Jiya Moughton
Oklahoma City,OK
Summary
Professional and goal-oriented individual with a vast experience in operational military customer support and healthcare administration. Adapted to applying easy solutions to complex problems. Trustworthy technician experienced in providing empathetic and focused care/services. Proven abilities to promote a team-orientated work environment, strategic planning, mission standards, process development, and operational excellence.
Overview
7
7
years of professional experience
Work History
Patient Access Specialist
Oklahoma Heart Hospital
Midwest City, OK
04.2023 - Current
- Greeted patients and visitors in person or on the telephone; answered inquiries, provided directions and instructions.
- Verified patient insurance coverage, collected copays and other payments, processed credit card transactions.
- Maintained accurate records of patient registration information in electronic health record system.
- Ensured all required forms were completed accurately at patient visit.
- Collaborates with clinical staff to ensure timely processing of orders for tests, treatments and procedures.
- Applied HIPAA privacy and security regulations while handling patient information.
- Responded to patient concerns and inquiries professionally and efficiently.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Verified demographics and insurance information to register patients in computer system.
Outpatient Records Technician
Tinker Air Force Base
Oklahoma City, OK
05.2020 - 12.2022
- Filed, maintained, and audited 78k patient records for in/out-processing and annual retirement
- Consults appropriate medical staff to rectify apparent inconsistencies, deficiencies, and discrepancies in charting and coding
- Front-lined patient concerns regarding medical records and out-processing documents
- Organized patient documentation into an electronic health record system
- Tracked, copied, and delivered release of information requests.
- Reviewed, sorted and indexed documents according to established guidelines.
- Retrieved files from automated databases for review or updating.
- Operated a variety of office equipment including scanners, copiers and printers.
- Scanned paper documents into electronic format for storage in computer databases.
- Identified discrepancies in record keeping and corrected errors where needed.
- Developed new processes to improve workflow efficiency.
- Performed periodic reviews on archived material to identify outdated information that needs removal or updating.
- Prepared outgoing mailings containing sensitive data in accordance with postal regulations.
Patient Administration Specialist
Tinker Air Force Base
Oklahoma City, OK
05.2020 - 12.2022
- Administers patient registration and verification of patient eligibility and aided medical benefits guidance to 66k beneficiaries
- Managed reporting of patient admission/discharge in civilian hospitals, and patient casualty status notifications
- Executes notification to next of kin for deceased service members, prepares documents, and processes for insurance benefits
- Arranged, and coordinated aeromedical evacuation operations to transfer patients to a higher echelon of medical care.
- Provided excellent customer service to patients families and their leadership by answering phone calls and responding to emails.
COVID-19 Tracer
Tinker Air Force Base
Oklahoma City, OK
03.2020 - 05.2020
- Mitigated public health manning gap during the COVID outbreak, and initiated CDC quarantine
- Hand-selected to eliminate public health manning crisis, execution of quality control of medical surveillance
- Initiated and completed patient COVID screening questionnaire for provider review prior to appointments.
- Conducted contact tracing interviews with individuals who tested positive for COVID-19 in order to identify close contacts.
- Analyzed case data and created reports on the spread of COVID-19 in local communities.
- Collected and reported data on cases of COVID-19 within a designated area or jurisdiction.
- Assisted healthcare providers by providing information about potential exposures to COVID-19.
- Conducted surveillance activities such as testing, tracking, and interviewing individuals who may have been exposed to COVID-19.
- Maintained accurate records regarding all contact tracing activities conducted.
- Completed data entry to facilitate case interview and elicited close contacts into designated system immediately after obtaining.
HIPAA Compliance Officer-Alternate
Buckley Space Force Base
Aurora, CO
10.2019 - 02.2020
- Responsible for policy oversight, auditing, and compliance of all HIPAA-related issues
- Monitors departments' compliance with Defense Health Agency/ Air Force standards, tracks and documents 3rd party medical disclosures
- Investigates documentation misfiles, violations, and breaches.
- Investigated incidents of non-compliance with HIPAA regulations.
- Responded to inquiries from patients, and other staff members regarding HIPAA compliance matters.
- Maintained records of all HIPAA violations and reported them as required by law.
Referral Management Clerk
Buckley Space Force Base
Aurora, CO
07.2017 - 02.2020
- Performs consult tracking, uploads medical treatment notes, and updated provider teams
- Compiles information and prepares reports, graphs, and charts on medical care from civilian sources
- Advise patients on concerns regarding referral process, inquires, and insurance portal questions.
- Entered referral data into a computer database system.
- Maintained accurate records of all referrals received and processed.
- Assisted patients in understanding the referral process, including eligibility requirements and procedure codes.
- Communicated effectively with internal staff members regarding referral status updates.
- Participated in training sessions designed to educate staff about new referral protocols.
- Assisted patients by answering questions and providing information regarding referrals.
- Entered confidential patient information and updated electronic records in database.
- Managed and obtained insurance authorizations for patient referrals from physicians.
- Reviewed and analyzed patient referrals for accuracy and completeness.
Appointment Clerk
Buckley Space Force Base
Aurora, CO
12.2018 - 10.2019
- Trained 5+ appointment line clerks; oriented booking protocols and clinic operations
- Evaluated phone matrix for appointment line beneficiaries; reports access improvement strategies/deficiencies in performance measures
- Provide/review current booking protocols to appointment staff.
- Scheduled appointments, managed calendars and ensured accuracy of appointment times.
- Answered incoming calls from patients regarding scheduling or rescheduling appointments.
- Resolved customer complaints in a professional manner.
- Entered patient data into the electronic health record system accurately and timely.
- Ensured HIPAA compliance by keeping all patient information confidential.
- Communicated effectively with other staff members to ensure smooth operations.
- Ran daily reports detailing number of appointments scheduled for each provider.
- Updated patient contact information as necessary in order to stay connected with them.
- Recorded inquiries and calls into computer system.
- Answered questions about services or products being offered.
Education
Healthcare Administration
Grand Canyon University
05.2016
High School Diploma -
Moore High School
Skills
- Communicational Skills
- Process Development
- Microsoft Office
- Detail Oriented
- Public Speaking
- Customer Focused Service
- Military Systems Knowledge
- Team Player
- Active Secret Clearance
- Training and Development
- HIPAA Compliant
- Leadership
- Verbal Presentations
- Supervisory Skills
- Personable
References
References available upon request.
Timeline
Patient Access Specialist
Oklahoma Heart Hospital
04.2023 - Current
Outpatient Records Technician
Tinker Air Force Base
05.2020 - 12.2022
Patient Administration Specialist
Tinker Air Force Base
05.2020 - 12.2022
COVID-19 Tracer
Tinker Air Force Base
03.2020 - 05.2020
HIPAA Compliance Officer-Alternate
Buckley Space Force Base
10.2019 - 02.2020
Appointment Clerk
Buckley Space Force Base
12.2018 - 10.2019
Referral Management Clerk
Buckley Space Force Base
07.2017 - 02.2020
Healthcare Administration
Grand Canyon University
High School Diploma -
Moore High School