PRESAVIA ADAMS
Arlington,TX
Summary
Medical Records Specialist with significant experience in managing patient information and ensuring data accuracy. Adept at utilizing electronic health record systems and safeguarding patient confidentiality. Strong focus on teamwork and adaptability, consistently meeting organizational goals and supporting colleagues. Known for reliability, effective communication, and results-driven mindset.
Healthcare professional with strong foundation in medical documentation and patient record management. Known for reliability and adaptability in dynamic healthcare environments. Adept in data entry, coding, and compliance, while fostering collaborative team atmosphere.
Dedicated professional skilled in organizing, validating and transferring records. Expert in EHR and learns new programs, systems and policies quickly to maximize contributions.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Medical Records Specialist-Remote
Hireops-BCBS
11.2023 - Current
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Improved patient care by accurately analyzing and organizing medical records for easy access and retrieval.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
- Maintained patient records in compliance with security regulations.
- Reviewed charts and flagged incomplete or inaccurate information.
- Developed efficient workflows for data entry tasks, enhancing overall productivity within the department.
- Maintained patient confidence by keeping patient records information confidential.
- Managed the secure transfer of medical records between facilities, ensuring proper adherence to privacy regulations and patient confidentiality guidelines.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
- Researched and resolved medical record discrepancies.
- Scanned and uploaded medical records into electronic medical records system.
- Maintained accuracy, completeness, and security for medical records and health information.
- Transcribed and entered patient medical information into electronic medical records systems.
- Exhibited strong collaboration, working seamlessly with the team
- Demonstrated analytical prowess in identifying process inefficiencies
- Showcased visionary leadership in project management
- Abstract Medical Records
- Contact Providers and Facilities to Chase Records Needed
- Responsible for medical records review
- Follow up with Offices via phone calls to confirm accurate medical records contract information
- Utilize various systems
- Maintain compliance with HIPAA in accordance with NCQA guidelines
- Fax medical records request to providers
- Maintain high accuracy on coding audits
- Send encrypted emails to offices for updates
- Trained new employees on proper procedures for managing and accessing medical records, fostering a culture of accuracy and accountability within the department.
Patient Concierge-Radiology -MRI
Prenuvo
05.2024 - 01.2025
- Managed appointment scheduling, ensuring optimal use of resources and minimizing conflicts.
- Kept up-to-date on relevant community resources available outside the facility so as to effectively refer patients and their families when needed.
- Ensured HIPAA compliance while managing sensitive patient information for secure data handling practices.
- Implemented strategies for improving overall patient experience within the facility, resulting in increased satisfaction scores.
- Coordinated radiology appointments for multiple departments, ensuring optimal resource utilization.
- Worked closely with referring physicians'' offices to coordinate timely referrals for diagnostic imaging services, expediting patient care when necessary.
- Enhanced communication between patients and medical staff through clear and concise instructions regarding appointment requirements.
- Assisted in training new schedulers on department protocols, policies, and software systems to ensure smooth integration into the team.
- Provided excellent customer service to patients, answering inquiries about radiology procedures and billing processes promptly and accurately.
- Reduced patient wait times by effectively managing schedules for multiple radiologists and technicians.
- Contributed to a positive work environment by fostering strong relationships with colleagues across various departments within the facility.
- Supported clinical staff with administrative tasks such as distributing reports, filing paperwork, and tracking inventory to ensure seamless daily operations.
- Retrieved medical data for physicians and patients.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Restocked and organized merchandise in front lanes.
- Assisted customers with returns, refunds and resolving transaction issues.
- Counted money in cash drawers at beginning and end of shifts to maintain accuracy.
