Jamillah Muhammad

Completed monthly Insurance verifications for new and existing residents.

• Track outgoing orders and or call pertaining to resident and or resident medical information
• Audit new admits/re admits and discharged resident records and or reports .
• Communicate with Medical director as needed.
• Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
• Maintain HIPPA compliances as needed for each resident past or present
• Communicate with patient , doctor office and other
• Thin residents active charts daily by the census as needed.
• Contact health insurance as needed to submit prior authorization in a timely manner.
• Follow up on incomplete records daily
• Check or complete discharge summary's
• Conducted annual reviews of existing policies to update information.
• Monitored customer feedback and identified areas of improvement.
• Supported administrative staff with various tasks as necessary, including billing procedures, document preparation, and correspondence management.
• Maintain tracking log for progress notes, physicians history including physicals and keeping track of monthly compliance letters bi monthly.
• Completed clerical duties and tasks for clinic administration.
• Maintain Death Record reports by mail/fax to the state each month.

• Contributed to a positive work environment by providing support and assistance to colleagues during peak periods or staff shortages.
• Managed high volumes of inbound calls while addressing scheduling requests, appointment confirmations, prescription refills, and general inquiries professionally.
• Increased efficiency of daily operations by implementing electronic health record system for accurate data management.
• Reduced errors in billing processes by meticulously reviewing and verifying patient demographics and insurance information.
• Assisted in staff training on new procedures, policies, and software applications to improve overall performance of the department.
• Provided compassionate service to patients and their families during difficult times, addressing concerns promptly and offering assistance as needed.
• Strengthened relationships with insurance providers, ensuring timely processing of claims and reimbursement approvals.
• Streamlined referral processes by establishing strong partnerships with healthcare providers, enabling more efficient transfers of patients between facilities.
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Improved patient satisfaction by streamlining the registration process and reducing wait times.

• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
• Assisted in training new hires on industry best practices, ensuring consistent quality performance across the team for optimal results in the verification process.
• Contributed to a positive work environment by actively participating in team meetings, offering constructive feedback, and assisting colleagues when needed.
• Enhanced claim processing efficiency by verifying insurance coverage and benefits for patients.
• Aided the billing department in reducing errors through meticulous verification of insurance eligibility and authorization.
• Complied with HIPAA guidelines and regulations for confidential patient data.
• Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Coordinated referrals through insurance and other medical specialists and documented details in patient charts.

• Increased customer satisfaction by addressing and resolving complaints in a timely manner.
• Increased lab efficiency by optimizing testing procedures and implementing new technologies.
• Managed daily operations of the laboratory effectively, ensuring timely completion of tasks without compromising quality standards or safety protocols.
• Investigated and resolved issues related to laboratory processes and procedures.
• Recorded and interpreted laboratory results to present to senior colleagues.
• Prioritized work assigned, maintained accurate records of work performed and initiated corrective action in case of defective records or inadequate care plans.
• Enhanced laboratory efficiency by implementing new testing procedures and protocols.

• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Verified accuracy of customer account information and updated when necessary.
• Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
• Took ownership of customers issues to follow problems through to resolution.
• Provided customers with detailed information on company products, services and materials.
• Exceeded performance goals consistently by demonstrating superior product knowledge when assisting customers.
• Managed difficult customer situations with empathy and understanding, ultimately defusing tensions and finding mutually agreeable resolutions.