Gina Hayes
Houston,TX
Summary
Detail-oriented and highly organized Medical Records and Claims Support Specialist with extensive experience in data entry, insurance verification, and medical documentation. Expertise in maintaining HIPAA compliance, managing electronic health records (EHR/EMR), and facilitating end-to-end claims processing. Proven track record of delivering accuracy in billing, coordinating appeals, and providing audit support for healthcare and insurance providers. Thrives in fast-paced, high-volume environments demanding precision, confidentiality, and strict adherence to regulatory standards.
Overview
10
10
years of professional experience
Work History
Deputy County Clerk
Fort Bend County Tax Office
12.2023 - Current
- Increased data processing accuracy by 22% by implementing cross-checking routines during entry of public records and tax documentation.
- Enter and update vehicle registration, licensing, and payment data in county databases, ensuring compliance with county and state policies.
- Manage and maintain confidentiality of sensitive documents, including legal, tax, and resident records, while ensuring HIPAA and data privacy compliance.
- Provide high-volume customer service support, assisting residents with inquiries, documentation requests, and payment transactions.
- Organize physical and digital files using standardized naming and categorization systems to improve retrieval and audit readiness.
Data Entry Specialist (WFH)
Boston Medical Center
04.2022 - 11.2023
- Achieved a 98% accuracy rate in data input by establishing verification workflows that reduced manual entry errors and improved audit outcomes.
- Input patient demographics, insurance data, and claims records into EMR systems, ensuring real-time synchronization across departments.
- Identified and resolved data discrepancies by collaborating with medical billing and administrative teams to ensure record integrity.
- Maintained compliance with HIPAA regulations by securely handling sensitive patient data and following strict access control procedures.
- Indexed, archived, and retrieved digital files for audits, improving retrieval time by 30% and supporting healthcare data continuity.
Insurance Verification & Billing Clerk
Preventice Solutions
01.2020 - 03.2021
- Reduced claim rejections by 15% by implementing detailed verification protocols and proactively correcting data prior to submission.
- Verified patient insurance coverage and benefits using online payer portals and EHR systems, ensuring accurate billing and timely claims submission.
- Entered billing codes (CPT, ICD-10) and payment details into claims processing systems, minimizing errors and denials.
- Followed up with insurance carriers to resolve discrepancies and appeal denials, improving reimbursement timelines.
- Maintained accurate billing documentation and generated performance reports for internal audits and compliance purposes.
Document Management Specialist
Simply Healthcare Plans
08.2018 - 12.2019
- Improved document retrieval speed by 35% by redesigning filing protocols and digitizing 90% of archived records.
- Scanned, categorized, and archived incoming correspondence and claims data into document management systems for easy tracking.
- Conducted regular audits of physical and digital records to ensure data accuracy and compliance with HIPAA and internal standards.
- Supported claims processors by preparing and organizing supporting documentation for appeals and medical necessity reviews.
- Maintained confidentiality while coordinating cross-department access to secure documentation in high-volume healthcare operations.
Intake & Medical Records Specialist
US Anesthesia Partners
11.2015 - 03.2018
- Maintained a 99% record accuracy rate across 200+ weekly patient files through rigorous intake reviews and structured data entry.
- Collected and verified patient demographics, insurance information, and medical histories during the intake process to ensure complete documentation.
- Organized and maintained both paper and electronic health records in compliance with HIPAA and organization protocols.
- Supported scheduling, referrals, and authorizations by ensuring all data was accurate and up-to-date in the EMR system.
- Improved patient data collection reliability by implementing a checklist-driven intake process, reducing follow-up documentation needs by 25%.
Education
High School Diploma -
Hawksbill High School
Certificate of Technical Studies - Medical Assistant
Northwestern Educational Center
Houston, TX11-2021
Skills
- Accurate data entry
- Health information management
- Claims management
- Appeals management
- HIPAA regulations knowledge
- Insurance eligibility verification
- End-of-batch reconciliation
- Data chart analysis
- EHR management
- Electronic medical records expertise
- HEDIS data analysis
- ROI Processing
- Document management
- Records Indexing
- Patient Intake
- Prior Authorizations
- Claims Auditing
- Grievance Resolution
- Microsoft Excel
- Claims Research
- Data Quality Assurance
- Digital & Paper Filing Systems
- Regulatory Compliance
- Effective time management
- Appeals Letter Drafting
- High-Volume Processing
- Healthcare office management
Timeline
Deputy County Clerk
Fort Bend County Tax Office
12.2023 - Current
Data Entry Specialist (WFH)
Boston Medical Center
04.2022 - 11.2023
Insurance Verification & Billing Clerk
Preventice Solutions
01.2020 - 03.2021
Document Management Specialist
Simply Healthcare Plans
08.2018 - 12.2019
Intake & Medical Records Specialist
US Anesthesia Partners
11.2015 - 03.2018
High School Diploma -
Hawksbill High School
Certificate of Technical Studies - Medical Assistant
Northwestern Educational Center