Overview
13
13
years of professional experience
Work History
Patient Account Representative
HealthReach Community Health Centers
06.2019 - Current
- Electronically submit ICD-10-CM and CPT charges according to state and federal compliance guidelines.
- Responsible for reviewing patient financial records to determine allocation of insurance, copay determination, and prior authorization status.
- Respond to patient, family and external payer inquiries.
- Work with a multitude of entities to resolve issues with billing, claims, and payments, including medical providers, clinical staff, and commercial and governmental payers.
- Enter comprehensive patient details into electronic health record systems for interdepartmental access and review.
Secretary II/Insurance Verification Specialist
Maine General Health
08.2016 - 06.2018
- Responsible for offering administrative support to a busy medical office.
- Answered a multi-line phone system and enthusiastically greeted callers.
- Checked patients in and out, scheduled appointments and conducted follow-up calls to patients.
- Continually sought methods for improving daily operational tasks, communication with patients, and data entry for optimal patient experience.
Section 28 Program Director
MAS Community Health
10.2014 - 10.2016
- Managed a team of Children's Services Coordinators, including weekly supervision and 24/7 support.
- Responsible for abiding by HIPAA privacy rules and regulations pertaining to the review and release of client health information.
- Responsible for conflict management, crisis intervention, and the conduction of employee performance evaluations.
- Conducted frequent audits of client records to ensure compliance with State of Maine Section 28 regulatory guidelines.
- Collaborated with various teams, both internal and external, to identify opportunities to increase access to high-quality in-home interventions to children and families across the State.
- Monitored program performance to identify areas of strength as well as opportunities for growth.
Emergency Services Specialist/MHRT-CSP
AMHC
02.2012 - 10.2014
- Provided crisis evaluation and crisis stabilization services to children and adults experiencing an acute mental health crisis.
- Utilized a wrap-around approach to treatment, involving family members and various providers, including physicians, educators, and mental health service providers.
- Assisted in the development and implementation of interventions to manage the crisis situation.
- Responsible for maintaining precise and highly detailed documentation.
Education
Associate of Applied Science - Health Information Management
Kennebec Valley Community College
Fairfield, ME05.2019
Bachelor of Arts - Psychology
The University of Maine
Orono12.2010
Skills
- Exceptional verbal and written communication skills
- In-depth understanding of HIPAA regulatory standards
- Outpatient facility operational procedures
- Ability to provide individualized, client-driven treatment
- Highly motivated, exemplary organizational and time management skills
Timeline
Patient Account Representative
HealthReach Community Health Centers
06.2019 - Current
Secretary II/Insurance Verification Specialist
Maine General Health
08.2016 - 06.2018
Section 28 Program Director
MAS Community Health
10.2014 - 10.2016
Emergency Services Specialist/MHRT-CSP
AMHC
02.2012 - 10.2014
Associate of Applied Science - Health Information Management
Kennebec Valley Community College
Bachelor of Arts - Psychology
The University of Maine
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