Summary
Overview
Work History
Education
Skills
Accomplishments
Cdl Permit
Driver License
Timeline
Generic

Eiolanda Hutton

St. Louis,MO

Summary

Detail-focused Assistant brings hands-on approach and amazing energy to meet task-based needs. Reliable, quick-paced and team-oriented nature streamlines background operations. Focused comprehension to accomplish projects and multi-task to meet concurrent deadlines and expectations. Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.

Overview

26
26
years of professional experience

Work History

Sedgwick Claims Management, Claims Assistant

01.2018 - Current
  • Assisted with the preparation of claim forms and related documents for processing.
  • Gathered medical records and other documentation to support claim decisions.
  • Provided customer service to claimants, employers, insurance companies, attorneys. regarding their inquiries or requests for assistance.
  • Updated claim notes as needed throughout the life cycle of a case file.
  • Handled sensitive information in accordance with company policy and HIPAA regulations.
  • Analyzed data collected from various sources such as medical exams, interviews., in order to make informed decisions about potential fraud or abuse cases.
  • Ensured proper coding was used when entering data into system databases.
  • Processed payments made by insurance companies according to established protocols.
  • Processed claims for payment or forwarded to appropriate personnel for further investigation
  • Checked documentation for appropriate coding, catching errors and making revisions.

Pin Point Cleaning

01.2017 - Current
  • Negotiated contracts with vendors, suppliers, and customers.
  • Created budgets and monitored expenses to stay within budget limits.
  • Managed staff recruitment, hiring, training, and development.
  • Oversaw daily operations of small business including customer service and financial management.
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Used strong issue resolution and communication skills to cultivate and strengthen lasting client relationships.
  • Appraised inventory levels on frequent basis, ordering new merchandise to keep quantities well-stocked.
  • Monitored progress by establishing plans, budgets and measuring results.

SSM Health, Admission Associate/Insurance Verifier

01.2013 - 01.2018
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Maintained accurate documentation on all pre-authorization requests, denials and appeals.
  • Collaborated with internal staff members such as Billing Specialists, Medical Coders., to resolve any discrepancies in patient's insurance information.
  • Updated patient and insurance data and input changes into company computer system.
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
  • Provided in-home nursing services to patients, including wound care, medication administration and patient education.
  • Assisted with coordinating home health services for patients and their families.
  • Collaborated with other healthcare professionals in providing comprehensive home health care services to patients.
  • Responded promptly to any changes in a patient's condition or symptoms that may require additional interventions or referrals for further evaluation and treatment.
  • Maintained accurate documentation according to agency policies and procedures while adhering to HIPAA regulations.
  • Ensured compliance with state regulations related to home health care practices.

DaVita Dialysis, Administrative Assistant

01.2008 - 01.2013
  • Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
  • Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel.
  • Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff.
  • Managed incoming calls while providing information or transferring callers to appropriate personnel.
  • Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies.
  • Ensured efficient operation of office equipment such as printers, copiers and fax machines.
  • Answered questions from customers regarding products and services offered by the company.
  • Provided secretarial and office management support while building cooperative working relationships.
  • Responded effectively to sensitive inquiries or complaints.
  • Sorted and distributed incoming faxes, letters and emails for office distribution.
  • Performed venipuncture and other blood collection procedures according to established standards.
  • Maintained a clean, safe, and organized work environment.
  • Verified patient information prior to specimen collection.
  • Provided assistance to clinical staff during patient visits.
  • Collected specimens from pediatric, adult, geriatric, and special needs patients.
  • Processed samples accurately and efficiently.
  • Followed all safety protocols when handling hazardous materials.
  • Monitored inventory levels of supplies used in phlebotomy services.
  • Prepared specimens for transport to external laboratories.
  • Adhered to HIPAA guidelines regarding patient privacy.
  • Responded quickly and effectively to emergency situations.
  • Prepared and packaged specimens for courier transport.

MID COUNTY ORTHOPAEDICS Surgery & Sport Medicine, Receptionist

01.1998 - 01.2008
  • Maintained and updated patient records.
  • Performed administrative tasks such as scheduling appointments, filing documents, and maintaining medical records.
  • Assisted in ordering laboratory tests and imaging studies for patients.
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
  • Registered patients for diagnostic appointments, surgeries and medical consultations using electronic health record system.
  • Processed patient medical records requests in compliance with HIPAA guidelines.
  • Ordered and restocked supplies in line with budget limits and office needs.
  • Greeted visitors and provided them with assistance.
  • Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
  • Maintained a neat reception area by organizing materials and tidying up furniture.
  • Performed data entry tasks into various computer systems accurately and promptly.
  • Scheduled and confirmed appointments.
  • Served visitors by greeting, welcoming and directing to appropriate personnel.

Education

Associate Degree in General Studies -

Columbia College of St. Louis
01.2012

Patient Accounts Certification -

St. Louis College of Health Careers
01.1996

Skills

  • Insurance knowledge
  • Coordinating documents
  • Claims Processing
  • Data Entry
  • Team Collaboration
  • Decision-Making
  • Insurance Claims Review

Accomplishments

  • High level of direct customer contact requiring strong communication skills for 15 years
  • Ability to comply with Federal, State, and local regulations along policies and procedures
  • Knowledgeable of Medicare, Medicaid, and Commercial Health Insurance Policies
  • Proficient in Microsoft Word, Excel, PowerPoint, Access, and Publishing, 45 WPM
  • Knowledgeable of ICD 9/10, with CPT coding

Cdl Permit

Class A

Driver License

Class E

Timeline

Sedgwick Claims Management, Claims Assistant

01.2018 - Current

Pin Point Cleaning

01.2017 - Current

SSM Health, Admission Associate/Insurance Verifier

01.2013 - 01.2018

DaVita Dialysis, Administrative Assistant

01.2008 - 01.2013

MID COUNTY ORTHOPAEDICS Surgery & Sport Medicine, Receptionist

01.1998 - 01.2008

Associate Degree in General Studies -

Columbia College of St. Louis

Patient Accounts Certification -

St. Louis College of Health Careers

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Eiolanda Hutton