Janay Harris
Jonesboro,GA
Summary
Detail-oriented Registered Medical Assistant/Patient Service Representative with expertise in insurance verification, prior authorization, and appointment management. Skilled in problem-solving and customer service, consistently exceeding performance metrics while ensuring data accuracy and compliance.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Patient Service Representative
Southern Pain And Spine
Remote
07.2023 - Current
- Facilitated patient scheduling and appointment confirmations, ensuring optimal workflow within the clinic.
- Provided comprehensive information on treatment options and procedural protocols, facilitating informed decision-making for patients.
- Managed electronic health systems to uphold accuracy of patient records and adhere to compliance standards.
- Implemented training sessions for new personnel on operational procedures and software tools, fostering consistent service excellence.
- Conducted thorough verification of insurance eligibility and coverage for patients, enhancing operational efficiency in patient care.
- Managed appointment scheduling through Athena, eClinicalWorks and Epic, ensuring optimal patient flow and accessibility.
- Managed timely processing of medical records requests through Phreesia while prioritizing patient privacy and access to critical information.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
- Achieved consistent exceedance of monthly performance metrics to enhance overall call center efficiency.
- Managed high-volume inbound calls to resolve customer inquiries and complaints.
Quality Assurance Documentation Specialist
Nuance Communications
Remote
01.2022 - 07.2023
- Conducted comprehensive quality reviews and implemented revisions to ensure high standards of documentation accuracy.
- Corrected spelling, punctuation, and grammatical errors in peer-generated content to maintain high-quality standards.
- Organized material to research and complete writing tasks.
- Utilized Microsoft Teams, Excel, Word, and Outlook to enhance workflow efficiency.
Benefit Program Specialist
Talent Bridge
Remote
09.2021 - 01.2022
- Monitored and enforced compliance with state and federal regulations governing benefit programs.
- Advised clients on optimal utilization of resources and services to achieve their objectives.
- Managed complex benefits administration tasks, ensuring timely and accurate processing of claims and enrollments.
- Coordinated communication with insurance companies such as Medicaid, Medicare, BCBS, Aetna, and Cigna to initiate prior authorizations efficiently.
- Conducted thorough data entry and coordinated task assignments for management and peer reviewers to ensure timely project completion.
Medical Assistant
Ankle and Foot Centers of Georgia
Fayetteville, GA
03.2013 - 02.2020
- Recorded patient histories and vital signs, ensuring accurate data collection for medical records.
- Executed routine laboratory tests and processed specimens to ensure accurate diagnostic outcomes.
- Trained new staff on office protocols and procedures, improving team efficiency and performance.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Completed thorough chart reviews to ensure proper documentation of all pertinent medical information.
- Coordinated communication with pharmacies to process and confirm prescription and refill requests efficiently.
- Prepared examination rooms with necessary tools and instruments prior to each appointment, enabling smooth transitions between patients.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Education
Medical Assisting
Everest Institute
Jonesboro, GA01-2010
GED -
Southern Crescent Technical College
Griffin, GA12-2009
Skills
- HIPAA regulations adherence
- Insurance verification
- Appointment scheduling
- Data entry and record accuracy
- Basic Excel and spreadsheet use
- Multi EHR system navigation
- Conflict resolution
- Patient education
- Problem-solving
- Flexible and adaptable
- Customer service
- Referral tracking through Phreesia
Certification
- RMA - Registered Medical Assistant- AMT 04/2024-04/2027
Timeline
Patient Service Representative
Southern Pain And Spine
07.2023 - Current
Quality Assurance Documentation Specialist
Nuance Communications
01.2022 - 07.2023
Benefit Program Specialist
Talent Bridge
09.2021 - 01.2022
Medical Assistant
Ankle and Foot Centers of Georgia
03.2013 - 02.2020
Medical Assisting
Everest Institute
GED -
Southern Crescent Technical College