Detail-oriented healthcare professional with extensive experience processing Release of Information (ROI) requests, medical record retrieval, and documentation verification in compliance with HIPAA and privacy regulations. Skilled in electronic medical records (EMR), record scanning, authorization validation, and data quality checks to ensure accurate and secure release of patient information. Proven ability to manage high-volume medical record requests while maintaining strict confidentiality, accuracy, and excellent customer service.
Overview
9
9
years of professional experience
Work History
Reimbursement Case Manager
CareMetx
Remote
08.2023 - Current
Process and verify patient and provider documentation to ensure accuracy and compliance with healthcare program requirements.
Maintain accurate patient records within healthcare systems while adhering to HIPAA privacy standards.
Conduct outreach to provider offices to obtain documentation and verify demographic information.
Perform quality checks on documentation to ensure completeness and proper authorization before processing.
Coordinate with providers, pharmacies, and internal teams to resolve documentation discrepancies.
Customer Service Support Mortgage Specialist
PNC Bank
10.2018 - 07.2023
Reviewed and validated documentation prior to processing requests to ensure completeness and regulatory compliance.
Maintained detailed electronic records and updated information within internal database systems.
Managed high-volume requests while maintaining accuracy and strong documentation practices.
Member Service Agent
BroadPath Healthcare Solutions
Remote
09.2017 - 03.2018
Collected and verified patient insurance and demographic information within electronic healthcare systems.
Assisted providers and members with eligibility, benefits, and authorization inquiries.
Maintained electronic medical records while ensuring strict HIPAA compliance.
Medical Records Clerk/Central Supply; Receptionist at Fulton Center for Nursing and HealingMedical Records Clerk/Central Supply; Receptionist at Fulton Center for Nursing and Healing
Certified Reimbursement Specialist at University of Missouri Physicians HealthcareCertified Reimbursement Specialist at University of Missouri Physicians Healthcare