Leticia Stringfellow

Health Information Manager

• Manage and oversee health information operations while ensuring the accuracy, confidentiality, security, and accessibility of patient records.
• Maintain compliance with HIPAA, federal and state regulations, accreditation standards, and organizational policies.
• Supervise and support health information staff, providing guidance, training, and performance oversight.
• Monitored medical record completion, documentation accuracy, release of information, and record retention processes to ensure compliance and quality standards.
• Coordinate the collection, storage, retrieval, and maintenance of electronic and paper health records.
• Conducted quality audits to identify documentation issues, enhancing data accuracy and ensuring adherence to regulatory compliance.
• Collaborate with physicians, nurses, clinical departments, IT, compliance, and leadership to resolve health information issues.
• Protect patient privacy by managing authorization processes and ensuring appropriate access and disclosure of protected health information.
• Develop and improve workflows, policies, and procedures to increase efficiency and maintain high-quality health information services.
• Prepared reports and analyzed health information data to inform operational decisions and drive quality improvement initiatives.

• Review and process medical claims to determine coverage, eligibility, and appropriate payment according to policy guidelines and regulatory requirements.

• Analyze medical records, billing statements, diagnosis and procedure codes, and supporting documentation to validate claims.

• Investigate discrepancies, claim denials, overpayments, and potential billing errors while ensuring accurate and timely resolution.

• Communicate with healthcare providers, members, insurance representatives, and other stakeholders to obtain missing information and resolve claim issues.

• Apply knowledge of medical terminology, CPT, HCPCS, ICD-10, and insurance benefits when evaluating claims.

•Maintain accurate claim documentation and ensure all decisions are supported by appropriate records and company policies.

• Identify claims requiring additional review and coordinate with clinical, legal, fraud, or special investigations teams as needed.

• Protect confidential patient and member information while adhering to HIPAA, privacy, and company compliance standards.

• Assisted dentists during examinations, cleanings, fillings, extractions, and other dental procedures.
• Provided chairside assistance by preparing materials, passing instruments, and anticipating the dentist’s needs during procedures.
• Prepared treatment rooms, instruments, and equipment while maintaining a clean, safe, and organized clinical environment.
• Sterilized instruments and followed infection-control and OSHA standards to ensure patient and staff safety.
• Took and developed dental X-rays and maintained accurate patient records in accordance with office procedures.
• Welcomed patients, reviewed medical and dental histories, and helped patients feel comfortable throughout their visit.
• Educated patients on proper oral hygiene, preventive care, and post-treatment instructions.
• Scheduled appointments, answered phones, verified insurance information, and assisted with patient check-in and check-out.
• Maintained accurate documentation and supported efficient daily operations of the dental office.