Katrina Wingfield

• This position is focused on receiving, reviewing, and adjudicating claims that require analysis and critical thinking to resolve and pay. Most claims are for services that involve multiple providers, pre-authorization, institutional or special pricing or coordination of benefits. The successful candidate should have some training and experience in a medical claims or medical environment and be able to use such training to analyze workflow and adapt to changing priorities within the Claims Department.
• Software and systems: Microsoft Excel , Entering and processing
  Processed
  Managed
  Compiled
• Verifying and updating: Verified
  Updated
  Reviewed
  Corrected
• Improving and streamlining: Optimized
  Streamlined
  Enhanced
  Office Suite (including MS Office, MS Access, Outlook)
  Database management systems (DBMS)
  Customer Relationship Management (CRM) systems
  Enterprise Resource Planning (ERP) systems
  Google Workspace (including Google Sheets)
  QuickBooks
• Typing speed (60+ WPM)
  10-key proficiency
  Data processing
  Data verification and validation
  Data entry
  Data collection
  Data compilation
  Data quality control
  Document digitization and scanning
  Filing (manual and electronic)
• Other hard skills : Computer literacy
• Spreadsheet proficiency
• High-volume data entry
• Accuracy and detail: Attention to detail
  Accuracy
  Detail-oriented
• Efficiency and organization: Organizational skills
  Time management
  Multi-tasking
  Administrative support
• Collaboration and communication: Communication skills (both verbal and written)
  Customer service
  Collaboration
  Professional
• Responsibility and focus: Self-motivation
• Accountable
• Confidentiality
• Entering and processing: Entered
  Processed
  Managed
  Compiled
• Verifying and updating: Verified
  Updated
  Reviewed
  Corrected
• Improving and streamlining: Optimized
  Streamlined
  Enhanced
• Assisted in the development of company-wide best practices for medical claims management, increasing overall efficiency.
• Continuously expanded industry knowledge through attendance at conferences, participation in training sessions, and engagement with professional organizations specific to medical claims management.
• Attended industry conferences and seminars, staying up-to-date on latest trends and regulatory changes affecting medical claims adjustment practices.

• The job entails calling patients with referrals.
• Helping the doctors/clinicians work their task bins after the patients are seen.
• We schedule appointments for MRIs,
• Ultrasounds and follow-up appointments.
• Faxing to offices, confirming next-day appointments,
• Co-pays for the next day using
• Ava checks patients' insurance using a multi-line phone system, Imports charges for patient accounts, and prepares paperwork for the next day.
• Provided exceptional customer support, resolving inquiries and issues efficiently.
• Utilized CRM systems to track customer interactions and maintain accurate records.
• Collaborated with cross-functional teams to enhance service delivery processes.
• Trained new staff on company policies, procedures, and customer service best practices.

Taking calls on a multi-phone line,

350 doctors' offices.

Calling in Consults from the admissions in the hospitals.

Using Jabber, Medi-tech,

E H R, and the Tracker System to page doctors

Also, send physicians their Consults.

• Coordinated daily operations to ensure seamless communication between departments and clients.
• Implemented process improvements that enhanced call routing efficiency and reduced wait times.
• Trained new staff on customer service protocols and software systems for optimal performance.
• Monitored call center metrics to identify trends and recommend actionable solutions.

• Measured vitals:
• Height
• Weight
• Blood pressure
• Performed basic labs
• Documented hard copy files and electronic medical records, answered 60 calls a day, multi-line phone, documented messages accurately, and performed call-backs.
• Medical Front Desk
• Assisted in patient intake, ensuring accurate documentation and streamlined processes.
• Coordinated with healthcare providers to schedule appointments and manage patient flow.
• Conducted vital sign assessments, maintaining high standards of accuracy and patient care.
• Educated patients on treatment plans and medication management for improved adherence.

• Completed all data entry and data editing Handled exams completion forms for John Randolph Hospital place patients and maintained all preparation for coders. Completed all C P T codes batched, Ensured all image center edits for 200-2000 H.C.A Patients, Sort and run all 33’s and send to data entry or coders based on status.
• Data Verification, collection, data Accuracy
• Accuracy, attention to detail, detail-oriented
• Software and Tools Microsoft Excel , Google Sheets, database systems, CRM systems,

Organizational Skills:
Organizational skills, time management, admin assist's.

Supporting Skills:

• Customer Service, scanning, invoicing, reporting, communication skills.