Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Mika Colston

Belton,MO

Summary

Seeking a challenging position with a profitable company where my skills, attention to detail and willingness to learn new material will allow me to contribute to the company’s daily operations as well as its vision for the future. Dedicated professional eager to create and implement successful strategies to improve organizational efficiency. Adept at utilizing data analysis to provide insights into HR initiatives. Strong communication and interpersonal skills and committed to pursuing best practices related to employee development and retention.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Credentialing Specialist

Next Move Healthcare
02.2022 - 09.2023
  • Conducted primary source verifications such as background checks and board certifications.
  • Prepared records for site visits and file audits.
  • Improved office efficiency by effectively managing internal communications and correspondence.
  • Coordinated implementation of people-related services, policies and programs through departmental staff.
  • Reduced expenses by analyzing compensation policies and implementing competitive programs while ensuring adherence to legal requirements.
  • Completed human resource operational requirements by scheduling and assigning employees.
  • Worked alongside global business leader to deploy new training strategies.
  • Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
  • Developed and implemented onboarding and orientation programs for new employees.
  • Received and evaluated applications to look for missing and inaccurate information.
  • Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.

Business Office Specialist

Mid-America Surgery Institute
10.2018 - 01.2022
  • Appointed as Facility Privacy Officer for the surgery center
  • Preparing patient charts, printing chart packs, sticker documents, organizing documents in charts
  • Insurance Verification of eligibility and benefits, authorizations, calling patients to go over patient responsibility for the facility fees
  • Patient registration, admission, reviewing all information with patient completing appropriate forms and obtaining signatures, copying and scanning insurance cards, photo identification, collecting copays, setting up payment plans
  • Accurately complete data entry necessary including authorizations and benefits as well as patient communication in the appropriate module of Advantix to pay in full the day of surgery
  • Medical Records: completing charts, logging charts, boxing charts to be sent off site, scanning charts, uploading to EZ Chart
  • Sort mail, Printing off and date stamping invoices for Administration
  • Maintained computers, telephone systems, copiers and fax machines.
  • Performed clerical duties by typing, filing, copying, faxing and completing and submitting forms.
  • Utilized office system to schedule clients' appointments per centralized scheduling guidelines.
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Responded to inquiries from callers seeking information.
  • Provided clerical support to company employees by copying, faxing, and filing documents.
  • Prepared mail and packages for shipment, pickup, and courier services to expedite delivery.
  • Restocked supplies and submitted purchase orders to maintain stock levels.
  • Routed business correspondence, documents, and messages to correct departments and staff members.
  • Applied core knowledge to effectively communicate sensitive or technical information while adhering to regulatory guidelines.
  • Screened visitors and issued badges to maintain safety and security.
  • Gathered, organized and input information into digital database.
  • Conducted regular reviews of operations and identified areas for improvement.
  • Maintained database systems to track and analyze operational data.
  • Devised and implemented processes and procedures to streamline operations.

Patient Interviewer

Rockhill Orthopaedics
01.2017 - 09.2018
  • Interviewing emergency/walk-in patient at time of appointment
  • Interview all new patients, IME’s and new complaints
  • Interview to update patient information for 6 month visits
  • Finalize the above patient types, finish paperwork, scan into system
  • Check next day charts for completeness, including reports, referrals, outside films, previous medical records
  • Review physician schedules
  • Verify eligibility of insurance, collect copays, bad debts and post to patient accounts assist with paperwork
  • Maintain patient waiting area, Maintain HIPPA and OSHA regulations, CPR
  • Certification

