Natalie Fleming

Health Care Administration: Experience in managing patient intake, medical billing, and collections, ensuring HIPAA compliance, and coordinating between departments.

Experienced in handling EPIC/EMR records, data entry, and ensuring the accuracy of medical documentation. Patient relations and communication skills. Fostered strong relationships with patients and healthcare providers, and managed high call volumes while maintaining professionalism.

Expertise in handling EPIC/EMR records, data entry, and ensuring accuracy of system documentation. Scanning records through OnBase, uploading progress notes to patient charts. Collecting co-payments, insurance prior authorization and verifications, Referral processing. Scheduling appointments.

Experience in quality review within a sterile drug compounding manufacturer. Adhered to industry standards and regulations. cGMP and FDA regulatory compliance.

Experienced in quality review.

Visits to providers' office to close the gap in care with patients.

HEDIS data abstractions.

Billing and insurance data management via the FACETS system. Streamlined documentation processes, managed high priority projects, and implemented efficient systems in a healthcare setting.

• Resolved customer inquiries promptly while maintaining a high level of professionalism.
• Updated internal databases with current information on entitlements granted or denied.
• Conducted follow-up calls to verify customer information and ensure timely processing of application requests.
• Provided assistance to other departments related to entitlement issues.

Quality control and compliance. Experience in quality review, HEDIS medical records, data abstraction. Adhered to industry standards and NCQA regulations. Project and Process Management, streamlining documentation processes and managing high-priority projects, implemented efficient systems in a healthcare setting. Made on-site visits to providers' offices to close the gap in care.

Insurance and claims processing. Management of referral and prior authorization database for various clinical practices. Eligibility verification for patients having Radiology testing and Cardiac procedures.

• Conducted comprehensive financial assessments with clients to identify their current financial situation and develop appropriate action plans.
• Managed multiple cases simultaneously while ensuring all deadlines were met according to established policies.
• Negotiated payment arrangements with creditors when necessary, on behalf of clients.

Held various positions throughout the hospital over the 7 year period. Admitting Bed Board reservationist scheduling patients for rooms according to floor census and diagnosis.

Performed unit secretary duties working on the Pediatric unit, Medical ICU/Telemetry, Operating Room, and Emergency Room.