Evoni Simmons
Memphis,TN
Summary
Hardworking medical administrative professional offers great people skills, organized file management and deep understanding of patient protections. Enhances office operations by staying on top of patient and staff needs. Experience with electronic recordkeeping and insurance documentation.
Overview
8
8
years of professional experience
Work History
Physical Therapist Technician
Poplar Medical
Memphis, TN
09.2024 - Current
- Performed administrative tasks such as scheduling appointments, documenting patient information and filing insurance forms.
- Assisted physical therapists with treatments by preparing equipment and helping patients move to different positions during exercises.
- Provided therapeutic modalities such as ultrasound, electrical stimulation and hot and cold packs according to therapist protocols.
- Maintained records of patient progress for use in treatment planning and evaluation.
- Observed patients during treatments and reported any changes in condition or response to therapy to the physical therapist.
- Instructed patients on proper exercise techniques and how to use assistive devices such as canes, walkers, crutches or wheelchairs.
- Gave manual massage techniques including effleurage, petrissage, tapotement, friction, vibration and compression to help relieve pain.
- Helped develop individualized treatment plans based on patient needs under the direction of a physical therapist.
- Monitored patients' performance during exercise sessions to ensure safety and effectiveness of treatment programs.
- Cleaned medical equipment after each use following established procedures for sterilization or disinfection.
- Performed clerical duties such as answering phones, ordering supplies and maintaining inventory logs.
- Measured range of motion using goniometer or inclinometer before and after therapy sessions to document progress over time.
- Explained home exercise programs prescribed by the physical therapist that included strhing, strengthening or aerobic conditioning activities.
- Taught appropriate transfer techniques from bed-to-chair, wheelchair as well as wheelchair-to-bathroom, shower chair transfers.
- Provided assistive devices such as splints or braces for immobilization of joints according to instructions from the physical therapist.
- Recorded daily notes detailing patient responses during treatments along with any relevant observations made by the technician.
- Communicated regularly with physical therapists regarding patient progress towards goals set forth in their individualized treatment plan.
- Transported patients between departments within healthcare facility using wheelchairs or other assistive devices when necessary.
- Assisted physical therapist with treatment, administration, and planning.
- Set up equipment and gear for physical therapy appointments according to treatment plans.
- Helped with basic clinical needs and responded to patient requests.
- Assisted patients during physical therapy procedures to restore function and reduce pain.
- Followed up with patients about needs and appointments.
- Promoted continuous patient advocacy for health and safety.
- Supported patients in physical therapy procedures to restore function and decrease pain.
- Prepared and maintained treatment areas, equipment, and supplies.
- Assisted physical therapists in developing and implementing treatment plans for patients.
Front and Back Office Lead Medical Assistant
ExamWorks
Sacramento, CA
03.2023 - 08.2024
- Performed front office duties such as scheduling appointments, verifying insurance eligibility and collecting co-pays.
- Monitored patient flow and ensured efficient use of resources.
- Provided support to physicians with clinical documentation, charting and coding.
- Processed medical records requests, including release of information forms.
- Managed back office duties such as patient check-in and check-out, rooming patients, taking vital signs and preparing charts for physician visits.
- Ensured compliance with HIPAA regulations regarding patient privacy rights.
- Responded to telephone inquiries from patients regarding test results, prescription refills and general health advice.
- Maintained medical supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders; verifying receipt of supplies.
- Prepared specimens for laboratory analysis by properly labeling containers according to established protocols.
- Entered patient data into Electronic Health Record system accurately and completely.
- Assisted physicians during examinations by taking notes on patient history and symptoms presented.
- Tracked lab results using EHR system ensuring accurate documentation in accordance with established protocols.
- Participated in monthly staff meetings providing input on workflow issues related to front office operations.
- Assisted patients with registration, new patient paperwork and check-out process.
- Guided patients to room, recorded vital signs, discussed patient medical history and entered information for physician or other clinical staff to review.
- Set up, cleaned and stocked examination rooms with medical supplies.
- Scheduled patients by collecting screening information or presented nurse with clinical information to triage urgent patient needs.
- Prepared daily charts by creating and updating electronic health records system data prior to patient visits.
- Supervised, trained and coached team of medical assistants.
- Scheduled appointments for patients via phone and in person.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Organized charts, documents and supplies to maintain team productivity.
- Documented notes during patient visits.
