Laura Goffney
Huntsville,TX
Summary
Certified Release of Information Specialist at Verisma Systems, Inc. with expertise in processing medical ROI requests and maintaining HIPAA compliance. Demonstrated success in improving operational efficiency and providing outstanding customer service. Proficient in medical billing and collections, emphasizing accuracy and confidentiality in handling sensitive data.
Overview
19
19
years of professional experience
Work History
Certified Release of Information Specialist
Verisma Systems, Inc.
Huntsville, TX
05.2022 - Current
- Processed medical ROI requests efficiently within established timelines.
- Utilized Verisma applications to manage request workflows effectively.
- Resolved HIPAA-related release issues with thorough support and attention.
- Streamlined completion of ROI processes by organizing records and documents efficiently.
- Interpreted medical records, forms, and authorizations with precision.
- Provided exceptional customer service through in-person interactions, phone, and email, enhancing client satisfaction.
- Ensured compliance and confidentiality by consistently referencing Verisma materials.
- Promoted company values during mandatory training sessions.
Customer Service Representative II
TeleTech
09.2020 - 05.2022
- Interacted with customers via inbound calls to resolve inquiries and provide tailored assistance.
- Delivered insurance information to callers and facilitated home delivery of medications to ensure customer satisfaction.
- Entered customer data, documented call activities, paid close attention to detail, and upheld HIPAA guidelines to assure privacy of sensitive and confidential information.
- Communicated clearly and concisely while collaborating effectively with team members to enhance service delivery.
- Prepared and audited insurance claims for submission to payers.
- Managing accounts receivable and following up on outstanding patient and insurance payments.
Homemaker
Stay-at-Home Parent
Houston, TX
04.2020 - 09.2020
- Led budget management to ensure financial stability and resource allocation.
- Created stable family environment through effective management and support.
- Provided nurturing care and discipline to promote development.
Direct Support Manager
Mosaic
Bryan, TX
08.2009 - 04.2020
- Coordinated program operations, managing staff, hiring, training, and scheduling activities to enhance support for individuals with intellectual disabilities.
- Directed daily administrative functions for 15-bed facility, leading over 30 employees to ensure smooth operations.
- Ensured compliance with HIPAA guidelines to maintain confidentiality of sensitive information.
- Conducted facility inspections, identifying and eliminating hazards, ensuring compliance with safety regulations.
Floor Manager
West Corporation
College Station, Texas
03.2007 - 10.2010
- Managed escalated complaints and disputes, achieving high customer satisfaction and retention.
- Led initiatives that enhanced operational efficiency and streamlined workflows.
- Tackled complex problems, promoting a proactive environment that encouraged team collaboration.
- Developed and delivered training sessions for new hires on company policies and best practices, enhancing onboarding experience.
Education
Associate of Arts - Medical Billing and Coding
Ultimate Medical Academy
Tampa, FL01.2023
Associate of Applied Science - Human Services Management
University of Phoenix
Tempe, AZ01.2012
Skills
- Medical billing and collections
- Payment posting
- Co-pay and deductibles
- Co-insurance and EOBs
- Electronic health records (EHR)
- Electronic medical records (EMR)
- Medical coding
- Medical terminology
- HIPAA compliance
- Front office operations
- Medical office procedures
- Appointment scheduling
Timeline
Certified Release of Information Specialist
Verisma Systems, Inc.
05.2022 - Current
Customer Service Representative II
TeleTech
09.2020 - 05.2022
Homemaker
Stay-at-Home Parent
04.2020 - 09.2020
Direct Support Manager
Mosaic
08.2009 - 04.2020
Floor Manager
West Corporation
03.2007 - 10.2010
Associate of Arts - Medical Billing and Coding
Ultimate Medical Academy
Associate of Applied Science - Human Services Management
University of Phoenix