Janiya Harris
Birmingham,AL
Summary
Highly detail-oriented healthcare professional with over 5 years of experience in patient access, insurance verification, health information management, and revenue cycle operations. Demonstrates strong analytical skills in interpreting insurance benefits, calculating patient financial responsibility, and ensuring compliance with HIPAA and payer regulations. Proven ability to perform effectively in high-volume environments while maintaining accuracy, confidentiality, and excellent patient communication. Seeking a new position to leverage administrative, compliance, and customer service expertise to support organizational efficiency and enhance patient-centered care.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Patient Access Representative II – Estimates
Baptist Health Center, Princeton Hospital
12.2024 - Current
- Analyze patient insurance benefits to determine eligibility, deductible status, coinsurance, and out-of-pocket responsibilities
- Generate detailed Good Faith Estimates (GFE) for inpatient and outpatient procedures using CPT codes and payer guidelines
- Utilize Epic, Athena, and payer portals to verify coverage and ensure accurate financial calculations
- Communicate financial responsibility clearly to patients, addressing questions and concerns professionally
- Collaborate with billing, coding, and clinical departments to ensure accuracy of estimates and documentation
- Maintain compliance with HIPAA, CMS guidelines, and organizational policies
- Document all interactions and estimate activity in EHR systems for audit and tracking purposes
- Resolve discrepancies between estimated and actual charges by reviewing benefits and coordinating with departments
- Supervisor: Nicole | 659-207-7370 | 40 hours/week
ROI Specialist
Iron Mountain
06.2024 - 09.2024
- Processed high-volume release of information requests in compliance with HIPAA and state regulations
- Verified authorization forms and patient identity prior to releasing protected health information
- Retrieved medical records from electronic and physical systems efficiently
- Distributed records via fax, mail, and electronic systems to authorized parties
- Maintained strict confidentiality and data security standards
- Documented all ROI activity for tracking and compliance audits
- Supervisor: Hope | 659-268-3049 | 40 hours/week
Medical Clerk
Jefferson County Health Department
11.2022 - 12.2023
- Verified patient demographics, insurance eligibility, and benefits prior to services
- Scheduled, canceled, and rescheduled patient appointments in a high-volume clinic setting
- Reviewed medical records for completeness and accuracy of coding and documentation
- Assisted providers with correcting incomplete or conflicting documentation
- Maintained electronic records and ensured compliance with healthcare regulations
- Communicated with patients and healthcare staff to support efficient workflow
- Supervisor: Jessica Thomas | 205-933-9110 | 40 hours/week
Medical Receptionist
Homewood Medical
Homewood, AL
03.2023 - 06.2023
- Coordinated patient scheduling, check-in, checkout and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patient’s complete necessary medical forms and documentation. Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor. Developed strong relationships with patients, fostering loyalty and trust in the practice's services.
- Ensured accurate record keeping by diligently updating patient information and verifying insurance coverage.
Education
Diploma -
G.W. Carver High School
Birmingham, AL05-2014
Skills
- Insurance Verification & Benefits Analysis
- Revenue Cycle & Patient Financial Services
- HIPAA Compliance & Medical Records Handling
- Electronic Health Records (Epic, Athena, Phreesia)
- Patient scheduling
- Microsoft office
- Patient registration
- Reminder calls
- Medical charting
- Customer service
- Typing and filing
- Time management
- Data entry
- Administrative support
- Clerical support
- Customer Service & Call Center Support
- Data Entry Accuracy & Documentation Review
- Medical Terminology & Administrative Support
Certification
- Registered Health Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- Member, AHIMA
Timeline
Patient Access Representative II – Estimates
Baptist Health Center, Princeton Hospital
12.2024 - Current
ROI Specialist
Iron Mountain
06.2024 - 09.2024
Medical Receptionist
Homewood Medical
03.2023 - 06.2023
Medical Clerk
Jefferson County Health Department
11.2022 - 12.2023
Diploma -
G.W. Carver High School