Summary
Overview
Work History
Education
Skills
Websites
Timeline
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Octavia Bristow

Health Information And Revenue Optimization Specialist
Jacksonville,FL

Summary

Highly skilled healthcare professional with a proven track record in diverse clinical environments. Proficient in customer service and patient interaction, adept at building strong relationships and resolving issues effectively. Extensive knowledge of Privacy Laws and HIPAA regulations, ensuring strict adherence to confidentiality and security protocols, and Revenue Cycle Management. Detail-oriented and personable team player with a strong work ethic and dedication to providing exceptional care. A dynamic communicator who excels in fast-paced environments and is driven by a passion for service.

Overview

8
8
years of professional experience
5
5
years of post-secondary education

Work History

Owner

Absitica Art
  • Created unique watercolor and acrylic-based paintings sold to public via trade-shows and conferences

Underpayment Analyst

Cloudmed
  • Review and analyze payment data to identify underpayments from insurance companies
  • Used various EMR systems to review records
  • Effectively prioritized tasks and organized workflow to increase efficiency
  • Validated correct ICD-10 and HCPCS codes
  • Effectively post incoming payments from insurance carriers
  • Validated results and performed quality assurance to assess accuracy of data
  • Cultivated relationships with industry leaders and within company to share tips and information

Registered Pharmacy Technician

Baptist Medical Center
  • Counted and labeled prescriptions with correct item and quantity
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality
  • Maintained proper drug storage procedures, registries, and records for controlled drugs
  • Answered incoming phone calls and addressed questions from customers and healthcare providers
  • Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues
  • Fill and restocked Omnicell with correct medications
  • Precisely measured and combined ingredients to deliver scrupulous formulation on customer compound prescription orders

Patient Coordinator

Natera
11.2024 - Current
  • Provide outstanding customer service to all stakeholders.
  • Address and resolve customer inquiries and complaints promptly and professionally.
  • Build and maintain strong relationships with internal and external customers.
  • Utilize problem-solving skills to efficiently resolve customer issues.
  • Maintain accurate records of interactions and transactions.
  • Ensure adherence to company policies and procedures.
  • Stay informed about industry trends and best practices.
  • Assist in developing and implementing customer service training programs.
  • Participate in team meetings and contribute to customer service initiatives.

Refund Specialist

UF Health Jacksonville
12.2022 - Current
  • Minimized errors in refund documentation by implementing a thorough review process before submission
  • Conducted periodic audits of previously processed refunds to ensure ongoing compliance with company policies and industry regulations
  • Continuously updated personal knowledge of industry trends and best practices in refund management, applying new learnings to enhance work performance
  • Maintained accurate records of all refunds processed, ensuring proper documentation for auditing purposes
  • Coordinated with insurance providers to verify customer's policy benefits in relation to claims
  • Audited and corrected billing and posting documents for accuracy
  • Adhered strictly to data privacy regulations while handling sensitive customer information during the refund process, minimizing potential risks or breaches
  • Utilized advanced Excel skills for organizing large datasets pertaining to refunds processed, enabling quick retrieval of relevant information when needed
  • Participated in regular meetings with management to discuss progress toward department targets, suggesting improvements where necessary
  • Increased customer satisfaction by efficiently processing refund requests and resolving disputes
  • Actively contributed to team discussions on best practices for handling unique or challenging refund scenarios, sharing practical insights gained from experience

Release of Information Specialist

ScanSTAT Technologies
03.2021 - 01.2022
  • Reproduced protected health information by using data extraction and file management techniques
  • Coordinated patient information flow through caregivers, insurance companies, billing departments and patients
  • Navigated within patient records to locate requested documentation, successfully completing over 50 requests per day
  • Date stamped requests and highlighted pertinent data to facilitate processing
  • Handled phone calls from attorneys, insurance companies and patients
  • Resolved medical record discrepancies by collecting and analyzing information
  • Used EPIC EMR to perform data entry functions
  • Tracked and monitored requests for medical records release
  • Maintained accuracy, completeness, and security for medical records and health information
  • Utilized electronic medical record systems to store, retrieve and process patient data
  • Reviewed medical records for completeness and filed records in alphabetic and numeric order

Certified Pharmacy Technician

Walgreens
04.2017 - 12.2021
  • Resolved non-routine issues like third-party billing, computer system, and customer service issues
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments
  • Communicated with prescribers to verify medication dosages, refill authorizations, and patient information
  • Maintained proper drug storage procedures, registries, and records for controlled drugs
  • Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient
  • Reviewed and verified customer information and insurance provider information
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales
  • Counted, measured and compounded medications following standard procedures
  • Answered incoming phone calls and addressed questions from customers and healthcare providers
  • Coordinated verification and filling of more than 500 daily prescriptions in high-volume retail pharmacy environment
  • Collected co-payments or full payments from customers
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items
  • Stocked, labeled, and inventoried medication to keep accurate records

Education

Bachelor of Science - Health Information Management

Southern New Hampshire University
Manchester, NH
04.2017 - 12.2021

Skills

  • Prior Authorization

  • Attention to Detail

  • Teamwork and Collaboration

  • Issue Research

  • Excellent Communication

  • Problem-Solving

  • Relationship Building

  • Active Listening

  • Self Motivation

  • Decision-Making

  • Analytical Thinking

  • Healthcare IT knowledge

  • Customer Service

  • MS Office

  • Verbal Communication

  • Account Reconciliation

  • Audit Support

Timeline

Patient Coordinator

Natera
11.2024 - Current

Refund Specialist

UF Health Jacksonville
12.2022 - Current

Release of Information Specialist

ScanSTAT Technologies
03.2021 - 01.2022

Bachelor of Science - Health Information Management

Southern New Hampshire University
04.2017 - 12.2021

Certified Pharmacy Technician

Walgreens
04.2017 - 12.2021

Owner

Absitica Art

Underpayment Analyst

Cloudmed

Registered Pharmacy Technician

Baptist Medical Center

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Octavia BristowHealth Information And Revenue Optimization Specialist