Melissa Carlisle
Oklahoma City,OK
Summary
Healthcare Administrative Assistant with extensive knowledge of Electronic Medical Records and Microsoft Office. Strong communication skills and successful at maintaining relationships with medical personnel. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
20
20
years of professional experience
Work History
Medical Records Auditor/Onsite Routing Specialist
Datafied
11.2021 - Current
- Assign Field Agent on-site work
- Monitor Excel Onsite Certified Field Agents report
- Manage Certified Field Agents when obtaining medical records at facilities
- Contact health care facilities and providers to request the release of medical records
- Extract records through Electronic Medical Records access for Audit and HEDIS projects
- Utilize specific HEDIS measures in order to obtain correct records in a timely manner
- Use Electronic Health Record software to manage and verify patient data, including insurance, demographic, and medical history information.
- Organize extracted records into designated folders for uploading
- Respond to and resolve multiple issues through incident recognition, research
- Maintained client satisfaction through open communication with the physician and staff
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Communicated effectively with physicians, staff, patients, and insurance companies by email and telephone.
- Reviewed medical records for accuracy and compliance with regulations.
- Conducted audits to ensure proper documentation.
Customer Service Associate
San Diego Military Outreach Ministries
01.2019 - 10.2020
- Alternate leadership roles with supervisor to distribute staff assignments
- Managed large volume of customers every day with positive attitude and focus on customer satisfaction.
- Collected customer feedback and made process changes to exceed customer satisfaction goals.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Informed customers about special promotions and provided detailed information for various products.
- Developed and actualized customer service initiatives to decrease wait times.
Medical Insurance Biller
Receivable Management Inc
03.2011 - 05.2011
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Liaised between patients, insurance companies and billing office.
- Orchestrated payment posting, accounts receivables and collections.
Patient Dietary Aide
Health Central Hospital
01.2006 - 03.2008
- Established and maintained thorough and updated nutritional information shared by physician and unit secretary.
- Served meals to residents in accordance with established schedules and dietary procedures.
- Educated patients about therapeutic nutrition, ingredients selection, food prep and meal planning.
- Delivered nourishment and supplements to nurse station for distribution to specific residents.
- Reported and documented resident changes in consumption or behaviors.
- Organized and planned medical nutrition choices for 30 or more patients and residents.
Education
Certification Course - Certified Medical Administrative Assistants
American Healthcare Documentation Professionals
415 Boston Tpke #212, Shrewsbury, MA 0154504-2026
Bachelor of Science - Health Administration
The University of Phoenix
03-2022
Diploma - Medical Office Administration
Concorde Career College
05-2012
High School Diploma -
Timber Creek High School
05-2004
Skills
- Team Leadership
- Medical Terminology
- Microsoft Office
- HIPAA Regulations
- Attention to Detail
- Strong Multi-tasking
- EMR/EHR Systems
- Medical Record Audits
- Data accuracy verification
- Clinical documentation review
- Auditing techniques
- Quality assurance monitoring
Accomplishments
- Lean Six Sigma Yellow Belt Certified
- National Society of Collegiate Scholars
- National Society of Leadership and Success
Timeline
Medical Records Auditor/Onsite Routing Specialist
Datafied
11.2021 - Current
Customer Service Associate
San Diego Military Outreach Ministries
01.2019 - 10.2020
Medical Insurance Biller
Receivable Management Inc
03.2011 - 05.2011
Patient Dietary Aide
Health Central Hospital
01.2006 - 03.2008
Bachelor of Science - Health Administration
The University of Phoenix
Diploma - Medical Office Administration
Concorde Career College
High School Diploma -
Timber Creek High School
Certification Course - Certified Medical Administrative Assistants
American Healthcare Documentation Professionals