Patient Access Specialist-Scheduler
HollisCobb
09.2021 - 01.2024
- Submitted fees and claims to insurance companies manually or digitally
- Called insurance companies and verified patient coverage
- Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations
- Obtained health, financial and religious information from patients at time of admission
- Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans
- Applied HIPAA privacy and security regulations while handling patient information
- Verified demographics and insurance information to register patients in computer system
- Scheduled and confirmed appointments
- Entered information into system to update status reports
- Maintained daily calendars, set appointments with clients and planned daily office events
- Submitted new system orders and completed related paperwork
- Called no shows and cancellations to reschedule
- Made phone calls and sent emails to establish leads
- Processed patient responsibility estimate determined by insurance at pre-registration
- Assisted patients with canceling and rescheduling appointments
- Routed calls and correspondence to appropriate medical staff
COVID-19 Screener-Supervisor
Davaco Inc
11.2020 - 03.2022
- Duties include, Assisting Patients at Covid-19 Site to probably test for Covid-19
- Assist in Training New Employees
- Address any issues onsite and resolve in a timely manner
- Distribute Test Kits to employees
- Maintain a safe & clean work environment as well as ensure employees followed protocol of wearing correct PPE
- Ensure Inventory is correct for next day of supplies needed
- Submit daily paperwork-Smartsheet,TDEM,Temperature Checks on employees
- Supervised projects to uphold schedule requirements and quality demands
- Resolved work issues and team conflicts to promote progress on complex projects
- Complied with safety procedures and monitored team members for adherence to safety protocols on job sites
- Completed and distributed accurate and informative progress reports and project records to management
- Encouraged team collaboration and motivated individual employees through positive reinforcement and technical recognition
Patient Access Specialist-Scheduler
UnitedHealth Care, UnitedHealth Group
11.2016 - 05.2019
- Urology, Primary Care, Women Services, Rheumatology
- Engagement Team- Assist with helping with company with special events such as Appreciation Day, Customer Service Week, Interacting with peers, Decorate for the holidays and all other upcoming events
- Show full support with new employees to ensure they know all great perks of what the company has to offer and how to become a great asset within the company
- Coordinate projects for each month
- Utilize- EPIC, EHR, EMR, Nextgen, Allscripts systems for Access of patients Accounts, Utilize correct Event Codes for Scheduling for billing purposes
- Assist -APC-Advance Practitioner Clinician with Medical Record Request for Patients
- Assist with day to day clerical duties upon request of supervisor
Pharmacy Customer Service Representative
Cigna Health
04.2012 - 06.2014
- Organized and maintained records by updating and obtaining both personal and financial information from patients
- Applied HIPAA privacy and security regulations while handling patient information
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans
- Processed patient responsibility estimate determined by insurance at pre-registration
- Verified demographics and insurance information to register patients in computer system
- Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule
- Assisted customers with questions regarding side-effects for various types of medications
- Confirmed prescriptions for patients by placing calls and conferring with physicians' office staff
- Communicated with insurance companies for billing purposes
- Entered and processed prescriptions into internal system with accuracy to avoid filling delays
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions
- Demonstrated adaptability through cross-training in various roles within the pharmacy setting to better serve customers as needed.
- Assisted customers in navigating insurance claims, resulting in fewer denials and improved coverage understanding.
- Ensured regulatory compliance by diligently adhering to pharmacy policies, procedures, and applicable laws during daily operations.
- Supported team members in achieving company goals by consistently meeting individual performance targets.
- Managed confidential patient records with meticulous attention to detail while upholding privacy standards.
- Expedited prescription refills with timely coordination between patients, prescribers, and insurance companies.
Health Care Representative
TMG Health
06.2007 - 03.2012
- Collected patient responsibility estimate determined by insurance at pre-registration
- Processed telephone calls and triaged problems in accordance with company standards and policies
- Conducted patient satisfaction calls to follow up on rendered healthcare services
- Communicated with insurance offices to verify service eligibility for authorization requests
- Obtained consent for healthcare services from patients to document in chart following rules and regulations
- Maintained customer accounts and information in electronic reporting system
- Documented patient information, treatment provided and vitals in patient charts
- Assembled charts and processed paperwork and identification bands for patient information and identity
- Conducted regular audits of medical records to ensure accuracy and completeness, resulting in improved patient care.
- Used medical terminology knowledge to explain procedures, policies and services to patients.
Education
High School Diploma -
Irvington High
Irvington, NJ06-2000
Skills
- Patient data analysis
- Electronic medical records
- Medical records processing
- HIPAA compliance
- Health information management
- Insurance verification
- Patient scheduling
- Customer service
- Confidentiality maintenance
- Data entry efficiency
- Records retrieval
- Medical records management
- Medical office procedures
- Medical records filing
- Medical office administration
- Training and mentoring
- Office administration
- Data visualization
Certification
- CPR/AED Certification
- NCT Xray Tech Certification
Timeline
Patient Concierge-Radiology -MRI
Prenuvo
05.2024 - 01.2025
Medical Records Specialist-Remote
Hireops-BCBS
11.2023 - Current
Patient Access Specialist-Scheduler
HollisCobb
09.2021 - 01.2024
COVID-19 Screener-Supervisor
Davaco Inc
11.2020 - 03.2022
Patient Access Specialist-Scheduler
UnitedHealth Care, UnitedHealth Group
11.2016 - 05.2019
Pharmacy Customer Service Representative
Cigna Health
04.2012 - 06.2014
Health Care Representative
TMG Health
06.2007 - 03.2012
High School Diploma -
Irvington High
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