Joy Wonah

• Reviewed audit and monitoring reports related to consumer and client activities.
• Stayed current with latest changes to applicable HIPAA regulatory standards and company procedures.
• Prepared documentation and records for upcoming audits and inspections.
• Assisted in Privacy investigation and risk management, with fraud investigations and risk identification.
• Managed organization's Policies and procedure platform-Power DMS
• Supported and trained customers on compliance-related issues.
• Conducted periodic Fraud Waste and abuse, and HIPAA training for employees.
• Managed compliance APP, and received over 20 hotline calls daily.
• Assisted investigation and risk management teams with fraud investigations and risk identification
• Updated Power DMS spreadsheets with latest data to enhance strategic planning.

• Sorted all paperwork and documents alphabetically and according to dates and significance.
• Followed confidentially regulations to maintain privacy.
• Checked daily incoming paperwork and documents and made copies before filing.
• Sorted and Scanned into SharePoint over 500 Medical records
• Trained Clients on HIPAA regulations.
• Served as Super user for internal Health information System
• Updated records with new information.
• Assisted with typing, data entry and answering incoming calls as required.

• Entered into record-keeping systems appropriate data needed to create new records or update existing ones.
• Completed field checks to verify licenses and permits for various business.
• Collected detailed notes on investigations and other communication to adhere to legal requirements and enhance recordkeeping.
• Took notes on field examinations and specific case details, updated databases and produced reports outlining results of investigations.
• Managed SOC 2 compliance and certification
• Conducted HIPAA training for employees
• Conducted privacy incident investigation and risk assessments.
• Ensured that organization was ISO compliance.
• Created and maintained compliant work environment
• Evaluated and monitored supplier and partner relationships to support compliance

• Directed and assisted pulling and procurement of medical files according to established procedures.
• Sorted, scanned and indexed over 50 documents daily, developed workflows and processed workflow reports to keep clinical records maintained in accordance with guidelines.
• Developed appropriate and accurate written and oral responses to communicate scientific and health information to public.

· Managed wide variety of patient service and administrative tasks to resolve patient's issues quickly and efficiently

· Effectively controlled release of proprietary and confidential information for general client lists in accordance with HIPAA standards

· Analyzed departmental documents for appropriate distribution and filing

· Mediated between consumers and medical insurance companies, and providers

· Responded to customer requests via telephone and email and effectively answered questions and inquiries

· Handled Medicare advantage related grievances and appeals

• Explained treatment procedures, medications and diets to inform patient and patient's family of care and progress.
• Reviewed patient progress to document effects of any prescribed medication.
• Unpacked, sorted, counted and labeled all incoming medications to keep optimum inventory levels.
• Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
• Assisted in maintaining conducive environment for residents by adhering to infection control policies.

• Entered numerical data into databases with speed and accuracy using 10-key pad.
• Compiled data and reviewed information for accuracy prior to input.

Responsible for Emergency Room conducting research study and data collection related to intake and discharge time frame Coordinated information with medical staff including doctors and nurses, observational research on time and management efficiency Analyzed, developed recommendations, and produced report for hospital leadership

· Outlined appropriate process, procedures necessary to fulfill and complete inquiries

· Reviewed and updated client correspondence files and scheduling database

• Completed data entry tasks with accuracy and efficiency.

• Determined appropriateness of payers to protect organization and minimize risk.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

· Verified client information by analyzing existing evidence on file

· Contacted insurance carriers to discuss policies and individual patient benefits

· Buy and Bill for Medicare prescription drug plan

· Assured timely verification of insurance benefits prior to patient procedures or appointments

· Accurately inputted all patient and insurance information into company's computer system using Company's software

• Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
• Provides project support with current Good Manufacturing Practices to clinical supply packaging operations
• Processed incoming drug orders by checking deliveries against paperwork and updating computer system.
• Processed over 40 prescriptions per day in busy pharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction.
• Conducted pre and post-production quality checks to ensure the right drug, the right packaging, the right label is given to the right patient