Quality Control Specialist

Quest Diagnostics
12.2012 - 12.2016
  • Quality Assurance to secure quality products are serviced to clients
  • Complete special projects that include policy investigations (falsification or disputes) research cases for employee and script errors
  • Train New Hire classes on quality guidelines
  • Write detailed reports on quality reviews for each employee
  • Quality Review Tele underwriting, Internal Reviewing and Support Services and
  • Client Solutions Group
  • Team/ Client Collaborations
  • Compile/ Import data /Transmit reports to Supervisors/Team leads
  • Create Incentives to promote employee appreciation
  • Call In IT Tickets for company pc software, application errors and malfunctions that affect the department
  • Inspected finished goods to verify conformance with customer specifications and company quality standards.
  • Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Created and maintained several databases to track statistical data.
  • Updated inspection journals and daily summary logs with quality-related data.
  • Planned and implemented performance improvement and quality assurance programs.
  • Instructed vendors or contractors on quality guidelines, safety procedures, testing procedures and ways to eliminate deficiencies.
  • Recorded findings of inspection process, collaborating with quality team to implement corrective actions.
  • Fixed identified issues to increase productivity and boost workflows.
  • Monitored product standards and quality-control programs.
  • Educated employees on specific QA standards and confirmed maintenance of standards.
  • Analyzed quality and performance data to support operational decision-making.
  • Implemented process improvements to increase productivity in quality assurance operations.
  • Promoted adherence to quality standards by educating personnel on quality control.
  • Reported problems and concerns to management.
  • Inspected items and compared against standards to meet regulatory requirements.

TeleInterviewer/TeleUnderwriter

Quest Diagnostics
04.2011 - 12.2012
  • Onboarding New/Rehire Clinicians
  • Medical Field contract staffing for Hospitals/Facilities
  • Conduct Background Checks, Work History, License Verifications & Education
  • Verifications, Process Facility forms, Setup Clinicians for Clinic visits such as drug screens, titers, physicals and any health items that need to be current and up to date, Payroll forms, I-9’s/E-Verify, Ensure Certifications are up to date for all job assignments, Set up testing for Comp Exams, Core Mandatory Exams
  • Skills Checklist, specialist testing required for job assignments and required by JACHO standards
  • Upload documentation for Nexus and several VMS platforms in order to get clearance for each Clinician/Applicant
  • Utilize Microsoft Word, Excel spreadsheet to maintain data, Adobe, Messaging
  • System, Nexus, Zoom, Google Meet
  • Conduct communications and work closely with Account Managers, Recruiters
  • Directors, Third party Vendors, Facility Staff
  • Member of Culture Counsel to find ways to enhance workplace culture, Inbound/Outbound Calls/Switchboard/Reception
  • Conduct Interviews for Life/Disability/Long-Term Care Insurance
  • Data Entry, Communication with Mentor Loop/Leads
  • Scheduling/APS Authorization Voice Signature, Email Communications
  • Self-motivated, with a strong sense of personal responsibility.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Worked well in a team setting, providing support and guidance.
  • Worked effectively in fast-paced environments.
  • Excellent communication skills, both verbal and written.

Medical Records Associate

Quest Diagnostics
11.2010 - 04.2011
  • Call patients/Verify Statuses of Facility Authorizations & Prepare Facility Forms
  • Communicate with Insurance Companies, Documenting Orders, Scanning
  • Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.

TeleInterviewer

Quest Diagnostics
08.2009 - 11.2010
  • Conduct Interviews for Insurance Policies
  • Worked effectively in fast-paced environments.
  • Proven ability to learn quickly and adapt to new situations.
  • Skilled at working independently and collaboratively in a team environment.
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked well in a team setting, providing support and guidance.
  • Skilled at working independently and collaboratively in a team environment

Healthcare Billing Assistant

Nueterra
08.2007 - 05.2008
  • Verify Insurance, Call Patients to Review Benefits/Payments, Answering/Messages
  • Scanning Documents, Calculate Confirmed Collected Rates
  • Contacted customers and third party payers to pursue payments.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
  • Provided excellent customer service, developing and maintaining client relationships.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Handled account payments and provided information regarding outstanding balances.
  • Maintained accurate records of customer payments.
  • Generated monthly billing and posting reports for management review.

Orthopaedics Medical Scheduler

Rockhill
07.2006 - 07.2007
  • Appointment Scheduling, Phone Notes/EMR/ Centricity, Patient Checkout
  • Billing, Collect FMLA Payments
  • Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
  • Answered phone calls and messages for medical facility, scheduling appointments, and handling patient inquiries.

