Justice Randle
Houston,TX
Summary
Highly knowledgeable Health Information Management Specialist with wealth of healthcare experience and expertise in problem-solving. Talented in maintaining complex and comprehensive databases covering patient information. Exceptional communication skills offering patient-centric approach to comprehensive support in healthcare clinics and facilities. Proficient in utilizing EHR systems and maintaining high standards of confidentiality and accuracy. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Health Information Management Specialist
Accolade, Inc
Houston, TX
02.2024 - Current
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
- Catalogued patient data in clinical databases and registries according to regulatory practices.
- Conducted thorough assessments of potential risks related to privacy breaches, implementing preventive measures accordingly.
- Contributed to organizational readiness during audits by maintaining accurate, up-to-date documentation of all health information management practices.
Patient Service Coordinator
Obstetrix Medical Group-Maternal Fetal Medicine
Houston, TX
04.2022 - 11.2023
- Telephoned and interviewed patients and family members to obtain pre-registration information and confirm appointments.
- Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
- Used EPIC, and NextGen to maintain electronic patient files, successfully maintain patient files.
- Inputted accurate patient insurance, billing and payment information in EPIC. Collected forms, insurance card and co-pay to facilitate registration process.
- Answered over 60 telephone calls per day to handle rescheduled, missed and reassigned visit requests.
- Imaged and scanned patient and registration documentation into electronic patient records.
Patient Registrar
SignatureCare Emergency Center
Houston, TX
08.2021 - 08.2023
- Set up patients in system by documenting key data, confirming eligibility, and verifying insurance benefits.
- Facilitated timely check-in by greeting visitors and establishing purpose of visits.
- Verified medications, symptoms and other important patient information for entry into patient management system.
- Accurately inputted patient and insurance information into company's computer system using Centricity and E-Power.
- Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
Referral Specialist II
Anthem Inc
Houston, TX
11.2021 - 04.2022
- Initiates and manages clinical referrals for pre-authorization.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity.
- Acts as liaison between hospitals, health plans, physicians and other referral sources.
- Verifies insurance coverage and complete pre-authorization process for surgical procedures, radiology, and other imaging exams.
- Responds to 80+inbound calls, initiated exam requests following established processes, met quality and production standards.
- Enters referrals, documents communications, and actions in system.
Education
Master of Public Health - Community Health Science
Tulane University
New Orleans, LABachelor of Science - Biology
Spelman College
Atlanta, GASkills
- HCPCS Compliance
- MS Office
- Patient Appointment Management
- Inbound Calling
- Medical Filing
- Insurance Verification
- Clinical Data Entry
- EPIC EMR
- Patient Health Information Access
- HIPAA Compliance
- Adobe Suite
- Payment Collection
Certification
- HeartSaver CPR/AED/BLS
- HIPAA Certified
- Health Information Managment
- PT - Phlebotomy Technician
Timeline
Health Information Management Specialist
Accolade, Inc
02.2024 - Current
Patient Service Coordinator
Obstetrix Medical Group-Maternal Fetal Medicine
04.2022 - 11.2023
Referral Specialist II
Anthem Inc
11.2021 - 04.2022
Patient Registrar
SignatureCare Emergency Center
08.2021 - 08.2023
Master of Public Health - Community Health Science
Tulane University
Bachelor of Science - Biology
Spelman College
- HeartSaver CPR/AED/BLS
- HIPAA Certified
- Health Information Managment
- PT - Phlebotomy Technician
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