Keshondra Porchia
Little Elm,TX
Summary
Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Education Specialist
Southwestern Health Resources
Farmers Branch, TX
02.2023 - Current
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Researched and resolved medical record discrepancies.
- Followed up with medical staff regarding missing information in patient records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Implemented financial risk management policies, limits and strategies that complied with standards and strategic imperatives of organization.
- Completed statistical reviews to uncover trends, patterns and variations.
Patient Referral Coordinator
Southwestern Health Resources
Dallas, TX
06.2022 - 02.2023
- Maintained confidentiality of patient data and condition to safeguard health information.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
Medical Coding Report Anaylst
Parallon Shared Services Center
Dallas, TX
01.2018 - 06.2022
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
- Initiated, performed and documented quarterly coding audits for physicians.
Patient Access Supervisor
Texas Health Resources HEB
03.2019 - 06.2021
- Completed bi-weekly payroll for 20 employees.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Oversaw office inventory activities, including ordering and requisitions, stocking and shipment receiving.
- Assessed personnel performance and implemented incentives and team-building events to boost morale.
- Helped employees with day-to-day work and complex problems by applying motivational and analytical strategies.
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Supervised and guided new employees on Patient Registration and Patient collection and responded quickly to questions, which improved understanding of job responsibilities.
- Compiled electronic patient records covering conditions, treatments and diagnoses.
- Used correct diagnosis-related groups based on patient encounter details.
- Compiled, abstracted and coded patient data using classification manuals and standard systems.
Patient Navigator
Texas Health Resources
04.2018 - 03.2019
- Educated patients on insurance and healthcare plans.
- Assisted patients in scheduling doctor and healthcare appointments.
- Completed up to 20 referral requests each day for a medical provider of Healthcare services.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout the process.
- Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
Patient Access Supervisor
Baylor Scott & White All Saints Medical Center - Fort Worth
01.2016 - 2018
- Strategically planned methods to achieve operational goals and targets.
- Oversaw private and MCR billing, payroll, AP, and AR and verified that proper procedures were followed.
- Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.
- Routinely collaborated with department managers to correct problems and improve services.
- Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
- Assigned employee areas, scheduled staff breaks and authorized overtime.
- Identified process improvements in the day-to-day functioning of the department.
- Created and maintained computerized record management systems to record and process data and generate reports.
- Recruited, hired, trained and coached on average of 10 new employees per year.
- Supervised and managed the daily activities of 25 employees a 24/7 facility Emergency Room & Labor & Delivery
Access Service Representative
Baylor Healthcare Systems
03.2013 - 10.2016
- Patient registration.
- Insurance Verification.
- Collect co payments and deducible amounts.
- Customer Service.
- Explain and obtain signatures for legal, ethical and compliance consent forms and documents.
Patient Insurance Verification Representative
Urology Clinics Of North Texas
07.2011 - 03.2013
- Verification of medical benefits.
- Patient Collections.
- Obtain Referrals from referring providers.
- Pre-Authorization for Urology procedures.
- Customer Service.
Referral Coordinator
Pain Clinic & Relief Center
06.2007 - 07.2011
- .
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Liaised between patients, insurance companies and billing office.
Registration Clerk
Medical Edge Healthcare Group
03.2006 - 05.2007
- Enter demographics in system.
- Perform insurance verification.
- Code superbills.
- Retrieve patient demographic information from different hospital locations.
Education
Master Of Healthcare Administration - Healthcare Leadership
Texas A&M University - Commerce
Commerce, TXBachelor Of General Studies - Healthcare Administration
Texas A&M University - Commerce
Commerce, TX12.2023
Associate of Science -
Dallas Community Colleg
Dallas05.2021
Skills
- CMS-1500 billing forms
- Medical Billing & Coding
- Employee training and development
- Strategic planning capability
- Knowledge of Medicaid statutes and regulations
- Quality improvement competency
- Medicaid Management Information Systems
- Epic Systems
- CPT Code Modifiers
- Charting and Clinical Documentation
- Medical Billing Processing
- Patient Data Coding
- Diagnostic Codes
- Records Review
References
References are available upon request.
Affiliations
American Academy of Professional Coders (AAPC)
National Association of Healthcare Access Management (NAHAM)
Certification
- Basic Life Support (BLS)
- Certified Healthcare Access Associate (CHAA)
- Certified Professional Coder Apprentice (CPC-A)
Timeline
Education Specialist
Southwestern Health Resources
02.2023 - Current
Patient Referral Coordinator
Southwestern Health Resources
06.2022 - 02.2023
Patient Access Supervisor
Texas Health Resources HEB
03.2019 - 06.2021
Patient Navigator
Texas Health Resources
04.2018 - 03.2019
Medical Coding Report Anaylst
Parallon Shared Services Center
01.2018 - 06.2022
Patient Access Supervisor
Baylor Scott & White All Saints Medical Center - Fort Worth
01.2016 - 2018
Access Service Representative
Baylor Healthcare Systems
03.2013 - 10.2016
Patient Insurance Verification Representative
Urology Clinics Of North Texas
07.2011 - 03.2013
Referral Coordinator
Pain Clinic & Relief Center
06.2007 - 07.2011
Registration Clerk
Medical Edge Healthcare Group
03.2006 - 05.2007
Master Of Healthcare Administration - Healthcare Leadership
Texas A&M University - Commerce
Bachelor Of General Studies - Healthcare Administration
Texas A&M University - Commerce
Associate of Science -
Dallas Community Colleg