Nicholas Stephens
Nashville,Tennessee
Summary
Healthcare administrative specialist with 5+ years of high-volume data entry experience, accurately processing 700+ patient records monthly to support quality assurance. Proficient in EMR platforms (SpringCharts, Allscripts, eClinicalWorks, Aura, AthenaHealth and Meditech) Microsoft Office for validation and management of PHI under strict HIPAA standards. Collaborated with cross-functional teams to streamline release of information (ROI) workflows, improving data accuracy and retrieval turnaround times by at least 50%.
Overview
25
25
years of professional experience
Work History
Associate Business Process Analyst
Optum
10.2018 - Current
- Investigate medical charts for discrepancies in patient health information and provided detailed explanations to support data accuracy.
- Perform monthly audits of retrieval vendor records to ensure data accuracy and consistency.
- Review 700+ medical charts and notes monthly for quality assurance.
- Built and continue to maintain several BI (Business Intelligence) spreadsheets for timely data analysis and research reporting while continuing to meet the monthly SLA.
- Collaborate with stakeholders to streamline ROI processes, reducing record retrieval turnaround times.
Operations Assistant
Revida Recovery
02.2024 - 01.2026
- Managed the new hire acclimation journey to ensure long-term retention.
- Distributed daily operational reports to 14 sites to streamline appointment scheduling.
- Processed and indexed diagnostic reports within patient charts, ensuring 100% data integrity.
- Resolved a critical six-month documentation deficit in two weeks, ensuring all patient charts met compliance standards. And continued to maintain all patient charts until my departure from the company.
- Performed real-time insurance verification (RTV) to minimize claim denials and optimize the revenue cycle.
- In-Office, front and back, Medical Assistant for 5+ years.
Health Service Associate II/HEDIS (Contract)
LanceSoft
01.2023 - 04.2023
- Verified appropriate chart retrieval methods to streamline processing of patient records.
- Coordinated with provider offices to request and obtain medical records, ensuring timely ROI support.
Chart Retrieval Contractor for Optum (Contract)
CSI Companies
01.2018 - 10.2018
- Negotiated retrieval contracts with provider offices, managing PHI requests and tracking cost per chart.
- Performed quality assurance checks, handled multi-line calls, and coordinated document transfers to ensure data accuracy.
- Trained new contractors on PNP code usage to standardize retrieval documentation practices.
- Ensured confidentiality and adherence to HIPAA while handling sensitive patient data.
Medical Assistant
Gulf Coast Physician Partners/Family Practice- Milton, Florida
Milton, Florida
02.2011 - 02.2011
- Assisted in patient intake and triage, ensuring accurate documentation of medical histories.
- Managed scheduling for multiple providers, optimizing appointment flow and patient access.
- Administered immunizations and injections following safety protocols to enhance patient care.
- Collaborated with healthcare teams to implement new procedures, improving efficiency in daily operations.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
- Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
- Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
- Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
- Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
- Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
- Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
- Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
- Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
- Empowered patients through education on self-management techniques for chronic conditions.
- Collaborated with healthcare professionals to develop care plans tailored to individual patient needs.
- Improved patient satisfaction, efficiently managing appointment schedules and reducing wait times.
- Facilitated positive patient experience, greeting patients warmly and providing clear directions within clinic.
- Performed EKGs and other diagnostic tests, contributing to accurate and timely diagnoses.
- Maintained inventory of medical supplies, ensuring availability for all procedures and treatments.
- Assisted with billing and coding processes, ensuring accurate insurance claims and patient invoicing.
- Conducted routine laboratory tests to assist in diagnosis and treatment of conditions.
- Improved clinical workflow with introduction of electronic health records system.
- Administered medications and injections as prescribed, adhering strictly to protocols for patient safety.
- Conducted patient follow-up calls to monitor treatment progress and answer any questions.
- Supported patient well-being, providing empathetic care and addressing concerns with sensitivity.
- Assisted in minor surgical procedures, ensuring sterile environment and patient comfort.
- Increased efficiency in office by implementing digital filing system for patient records.
- Streamlined patient check-in process, reducing administrative burden for medical staff.
- Facilitated patient education on treatment plans and medications, improving understanding and compliance.
- Enhanced patient care by meticulously recording vital signs and updating patient records.
- Contributed to clean and safe clinic environment by adhering to sanitation protocols.
- Implemented patient education program on preventative care, enhancing community health awareness.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Collected and documented patient medical information such as blood pressure and weight.
- Completed EKGs and other tests based on patient presentation in office.
- Prepared lab specimens for diagnostic evaluation.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Taught patients about medications, procedures, and care plan instructions.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Oriented and trained new staff on proper procedures and policies.
- Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
- Measured patient pulse oximetry.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging, and compassionate environment.