- Incorporated outside records into charts and EHR.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Responded to patient callbacks and phone-in prescription refill requests.
- Measured vital signs and took medical histories to prepare patients for examination.
- Explained treatment procedures and physicians' instructions.
Dental Claims Examiner
Robert Half Agency
Sacramento, CA
01.2023 - 04.2023
- Remote work.
- Reconciled provider accounts and processed adjustments when appropriate.
- Assisted with audits of provider accounts by gathering relevant documentation and preparing reports as needed.
- Maintained knowledge of current dental industry trends, including changes in regulations, coding systems, reimbursement policies.
- Acted as a liaison between providers and third-party payers such as insurance companies or government agencies.
- Evaluated denials received from third-party payers and determined if they were valid or should be appealed.
- Tracked all unpaid claims and contacted third-party payers to resolve any issues preventing payment.
- Developed strategies for improving efficiency within the department while maintaining high levels of customer service.
- Resolved discrepancies between submitted claims and patient records to ensure accurate payment of claims.
- Signed payment approvals accepted claims.
- Used insurance rate standards to calculate premiums, refunds, commissions and adjustments.
Collections Account Manager
American Financial
Memphis, TN
04.2022 - 11.2022
- Managed a portfolio of delinquent accounts and implemented strategies to reduce delinquency.
- Monitored customer accounts for payment trends, credit worthiness and compliance with terms.
- Negotiated repayment arrangements with customers to ensure timely payments were made.
- Researched account discrepancies and identified areas of improvement in the collections process.
- Prepared monthly reports on collection activities, aging status and performance metrics.
- Conducted skip tracing activities to locate customers who had not responded to collections efforts.
- Reviewed customer account information and updated records as needed.
- Assisted customers in resolving billing disputes or other issues that impacted their ability to pay outstanding balances.
- Analyzed financial data such as income, expenses, assets and liabilities to determine an appropriate payment plan for each customer.
- Maintained detailed records of all collection activity including calls, emails, letters and payments received.
- Provided excellent customer service while collecting past due amounts from customers.
- Developed relationships with customers to encourage resolution of overdue accounts.
- Adhered to established policies regarding debt collection processes and procedures.
- Ensured compliance with applicable laws related to debt collection practices.
- Escalated unresolved cases or complex situations requiring special attention.
- Located new addresses of delinquent customers through research, contacting credit bureaus or by questioning neighbors.
- Notified credit departments and turned over records to attorneys when customers failed to respond to collection attempts.
- Negotiated credit extensions and waivers when necessary.
Answering Service Operator
MAP Communications
Memphis, TN
01.2022 - 03.2022
- Answered incoming calls promptly and courteously.
- Provided accurate information regarding services offered.
- Responded to customer inquiries in a timely manner.
- Verified customer accounts by obtaining additional information as needed.
- Routed calls to appropriate personnel or departments.
- Created new customer accounts in the database system.
- Maintained call logs, records and other documents related to answering service operations.
- Performed data entry of customer information into the computer system.
- Escalated customer complaints or issues to supervisor when necessary.
- Updated existing customer accounts with recent contact information.
- Entered notes into the database for each call received.
- Researched and resolved customer complaints quickly and efficiently.
- Transferred calls to voicemail if appropriate personnel was unavailable.
Operations and Maintenance Account Specialist
Spencer Odgen
Sacramento, CA
09.2021 - 12.2021
- Remote work.
- Scheduled regional preventative maintenance for our customers and coordinate schedule between our field crew and the customer site.
- Managed multiple Outlook calendars to coordinate worker schedules and link to SharePoint.
- Set up customer SharePoint sites with consistent template information, QA Maintenance Reports generated by subcontractors, and process to customer SharePoint sites.
- Processed preventative maintenance reports, summarize executive summaries, and share with customers as required.
- Reviewed Zendesk trouble-ticket progress monitoring and scheduling of unplanned maintenance/warranty calls.
- Followed up with field technicians, as needed, to ensure task completion.
- Support manufacturer warranty claims and manage paperwork for follow-ups and tracking.
Remote Outreach Coordinator
Managed Staffing
Sacramento, CA
09.2021 - 11.2021
- Remote Work.
- Created and maintained detailed records of outreach activities, including contact lists, event calendars, and program outcomes.
- Conducted research and identified potential partners for outreach initiatives.
