Marcine Washington
Summary
Health Information Specialist with 15 years of experience in medical office settings with vast familiarity of healthcare clinical applications and software. Coordinates timely delivery of medical records and scans documents to secure patient files. Offers technical support to maintain computer systems and resolves technical issues while conducting staff training and development of instructional documentation.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Workers Compensation Denial Specialist
Conifer Health Solutions
08.2022 - Current
- Documented medical claim actions by completing forms, reports, logs and records.
- Scanned hard copy medical records and correspondence to convert into electronic files.
- Contacted clients to collect information and communicate disposition of case, documenting interactions regarding eligibility, verification of benefits and claims payment status.
- Identified root cause of denials to provide plans for denial resolution.
- Adjusted client accounts by entering discretionary billing items, requesting rebills and updating billing entity records.
- Verified client information by analyzing existing evidence on file.
- Maintained confidentiality of patient finances, records, and health statuses.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Site Coordinator
AmerisourceBergen-Kelly Services
10.2017 - 01.2018
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Payment poster
Aerotek - Novant
06.2017 - 08.2017
- Managed large volumes of data efficiently and with great care on daily basis.
- Accurately posted payments and adjustments both electronically and manually.
- Took money and cards from customers to handle payment processing.
- Processed payments that had been received from insurance companies and Medicare.
Front Desk Receptionist
Aerotek - Cardinal Innovations Healthcare
04.2017 - 05.2017
- Scheduled office meetings and client appointments for staff teams.
- Welcomed customers with friendly greeting, answered general questions, gathered nature of visit and directed to specific offices.
- Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
- Routed incoming mail and messages to relevant personnel without delay.
- Sorted and delivered mail and packages upon arrival to correct staff members and departments.
Patient Financial Services
Aerotek - PMAB, LLC
12.2016 - 03.2017
- Identified and resolved patient billing and payment issues.
- Precisely evaluated and verified benefits and eligibility.
- Located errors and promptly refiled rejected claims.
CNA /Nursing Unit Clerk
Genesee Care Center (formerly Ascension Health Genesys Convalescent Center)
01.1995 - 06.2016
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
- Oversaw and maintained patients' rooms, group living areas, and nurse stations.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Prepared and processed patient referrals and transfer requests.
- Performed various administrative tasks by filing, copying and faxing documents.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
Medical Billing Coordinator
Genesee Care Center (formerly Ascension Health Genesys Convalescent Center)
06.2013 - 03.2016
- Collected payments and applied to patient accounts.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Delivered timely and accurate charge submissions.
- Liaised between patients, insurance companies, and billing office.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
- Reconciled accounts receivable to general ledger.
- Created improved filing system to maintain secure client data.
- Generated monthly billing and posting reports for management review.
- Verified insurance of patients to determine eligibility.
Senior ROI Specialist
HealthPort, LLC
06.2010 - 06.2013
- Maintained patient records in compliance with security regulations.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Maintained patient confidence by keeping patient records information confidential.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Tracked and monitored requests for medical records release.
- Verified accuracy of patient information in medical records.
Education
Associate of Applied Science - Health Information Technology
Baker College of Flint
Michigan, United States06.2009
High School Diploma -
Flint Northern High School
Michigan, United States06.1989
Skills
- Information Governance
- Schedule creation and maintenance
- Medical record auditing
- Insurance Verification
- Document Scanning
- Electronic Health Records
- HIPAA and HITECH requirements
- Medical Terminology
- Facility workflow
- Quality Improvement
- Effective Communication
Certification
Registered Health Information Technician - RHIT
American Health Information Management Association -AHIMA, 01/2013 - 03/2015
Timeline
Workers Compensation Denial Specialist
Conifer Health Solutions
08.2022 - Current
Site Coordinator
AmerisourceBergen-Kelly Services
10.2017 - 01.2018
Payment poster
Aerotek - Novant
06.2017 - 08.2017
Front Desk Receptionist
Aerotek - Cardinal Innovations Healthcare
04.2017 - 05.2017
Patient Financial Services
Aerotek - PMAB, LLC
12.2016 - 03.2017
Medical Billing Coordinator
Genesee Care Center (formerly Ascension Health Genesys Convalescent Center)
06.2013 - 03.2016
Senior ROI Specialist
HealthPort, LLC
06.2010 - 06.2013
CNA /Nursing Unit Clerk
Genesee Care Center (formerly Ascension Health Genesys Convalescent Center)
01.1995 - 06.2016
Associate of Applied Science - Health Information Technology
Baker College of Flint
High School Diploma -
Flint Northern High School