Mikaela Holiday
Hoschton,GA
Summary
Driven professional with a proven track record in healthcare administration, notably at Optum. Excelled in patient care coordination, leveraging Microsoft Excel and active listening to enhance operational efficiency. Demonstrated expertise in medical terminology and data entry, significantly improving patient service delivery. Achieved compliance with HIPAA, showcasing a commitment to privacy and ethical standards.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Customer Service Representative Specialist
Optum
06.2021 - Current
- Validate health insurance before scheduling appointments.
- Clarify policies, procedures, and services for patients.
- Handle patient complaints and guide them to relevant medical staff.
- Register and maintain medical charts with patient details and insurance information.
- Aid in processing prescription refill orders to ensure prompt and efficient patient care.
- Manage approximately 50 incoming calls per day from customers.
Trainee Medical Coder
AAPC
03.2022 - 06.2024
- Maintained updated knowledge of coding requirements through continuing education and certification renewal.
- Reviewed 600 outpatient records and Interpreted documentation to identify diagnoses and procedures for AAPC Practicum 2.0 Complete Externship.
- Coded and added modifiers in evaluation and management services and procedures.
- Enhanced accuracy in medical coding by diligently reviewing patient records and ensuring proper diagnostic codes.
MEDICAL RECORDS CLERK
21st Century Oncology
10.2019 - 03.2020
- Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Supported clinical decision-making by promptly delivering requested medical records to healthcare providers.
MEDICAL RECORDS FIELD TECHNICIAN
CIOX HEALTH, Health Information Management
09.2015 - 10.2019
- Gathered medical records from healthcare providers, including physician's offices and hospitals.
- Performed data entry services to place relevant information in a secure database.
- Ensured secure remote access for health care providers, billing departments, or workers processing insurance claims.
Education
Certified Professional Coder - Medical Terminology, Pathophysiology, Anatomy
American Academy of Professional Coders
Dallas, TX03.2022
Bachelor of Arts - Communication Studies
New York Institute of Technology
New York, NY06.2001
Skills
Call center experience
Microsoft Outlook
Microsoft Excel
Microsoft Word
Medical terminology knowledge
Appointment Scheduling
Escalation Handling
Follow-up skills
Professional telephone demeanor
Data Entry
Administrative Support
Active Listening
Critical Thinking
Administrative Support
Active Listening
Critical Thinking
Certification
- CPC - Certified Professional Coder
Timeline
Trainee Medical Coder
AAPC
03.2022 - 06.2024
Customer Service Representative Specialist
Optum
06.2021 - Current
MEDICAL RECORDS CLERK
21st Century Oncology
10.2019 - 03.2020
MEDICAL RECORDS FIELD TECHNICIAN
CIOX HEALTH, Health Information Management
09.2015 - 10.2019
Certified Professional Coder - Medical Terminology, Pathophysiology, Anatomy
American Academy of Professional Coders
Bachelor of Arts - Communication Studies
New York Institute of Technology
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