- Developed relationships with local businesses, government agencies, schools, and other organizations to increase visibility of programs.
- Represented organizations in relations with governmental and media institutions.
- Oversaw fundraising activities and preparation of public relations materials.
- Acted as consultant to community programs by interpreting regulations and policies.
Member Relationship Specialist
California Dental Association
Sacramento, CA
02.2020 - 06.2021
- Maintained membership database, ensuring that all information was current and accurate.
- Identified issues and immediately stepped up to guarantee speedy and effective resolutions.
- Learned, demonstrated, and applied a strong understanding of association knowledge to analyze and solve problems, inform, and educate members and nonmembers on association products and services, and build loyalty by communicating the full value of membership.
- Responded to inquiries by asking follow-up questions, conducting research, and providing accurate answers and additional resources.
- Resolved problems by clarifying issues, exploring answers and alternative solutions, implementing solutions, and escalating unresolved problems.
- Provided professional and courteous counseling in responding to telephone inquiries regarding all areas of the association, including billing and requests for resources.
- Investigated and resolved customer problems and disputes in a timely and efficient manner.
- Conducts outreach to assist in member recruitment and retention by communicating the benefits of membership to current, lapsed, former, and new members.
- Served as the liaison between CDA, its 32 local components, and the American Dental Association (national) to ensure timely processing of all membership-related activities on members' behalf.
- Processed payments for membership and worked closely with finance to resolve any payment discrepancies.
- Assist with activities related to member benefits, such as educational conferences (CDA Presents), oral health clinics (CDA Cares), or other meetings onsite or over the phone as directed.
Appeals and Grievances Coordinator
Centene Corporation
Rancho Cordova, CA
11.2016 - 01.2020
- Triaged expedited appeals and grievances for Medicare, CMC, Medi-Cal, CAL-VIVA, and Marketplace.
- Researched complaints (grievances), logged, and tracked the information as it moves through the clinical process or is tasked through internal contacts.
- Contacted customers to collect information and communicate disposition of the case, and document all interactions.
- Thoroughly reviewed cases to determine if they need further review by a clinician.
- Used sound, fact-based decision-making skills to render a decision for non-clinical complaints.
- Used appropriate templates to complete necessary documentation for acknowledgement of appeals or grievances.
- Relay appeal or grievance information to members, providers, and internal/external parties within the appropriate regulatory compliance timeframes.
- Monitored progress made towards resolving appealed or grieved matters.
- Mediated or arbitrated discussions between parties in cases of labor disputes.
Education
High School Diploma -
Monterey Trail High School
Elk Grove05-2014
Some College (No Degree) - General Education
Consumnes River College
Elk Grove, CAAssociate of Arts - Accounting And Business Management
University of Phoenix
Tempe, AZSkills
- Strength training
- Range of Motion Improvement
- Orthopedic Rehabilitation
- Mobility training
- Adaptive equipment use
- Therapeutic exercise
- HIPAA Compliance
- Medical terminology expertise
- Diagnostic Testing
- Scheduling appointments
- Vital signs measurement
- Patient Scheduling
- Dispute Resolution
- Policy Knowledge
- Problem-solving abilities
- Arbitration preparation
- Multitasking Abilities
- Time management abilities
- Legal Documentation
- Contract interpretation
- Arbitration coordination
- Training leadership
- Decision-Making
- Risk Management
- Data Analysis
- Conflict Resolution
- Case Management
- Written Communication
- Compliance Management
- Grievance management
Timeline
Physical Therapist Technician
Poplar Medical
09.2024 - Current
Front and Back Office Lead Medical Assistant
ExamWorks
03.2023 - 08.2024
Dental Claims Examiner
Robert Half Agency
01.2023 - 04.2023
Collections Account Manager
American Financial
04.2022 - 11.2022
Answering Service Operator
MAP Communications
01.2022 - 03.2022
Operations and Maintenance Account Specialist
Spencer Odgen
09.2021 - 12.2021
Remote Outreach Coordinator
Managed Staffing
09.2021 - 11.2021
Member Relationship Specialist
California Dental Association
02.2020 - 06.2021
Appeals and Grievances Coordinator
Centene Corporation
11.2016 - 01.2020
High School Diploma -
Monterey Trail High School
Some College (No Degree) - General Education
Consumnes River College
Associate of Arts - Accounting And Business Management
University of Phoenix
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