Summary
Overview
Work History
Education
Skills
Activities
Timeline
Generic

Meghna Naik

McAllen,TX

Summary

Highly organized Clinical Administrative Coordinator with 4 years of experience efficiently managing successful medical offices. Dedicated to maintaining excellent patient care through meticulous scheduling and careful charting. Passionate about improving health and financial outcomes by addressing patient concerns and monitoring accounts receivable. Detail-oriented professional with a strong work ethic and dedication to achieving goals. Skilled in developing and maintaining documentation systems, managing calendars, and preparing reports. Knowledgeable in project management principles, business processes, and customer service best practices. Possesses strong communication and interpersonal skills, with the ability to manage competing priorities and meet deadlines. Creative problem solver with strong analytical and critical thinking skills. Self-motivated with proven leadership, organizational, and customer relations skills. Able to independently solve problems and keep teams on task to handle diverse business requirements. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Seeking a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving abilities. Hardworking administrative professional familiar with recordkeeping, mail management, and data entry. Skilled at building relationships with healthcare staff, patients, and provider representatives. Proficient in MS Office.

Overview

9
9
years of professional experience

Work History

Clinical Administrative Coordinator

UHG WellMed Medical Management
05.2021 - Current
  • Document all patient interactions in concise manner
  • Provides orientation, training, coaching, and mentoring to staff
  • Leads handling and resolution of complex issues and complaints
  • Assist in preparation of reports and analyses, setting forth progress, adverse trends, and appropriate recommendations or conclusions
  • Coordinate and assist in monitoring of documentation Care Management queues for Concurrent, Complex Care, and Social Work referrals, UM requests via all communication venues; as well as administrative preparation for clinical staff
  • Manage initial triage and intake of members, managing admission/discharge information
  • Working with hospitals and clinical team
  • Provide excellent customer service by serving as resource to all internal and external customers
  • Maintain knowledge of all health plan benefits, network, CMS, regulations, health plan policies
  • Participate in market Patient Care Committees: prepare agenda, document minutes and distribute to appropriate venue
  • Provides clerical and / or administrative support to clinical staff and managers for special projects and reporting needs
  • Reviewed cases to determine need for escalation
  • Performed patient census operations, collecting data to generate comprehensive profile of practice's performance
  • Manage referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
  • Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance
  • Contributed to revenue growth by accurately coding claims for submission to insurance providers.
  • Utilized electronic health records software proficiently, enabling quick access to vital patient information when required.
  • Supported clinical staff by coordinating schedules, handling appointment confirmations, and updating patient records as needed.
  • Trained new staff members on office procedures, increasing their productivity levels and reducing errors or discrepancies in documentation.
  • Ensured compliance with HIPAA regulations through diligent record keeping and strict adherence to confidentiality guidelines.
  • Contributed to positive work environment by fostering collaboration among team members and maintaining open lines of communication.
  • Resolve inquiries from members and/or providers
  • Work with hospitals, clinics, facilities and clinical team to manage requests for services
  • Maintained knowledge of standardized medical billing codes
  • Prepared patient data surveys, detailing care outcomes, billing metrics and other factors
  • Provided comprehensive administrative support to department staff as Subject Matter Expert
  • Provides orientation, training, coaching, and mentoring to staff
  • Maintained complete documentation for permanent records and auditing purposes
  • Manage intake of members or admission/discharge information post notification.

HIM Specialist (Correspondence Auditor)

Doctors Hospital at Renaissance
05.2016 - 04.2021
  • Perform ongoing medical records review for medical staff documentation quality using criteria approved by Medical Records Committee
  • Compile QA review findings and perform root cause analysis
  • Assist Release of information (PHIMS) company in regards to daily phone calls from patients and Physicians
  • Coordinate reporting of data to THHS and certifies data on behalf of Facility
  • Coordinate correction of data with Revenue Cycle, Admissions and Coding
  • Create and forward appropriate death report to TOSA on monthly basis
  • Create and report appropriate ICD 9 & 10 CM report for Birth Defects on monthly basis
  • Perform Government Audit for Medicare and Medicaid (RAC)
  • Retrieve medical records from Database
  • Knowledge of matched Data with HEDIS measured Guidelines
  • Ensured medical records met CMS defined Standards
  • Maintains confidentiality of patient information
  • Promotes positive public relations with patients, residents, family members and guests
  • Uses tactful, appropriate communications in sensitive and emotional situations
  • Maintained confidentiality with Protected Health Information (PHI)
  • Work with physicians and residents to improve as necessary
  • Multi-tasked and tracked multiple priorities in fast-paced environment
  • Developed documents in Word and maintained Excel databases
  • Participated in editorial meetings to discuss story ideas and content
  • Organized and maintained critical communications.
  • Followed all company policies and procedures to deliver quality work.
  • Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.

