(Kay) Pakou Xiong
Mount Holly,NC
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
23
23
years of professional experience
Work History
Insurance Verification Specialist III
Solventum 3M Health
Charlotte, NC
04.2014 - Current
- Analyzed and prioritized orders based on initial assessment of documentation.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Responded promptly to customer inquiries regarding order status.
- Acted as s resource for Sales and other cross functional departments to provide order status and any other information.
- Participated in reasonable work activities and special projects assigned by management.
Medical Records Clerk
Caroline Bone and Joint
Charlotte, NC
03.2013 - 04.2014
- Reviewed medical records prior to patient appointments.
- Safeguarded medical records to maintain patient confidentiality.
- Recorded and filed patient data and medical records.
- Gathered and sorted client medical records and bills.
- Documented and filed patient data and medical records.
- Consolidated diverse medical records.
- Managed intake and maintenance of patients' medical records.
- Assisted with referrals and prepared medical records for patients.
- Obtained proper authorization and identification to release confidential medical records.
- Retrieved medical charts for healthcare staff for filing in medical records.
Health Information Service Cleark
Sutter Gould Medical
Stockton, CA
08.2006 - 06.2011
- Greeted customers and responded to inquiries in a friendly and professional manner.
- Responded to telephone inquiries about requesting for medical records, or transferring records to another doctor's office.
- Ensured that all required forms were completed accurately and completely prior to storage or release.
- Pulled patient records and transferred information to appropriate parties.
- Collaborated with multiple departments to coordinate release of information requests from patients, legal representatives, insurance companies.
- Processed requests for copies of patient medical files within designated timeframes.
- Provided respectful assistance to patients, staff members and insurance company representatives.
- Answered inquiries regarding the status of patient records or their availability.
Medical Receptionist I
Sutter Gould Medical
Stockton, CA
10.2005 - 04.2006
- Checked patients in and out for appointments and collected co-payments.
- Answered incoming calls, responding to inquiries from patients and other medical offices.
- Called patients to confirm scheduled appointments and obtain additional details.
- Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
- Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
- Greeted and checked in patients, updating patient information in computer system.
- Prepared charts for new patients, ensuring all necessary forms were completed correctly.
- Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
- Scheduled patient appointments, verifying accuracy of appointment times with providers.
- Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
- Assisted with filing of medical records and documents, maintaining accurate electronic files.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Straightened up waiting room to maintain neat and organized space.
Receptionist
Rio Las Palmas
Stockton, CA
07.2002 - 08.2004
- Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
- Greeted visitors and provided them with assistance.
- Maintained a neat reception area by organizing materials and tidying up furniture.
- Answered and directed incoming calls using multi-line telephone system.
- Served visitors by greeting, welcoming and directing to appropriate personnel.
- Performed data entry tasks into various computer systems accurately and promptly.
- Provided administrative support to staff members including typing letters, filing documents, and scanning and copying documents when necessary.
- Maintained an organized filing system of confidential client information in accordance with company policy.
- Managed all incoming mail distribution, courier services, faxes, and photocopying documents as requested.
- Processed payments and updated accounts to reflect balance changes.
- Sorted incoming mail and directed to correct personnel each day.
- Delivered administrative support to team members by making copies, sending faxes, organizing documents and rearranging schedules.
- Updated daily log book with information about visitors entering the premises.
- Verified visitors' identification cards before allowing access to the building.
Nurse Aide
Rio Las Palmas
Stockton, CA
05.2001 - 07.2002
- Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness.
- Maintained a clean environment by disinfecting equipment, emptying trash containers, cleaning surfaces, changing linens.
- Observed residents' behavior closely to detect any changes in mood or physical condition that require further medical attention.
- Performed vital signs checks on patients such as temperature, pulse, respiration rate, and blood pressure.
- Served snacks and beverages per instructions from nursing staff.
- Reported all incidents, accidents involving clients immediately to supervisor, nurse manager, charge nurse.
- Transported patients safely using wheelchairs or strhers when necessary.
- Provided patient care, including bathing and dressing.
- Answered call lights promptly and responded to patient requests courteously and efficiently.
- Used mobility devices to transport patients.
- Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
- Participated in team meetings with other healthcare professionals to discuss best practices for patient care.
- Followed safe lifting techniques and individual resident lifting instructions.
- Collected and documented vital signs to track current patient conditions.
- Prepared meals for patients according to their dietary requirements.
- Engaged with patient family and friends to provide courteous visit experience.
- Monitored and observed patients to accurately records changes in condition and reaction to medications and treatment.
Education
High School Diploma -
Franklin High School
Stockton, CA07-2001
Skills
- Eligibility Determination
- Documentation and Correspondence
- Coverage and Authorizations
- Analytical Thinking
- Customer Service
- Electronic authorization processing
- HIPAA Compliance
- Accuracy and Precision
- Data Verification
- Bilingual English and Hmong
- Ability to handle work under pressure
- Ability to work with little or no supervision
- Ability to work in face paced environment to meet deadlines
- Team player
- Motivated, resulted-oriented, and highly efficient
- Detailed oriented
- Profound ability to receive the public in person and over the phone utilizing tact and diplomacy in dealing with sometimes hostile customers
Timeline
Insurance Verification Specialist III
Solventum 3M Health
04.2014 - Current
Medical Records Clerk
Caroline Bone and Joint
03.2013 - 04.2014
Health Information Service Cleark
Sutter Gould Medical
08.2006 - 06.2011
Medical Receptionist I
Sutter Gould Medical
10.2005 - 04.2006
Receptionist
Rio Las Palmas
07.2002 - 08.2004
Nurse Aide
Rio Las Palmas
05.2001 - 07.2002
High School Diploma -
Franklin High School
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