Education

Continuing Education -

Johnson County Community College
Overland Park, KS
09.2022

Associate of Applied Science - Medical Assistant

High-Tech Institute
Kansas City, Missouri
03.2006

Skills

  • Skills and Technical Experience:
  • Remote Work From Home, Zoom, Google Meet, G-Chat, Nexus, Universal
  • Background Check Screenings, Escreen, Quest Diagnostics, Lab Corp, Excel
  • Spread Sheet, Word Document, Adobe
  • Credentialing, Compliance, Onboarding, Conduct Background Checks, National
  • Sex Offender Checks, Employee Disqualification List Checks, System Award
  • Management Checks, Office of Inspector General Checks, Office of Foreign
  • Assets Check
  • Social Security Verifications, Employment Verifications, Certification
  • Verifications
  • Setup Clinician Clinic Visits for Pre-employment Drug Screens, Titers, Physicals
  • Vaccines and any other health items
  • I9’s & E-Verify for Employment, Payroll processing, UKG, Process
  • Sertifi Documents, Project Management, Ensure Clinician on time Starts for their
  • Job Assignments, Prepare Adobe Docs, Prepare Facility Documents, Create
  • Documents, Utilize Spreadsheets, Review Resumes and References, Connect
  • With Vendors to get the proper panels and items needed, authorizations, Test
  • Results and documentation, Create Documents on how to use Client Portal and
  • Utilize Vendor Management Systems, Communicate with our Clients and VMS
  • Through the Credentialing Process
  • Training and developing better efficiency in new and current employees through
  • Face to face and conference call coaching
  • Detailed Quality Reports
  • Work related computer experience: Webex, Microsoft Lync, Messenger
  • Windows XP operating System in conjunction with C4, Advantix, EZ Chart
  • Kronos, CareCredit, Encircle, Waystar, LabCorp, Med Tek, EMR, Examview
  • Schedule Now, Salesforce, Centricity, Medisoft, Scanning, Uploading documents
  • Management System, Avaya phone systems and daily use of Verint to search
  • Locate and listen to recordings
  • Use Microsoft Excel to compile employee data from Quality report that is
  • Transferred and submitted through
  • Outlook Exchange Server and upload to a database server for our client
  • Project and time management with completion of time sensitive deadlines
  • Meeting client contractual agreements and adhering to SOPs
  • Comprehensive and analytical skills in departmental and internal operations to
  • Improve and correct employee errors
  • Strong knowledge of medical terminology: medical conditions, diseases, drug
  • Medications, symptoms, diagnosis, and testing
  • Data Entry, Scheduling, Insurance Verification
  • Switchboard/Reception/Check in/Check out
  • Patient Intake/Medical History
  • Patient Billing, Collecting Payments/ Set Up Payment Plans
  • Credentialing Policies
  • Problem Resolution
  • Reading Comprehension
  • Business Correspondence
  • Credential Verification
  • Confidential Records Management
  • Internal Communications
  • Background Checks
  • Facility Credentialing
  • Active Listening
  • Facility Support
  • Credentialing Requirements
  • Employee Onboarding
  • Management Collaboration

Certification

AHA BLS/CPR Certification Expires 03.31.2025

Timeline

Credentialing Specialist

Next Move Healthcare
02.2022 - 09.2023

Business Office Specialist

Mid-America Surgery Institute
10.2018 - 01.2022

Patient Interviewer

Rockhill Orthopaedics
01.2017 - 09.2018

Quality Control Specialist

Quest Diagnostics
12.2012 - 12.2016

TeleInterviewer/TeleUnderwriter

Quest Diagnostics
04.2011 - 12.2012

Medical Records Associate

Quest Diagnostics
11.2010 - 04.2011

TeleInterviewer

Quest Diagnostics
08.2009 - 11.2010

Healthcare Billing Assistant

Nueterra
08.2007 - 05.2008

Orthopaedics Medical Scheduler

Rockhill
07.2006 - 07.2007

Continuing Education -

Johnson County Community College

Associate of Applied Science - Medical Assistant

High-Tech Institute

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Mika Colston