Medical Records Intern

Dr. Nirupama P. Patel, MD's Clinic
05.2015 - 07.2015
  • Assisted with documenting CPT codes
  • Maintaining medical records
  • Scheduling appointments
  • Keeping track of patient's records
  • Managed over 50 customer calls per day
  • Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations
  • Processed medical records requests from outside providers according to facility, state, and federal law
  • Scanned medical records in digital format for easy retrieval and accessibility
  • Supported medical staff by providing organized and accurate medical records
  • Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information
  • Maintained patient confidence by keeping patient records information confidential
  • Maintained patient records systems by archiving, scanning and indexing important documents and files
  • Reviewed charts and flagged incomplete or inaccurate information
  • Uploaded physician progress notes, history, and physicals into electronic medical records
  • Maintained patient records in compliance with security regulations
  • Developed and maintained organized filing system for medical records to adhere to HIPAA regulations
  • Analyzed complex medical records to identify discrepancies in accuracy and completeness
  • Utilized electronic medical record systems to store, retrieve and process patient data
  • Scanned and uploaded medical records into electronic medical records system.
  • Assisted in training new interns, sharing best practices and knowledge gained during the internship experience.
  • Supported the transition to electronic health records by scanning and uploading physical documents into the digital system.
  • Enhanced overall efficiency by assisting with the organization and filing of medical documents.

Education

Associate in Health Information Technology (HIT) -

South Texas College
McAllen, Texas
05.2016

Bachelor in Family and Community Science -

M.S. University
Vadodara, Gujarat, India
05.2006

Skills

    • Knowledge and advanced training in medical coding (CPT, ICD9- CM, ICD10-CM-PCS) with 3M Encoder, Medical Terminology, anatomy and physiology
    • Ability to read medical reports, to code diagnosis, abstract patient's information from records and to provide meaningful information by telephone or letter
    • Ability to perform non-complex arithmetic calculations when preparing audits findings as well as verifying invoices
    • Knowledge in medical terminology, indexes and classification systems and medico-legal ethics
    • Knowledge of pertinent Federal, State and local regulations concerning medical records data, and reports vital statistics and diseases
    • Multi-tasking
    • Very self-disciplined to manage time and meeting deadlines
    • Knowledge of Microsoft Office (Word, Outlook, Excel)
      • Excellent verbal and written communication skill
      • Excellent customer service and organizational skills
      • Ability to work both as part of team and as individual
      • Schedule Coordination
      • Autonomous and Self-Directed
      • Scheduling and Calendar Management
      • Office Management
      • Patient Scheduling

Activities

  • Honored by the National Society of leadership and Success spring in 2016.
  • Active Member and Vice President in Health & Medical Administrative services (HMAS) club.
  • Member of American Health information management association (AHIMA).
  • Completed CPR certification in June 2015.
  • Volunteered at a medical clinic in India as a Health Information Technology Specialist in summer 2012.
  • Completed a training course in Electronic Health Records with Spring Charts in 2011.
  • Worked with Lions club of India for a disease awareness campaign.

Timeline

Clinical Administrative Coordinator

UHG WellMed Medical Management
05.2021 - Current

HIM Specialist (Correspondence Auditor)

Doctors Hospital at Renaissance
05.2016 - 04.2021

Medical Records Intern

Dr. Nirupama P. Patel, MD's Clinic
05.2015 - 07.2015

Associate in Health Information Technology (HIT) -

South Texas College

Bachelor in Family and Community Science -

M.S. University
Meghna Naik