Falon Belona
Baton Rouge
Summary
Manager, Health Information Management with extensive experience in overseeing Release of Information (ROI) processes and managing staff performance. Successfully developed and implemented departmental policies to ensure compliance with HIPAA regulations and accrediting agency requirements. Demonstrated ability to streamline document retrieval processes and enhance operational efficiency through strategic workload management and cross-departmental collaboration. Proven track record in training and mentoring teams to achieve high standards of service delivery in a virtual healthcare environment.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Manager, HIM
Talkspace
10.2021 - Current
- Supervise and mentor the Release of Information (ROI) staff, managing the full employee lifecycle including selection, performance monitoring, evaluation, recommending awards/advancements, and administering disciplinary actions.
- Generate workload reports to forecast demand, strategically distribute pending workload to the team, and actively monitor completion status to ensure deadlines are consistently met.
- Serve as the primary subject matter expert, providing assistance and direction to all internal and external requesters while explaining complex ROI procedures and maintaining exceptional customer service.
- Contribute suggestions for improvement to senior management, actively participating in process improvement, engagement, and cross-departmental work meetings/teams.
- Streamline document retrieval by interfacing with third-party portals and vendors to ensure the complete and accurate acquisition of necessary documentation.
- Streamline the process for responding to pre-payment and post-payment requests for medical record documentation to support pending and denied claims.
- Manage the entire medical record request lifecycle, processing both internal and external requests, accurately locating records, and arranging timely, secure delivery to the requester.
- Independently organize and prioritize departmental time to ensure full medical record availability to customers while successfully completing all related administrative and logging tasks.
- Maintain 100% adherence to all HIPAA, confidentiality, compliance regulations, rules, guidelines, policies, and procedures in a virtual healthcare environment.
- Utilize proprietary systems for document processing, accurately locating identifiers, and performing detailed quality assurance reviews to correct document type, descriptor, and encounter information as needed.
Supervisory Medical Records Technician
US Department of Veterans Affairs
Temple
07.2021 - 10.2021
- Directed and managed the full scope of Release of Information (ROI) staff, overseeing work assignments, evaluating performance, administering disciplinary actions, and recommending advancements.
- Ensured 100% compliance with all accrediting agency and regulatory requirements for health record disclosure, initiating corrective actions as needed to maintain adherence.
- Developed and authored new departmental policies and procedures, position descriptions, and performance standards to govern staff operations and ROI accuracy.
- Collaborated directly with VA Regional Counsel to facilitate the timely and accurate disclosure of complex health records related to malpractice, subpoenas, and tort cases.
- Maintained staff readiness by developing and administering orientation and competency assessments for all assigned team members.
- Generated workload reports to strategically distribute pending work and monitor completion status, ensuring the timely release of health records in accordance with VA policies and procedures.
Risk Adjustment Representative 2
Humana
Baton Rouge
07.2020 - 07.2021
- Managed high-volume data retrieval by successfully executing a 100% travel schedule, including frequent overnight travel, to physician offices to meet aggressive production deadlines and quality expectations.
- Ensured coding integrity by meticulously analyzing medical records and clinical documentation to verify accuracy and proper support of codes.
- Maintained stringent compliance with all state and federal regulations, as well as internal policies, when analyzing coding information and safeguarding Protected Health Information (PHI).
- Demonstrated technical proficiency in retrieving medical records from multiple Electronic Medical Record (EMR) systems, including EPIC and Cerner Powerchart.
- Efficiently utilized technical tools, including laptops, thumb drives, and portable scanners, to securely collect and upload medical records into a central database.
Senior ROI Specialist
MRO Corporation
Baton Rouge
06.2015 - 09.2019
- Managed high-volume ROI requests by responding to HIPAA-compliant demands for medical and billing records from patients, legal entities, insurance companies, and medical facilities for home health and hospice agencies.
- Processed critical reimbursement documentation, including logging and processing Medicare and Private pay ADRs (Additional Documentation Requests) and CERTS (Certification and Evaluation Reports).
- Served as a key trainer and mentor by developing and providing comprehensive training opportunities for new employees and current staff throughout their career with the organization.
- Handled complex administrative duties, including delegating tasks, updating workflow processes, and revising departmental policies and procedures as required.
- Demonstrated proficiency in operating multiple Electronic Medical Record (EMR) systems, including AMS2, AMS3, Home Care Home Base, Netsmart, and McKesson.
- Managed the Health Information Management Department's incoming communication, processing and distributing confidential patient information.
Education
Bachelor of Science - Health Information Management
Western Governors University
RemoteBachelor of Science - Criminal Justice
Southern University A&M College
Associate of Arts - Criminal Justice
University of Phoenix
High school diploma or GED - College Prep Courses
Glen Oaks Senior High School
Baton Rouge, LASkills
- Self-starter
- Multiple phone lines
- Communication skills
- Front desk
- HIPAA
- EMR systems
- Customer relationship management
- Analysis skills
- NextGen
- McKesson
- Customer service
- Team management
- Law office
- Excellent communication skills
- Medical law
- Epic
- Athenahealth
- Quality improvement
- HEDIS
- Citrix
- Cerner
- Data management
- Microsoft Office
- Microsoft Excel
- Data collection
- Medical Terminology
- Personal injury law
- Google Docs
- Google Sheets
- Administrative support
- Faxing
- Cotiviti
- Powerpoint
- Documentation review
- Excel
- Supervising experience
- Software testing
- Office Experience
- ICD-10
- CPT Coding
- Medical Documentation
- EHR systems
- Pharmacy Software
- Microsoft Powerpoint
- Hospital Experience
- Medical Records
- Risk management
- Anatomy knowledge
- Copying
- Filing
- Medical Coding
- Microsoft Word
- Medical terminology
- Home Health
- Workflow optimization
- Regulatory compliance
- Cross-departmental collaboration
- Staff training
- Performance evaluation
- Data analysis skills
- Training & development
- Interviewing
- Leadership
- Anatomy Knowledge
- Multitasking
- Medical billing
- Hospice Care
- SSO
- Data Collection
- Medical records
- Records management
- Telephone
- Process improvement
- Hospital experience
- Release of Information
- HIPAA compliance
- Medical record management
Certification
Driver's License
Additional Information
Filing/Editing patient charts (Electronic Records), Microsoft Office, Excel, PowerPoint, Excellent communication skills, Self-starter with professional manner, Energetic and organized, Critical thinker, 5+ years of administrative support, Demonstrated proficiencies in telephone, e-mail, fax, and front desk reception within high-volume environment., Answered multiple phone lines, transferred calls to corresponding departments, and filed patient records., Handled customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency.
Timeline
Manager, HIM
Talkspace
10.2021 - Current
Supervisory Medical Records Technician
US Department of Veterans Affairs
07.2021 - 10.2021
Risk Adjustment Representative 2
Humana
07.2020 - 07.2021
Senior ROI Specialist
MRO Corporation
06.2015 - 09.2019
Bachelor of Science - Health Information Management
Western Governors University
Bachelor of Science - Criminal Justice
Southern University A&M College
Associate of Arts - Criminal Justice
University of Phoenix
High school diploma or GED - College Prep Courses
Glen Oaks Senior High School