- Helped improve patient outcomes by educating and advising on relevant treatments and care.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
- Collected pertinent data and calculations to aid physician in interpreting results.
- Liaised with patients and addressed inquiries, appointment requests and billing questions.
- Implemented care and efficiency improvements to support and enhance office operations.
- Measured patient spirometry.
- Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
- Followed appropriate procedures to minimize patient's exposure to radiation.
- Trained new staff on office protocols and electronic health record systems to ensure compliance and accuracy.
- Conducted routine laboratory tests and processed specimens, maintaining quality control standards consistently.
- Developed patient education materials, enhancing understanding of treatment plans and preventive care measures.
- Streamlined inventory management system for medical supplies, reducing waste and improving availability for clinical staff.
- Collaborated with interdisciplinary healthcare teams to provide coordinated care.
- Contributed to reduction in patient readmission rates by providing thorough discharge instructions and follow-up care recommendations.
Medical Assistant
Buffalo Valley, Inc.
11.2015 - 01.2018
- Recorded patient treatment details and prepared accident reports, ensuring accurate clinical documentation.
- Processed facility and nursing admissions, entering patient data promptly to maintain EMR accuracy.
- Entered clinical medical histories, handled copying, faxing, and scanning to support comprehensive clinical reports.
- Assist patient care technicians with laundry, cooking and making beds for up to thirty-two co-ed clients and security for over thirty cameras.
- Monitored and updated patient files in EMR systems to maintain data integrity.
Medical Assistant
Nashville Pain and Wellness Center
04.2015 - 11.2015
- Scanned and organized documents in AmazingCharts EMR, faxed records, and secured prior authorizations for MRIs.
- Assisted in outpatient procedures using C-Arm X-ray equipment and performed EKGs with adherence to documentation standards.
- Managed PHI entry and document tracking in EMR to support compliance and data accuracy.
Patient Engagement Specialist
PharmMD-Brentwood, Tennessee
Brentwood, Tennessee
03.2014 - 04.2015
Medical Assistant
Heritage Medical Associates/Dermatology- Nashville, Tennessee
Nashville, Tennessee
04.2013 - 04.2014
Medical Assistant (Contract)
Favorite Staffing/Cardiology Clinic at Baptist- Nashville, Tennessee
Nashville, Tennessee
04.2013 - 05.2013
Medical Assistant
Yellow Bay/Pain Management- Pensacola, Florida
Pensacola, Florida
04.2011 - 08.2012
Heavy Equipment Mechanic
Thompson Caterpillar- Pensacola, Florida
Pensacola, Florida
03.2006 - 02.2010
Site Supervisor
R.W. Beck- Pensacola, Florida and Gulfport, Mississippi
Pensacola, Florida
09.2000 - 01.2003
Education
Diploma/Degree - Medical Assistant
Fortis Institute
Pensacola, FLSkills
Data Management & Compliance: Data Entry, PHI Management, HIPAA Compliance, ROI Processes, Documentation, Medical Records Management
EMR Systems: SpringCharts, Allscripts EMR & PM, eClinicalWorks, NextGen, Amazing Charts, Aura, Dominion, AthenaHealth, and Meditech
Productivity Tools: Microsoft Office, BI (Business Intelligence) Tools, Multi-line Phone Systems
Medical & Coding: Medical Terminology, ICD-9 & CPT Coding, PNP Codes
Timeline
Operations Assistant
Revida Recovery
02.2024 - 01.2026
Health Service Associate II/HEDIS (Contract)
LanceSoft
01.2023 - 04.2023
Associate Business Process Analyst
Optum
10.2018 - Current
Chart Retrieval Contractor for Optum (Contract)
CSI Companies
01.2018 - 10.2018
Medical Assistant
Buffalo Valley, Inc.
11.2015 - 01.2018
Medical Assistant
Nashville Pain and Wellness Center
04.2015 - 11.2015
Patient Engagement Specialist
PharmMD-Brentwood, Tennessee
03.2014 - 04.2015
Medical Assistant
Heritage Medical Associates/Dermatology- Nashville, Tennessee
04.2013 - 04.2014
Medical Assistant (Contract)
Favorite Staffing/Cardiology Clinic at Baptist- Nashville, Tennessee
04.2013 - 05.2013
Medical Assistant
Yellow Bay/Pain Management- Pensacola, Florida
04.2011 - 08.2012
Medical Assistant
Gulf Coast Physician Partners/Family Practice- Milton, Florida
02.2011 - 02.2011
Heavy Equipment Mechanic
Thompson Caterpillar- Pensacola, Florida
03.2006 - 02.2010
Site Supervisor
R.W. Beck- Pensacola, Florida and Gulfport, Mississippi
09.2000 - 01.2003
Diploma/Degree - Medical Assistant
Fortis Institute