Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality.
Overview
6
6
years of professional experience
Work History
Release of Information Specialist- Contractor
Sharecare
04.2023 - Current
Reproduce protected health information by using data extraction and file management techniques.
Resolve medical record discrepancies by collecting and analyzing information.
Date stamp requests and highlighted pertinent data to facilitate processing.
Handle phone calls from attorneys, insurance companies and patients.
Utilize electronic medical record systems to store, retrieve and process patient data.
Maintain accuracy, completeness, and security for medical records and health information.
Verify accuracy of patient information in medical records.
Scan and upload medical records into electronic medical records system.
Coordinated patient information flow through caregivers, insurance companies, billing departments and patients.
Provider Services Associate
Magellan Healthcare
10.2021 - 09.2022
Actively listened and probed callers in a professional and timely manner to process authorizations and/or other customer service requests working towards first call resolution
Investigated and resolved customer inquiries and complaints quickly.
Made problem resolution and triage decisions not requiring clinical judgment.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Fielded telephone inquiries on authorization details from plan members and medical staff.
Engaged in learning and development opportunities to promote continued performance improvement.
Handled over 80 calls per shift to triage unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
Medical Receptionist
Diabetes & Endocrine Center of MS
06.2019 - 09.2021
Adhered to strict HIPAA guidelines to protect patient privacy.
Managed multi-line phone system and pleasantly greeted patients.
Maintained current and accurate medical records for patients.
Transcribed phone messages and relayed to appropriate personnel.
Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
Completed patient referrals to other medical specialists.
Enhanced office productivity by handling high volume of callers per day.
Documented complete information about examinations, treatment plans, lab results and other details directly into charts.
Charted patient encounters by recording information such as diagnosis, treatments and prescriptions.
Reviewed records, paperwork and orders for errors and resolved issues with minimal direction.
Helped patients complete necessary medical forms and documentation.
Patient Safety Assistant
University of MS Medical Center
01.2019 - 06.2019
Updated patient charts and maintain patient confidentiality.
Maintained patient stability by checking vital signs and recording intake and outtake information.
Applied interventions with clients wanting to leave against medical advice (AMA).
Coordinated with medical and paramedical professionals to provide appropriate input and effectively formulate and implement treatment plans for patients.
Minimized injuries to staff or patients through support or restraint to control patient movements.
Assisted patients adjusting to hospital procedures using highly structured settings.
Plasma Processing Technician
CSL Plasma
06.2017 - 05.2018
Collected, stored, and shipped plasma samples.
Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
Analyzed bodily fluids with laboratory equipment and detected anomalies related to diseased states or acute injuries.
Set up, maintained and verified sterility of lab equipment and tools.
Performed routine lab and department maintenance to keep area clean and orderly.
Documented information by maintaining daily logs and equipment record books.
Trained new associates in laboratory procedures and standards.
Entered quality test results, scanned paperwork into SAP and monitored SAP for completion of inspections.
Education
Diploma - Medical Administrative Assisting
Ultimate Medical Academy
Clearwater
01.2015
High School Diploma -
Jim Hill High School
Jackson, MS
06.2008
Skills
Medical Records Review
Administrative and Office Support
Document and Records Management
Policy and Procedure Adherence
Corporate Compliance
Microsoft Office
Customer Account Management
Maintain Patient Confidentiality
Data Extraction
Medical Release of Information ROI
Records Review
Electronic Filing System Organization
Additional Information
Epic, NextGen, McKesson Horizon Patient Folder, and Cerner trained