Lashanta Thomas
Tampa,FL
Summary
Detail-oriented and certified Registered Health Information Technician (RHIT) with [number] years of experience in managing and coordinating health information documentation. Proven expertise in ensuring the accuracy, completeness, and timeliness of medical records, while adhering to healthcare regulations and compliance standards. Adept at utilizing electronic health records (EHR) systems and collaboration tools to facilitate effective communication and documentation processes. Strong organizational and interpersonal skills with a proactive approach to problem-solving and a commitment to maintaining high standards of patient confidentiality and data integrity. Highly knowledgeable Health Information Management Specialist with wealth of healthcare experience and expertise in problem-solving. Talented in maintaining complex and comprehensive databases covering patient information. Dedicated to proactive monitoring and thorough reporting using top-notch technical abilities.
Overview
17
17
years of professional experience
1
1
Certification
Work History
The Health Information Management
Altruistic Loving Care
07.2022 - Current
- Coordinated regular meetings with clinicians to discuss ongoing cases, upcoming deadlines, and documentation requirements
- Provided clear guidelines and templates for documentation to ensure consistency and completeness
- Accountable for ensuring the timely availability of the electronic medical record for patient care.
- Reviews scanned documents for overall image quality and accuracy of indices assigned during the scanned process according to the timeframe requirements
- Utilized shared calendars, project management software, and secure messaging apps to facilitate effective communication and collaboration
- Established a feedback loop for clinicians to raise concerns or suggest improvements in the documentation process
- Assigned specific documentation responsibilities to team members to ensure accountability and efficiency
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Retrieved medical data for physicians and patients.
- Studied and researched various medical terms as well as software and coding systems.
- Upheld HIPAA regulations and standards for protecting patient information.Daily interaction with assisting physicians with completion of their medical records.
Claims Analyst
UST Global
11.2019 - 07.2022
- Ensured confidentiality of personal data in compliance with company policies, safeguarding sensitive information
- Analyzed reports to enhance processing efficiency, identifying bottlenecks for streamlined operations
- Actively engaged with clients and colleagues, fostering a collaborative environment that facilitated positive interactions and support
- Proactively identified underperforming areas and introduced innovative processes to improve overall effectiveness
- Diligently processed and verified documents for accuracy, ensuring strict adherence to government regulations and economic assistance eligibility criteria
Eligibility Analyst
UnitedHealth Group
01.2018 - 11.2019
- Reviewed claims to determine eligibility for reimbursement, ensuring accurate processing and cost efficiency
- Kept records up-to-date and prepared documentation, contributing to the integrity and accuracy of claim files
- Played a key role in cost containment strategies related to claim processing, optimizing resource utilization
- Adjusted payment inaccuracies through thorough investigation, issuing supplemental payments or seeking reimbursements as necessary
- Maintained compliance with regulatory requirements, ensuring all claims were processed with precision
Claims Analyst
Anthem Inc.
08.2016 - 12.2017
- Specialized in analyzing and processing Medicaid claims, ensuring compliance with state-specific regulations and accuracy in eligibility determination
- Enhanced daily operations through strategic planning and execution, leading to improved productivity, quality
- Collaborated with internal departments and external anti-fraud organizations to investigate and resolve suspicious claims, protecting company assets
- Employed systems like Citrix and Facets for efficient remote processing of medical claims across multiple states
- Assessed insurance policy terms to accurately determine coverage for losses, facilitating fast resolution of claims
Claims Examiner
First Source
08.2015 - 08.2016
- Expertly navigated Medicare documentation to resolve claims by either approving, denying, or accurately calculating benefits due
- Upheld high standards of production and quality, ensuring consistency and reliability in claims processing
- Conducted detailed analyses to coordinate benefits effectively, ensuring correct payments on health claims
Customer Service Representative
Liberty Dental Inc.
06.2014 - 07.2015
- Assisted dental providers with benefit verifications and claims concerns, delivering precise and timely information to ensure service excellence
- Utilized SharePoint to manage and disseminate accurate information, improving data accuracy and provider satisfaction
- Maintained meticulous records during provider interactions, enhancing communication clarity and operational efficiency
Laboratory Assistant
AmeriPath Inc.
06.2007 - 12.2010
- Coordinated daily laboratory tasks, optimizing processes and prioritizing activities to enhance operational efficiency
- Ensured the accuracy and proper labeling of slides and specimens, maintaining high standards of quality and precision in lab support tasks
- Managed the ordering and distribution of special stains and slides to physicians, ensuring the availability of necessary materials for diagnostic accuracy
Education
Associate of Science in Health Information Technology - Health Information Technology
St. Petersburg College
Medical Assistant Program - undefined
Gulf Coast College
Licensed Practical Nurse (LPN) - undefined
Erwin Technical College
01.2019
Skills
- Management
- Analytical & Problem-Solving Skills
- Work with minimal supervision
- Written and verbal communication skills
- Strategic Planning & Implementation
- Regulatory Compliance
- Data Protection
- Customer Satisfaction
- Cross-Functional Leadership
- Process Optimization
- Documentation & Record Keeping
- Technology Proficiency
- Medical Records
- Problem Solver
- Advanced Excel
- Medical Terminology
- Managed Care
- Claims and Appeals Processing
- Facets Claims Processing
- Enrollment Procedures
- Xcelys
- QNxt
- SQL
- Professional Demeanor
- Written Communication
Certification
MEDICAL Assistant
Timeline
The Health Information Management
Altruistic Loving Care
07.2022 - Current
Claims Analyst
UST Global
11.2019 - 07.2022
Eligibility Analyst
UnitedHealth Group
01.2018 - 11.2019
Claims Analyst
Anthem Inc.
08.2016 - 12.2017
Claims Examiner
First Source
08.2015 - 08.2016
Customer Service Representative
Liberty Dental Inc.
06.2014 - 07.2015
Laboratory Assistant
AmeriPath Inc.
06.2007 - 12.2010
Associate of Science in Health Information Technology - Health Information Technology
St. Petersburg College
Medical Assistant Program - undefined
Gulf Coast College
Licensed Practical Nurse (LPN) - undefined
Erwin Technical College
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