Quinetra Frazier
Saint Louis ,MO
Summary
Hardworking Documentation Specialist with expertise in healthcare documentation procedures. Dedicated to applying evolving information from insurance companies to complete prior authorizations for inpatient outpatient therapies. Monitors compliance with Medicaid, Commercial, and Government Plans. Detail-oriented team player with strong organizational skills and an Ability to handle multiple projects simultaneously with a high degree of HIPPA Privacy Standards.
Overview
23
23
years of professional experience
Work History
Documentation Specialist
Saint Louis Children's Hospital
04.2022 - Current
- Identifies documentation problem areas and creates audits directed at monitoring performance improvement at SLCH facilities.
- Develops educational materials to educate team members.
- Obtain Prior authorizations for inpatient/outpatient therapies
- Increased team productivity by establishing streamlined processes for document review, approval, and publication.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Effectively manage multiple priorities while maintaining strict adherence to established deadlines, ensuring consistent delivery of exceptional clinical documentation services.
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
Patient Access Specialist
Bjc Heathcare
11.2018 - 04.2022
- Verified insurance coverage and obtained necessary authorizations to ensure timely billing and reimbursement.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Performed patient pre-admission, admission, transfer and discharge activities.
- Verified patient insurance eligibility and entered patient information into system.
Senior Customer Service Advocate
Cigna Healthcare
08.2014 - 11.2018
- Registered, and Verified insurances.
- Processed payments for insurance premiums for individuals, commercials, and government plans
- Resolved customer service issues using company processes and policies and provided updates to customers.
- Responded to customer calls and emails to answer questions about products and services.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
Senior Consultant
AT& T
04.2001 - 06.2013
- Scheduled orders for new landline/internet/television services via phone, or online for connections, disconnections, or transfers of services for residential/businesses.
- Provided exceptional customer support, addressing inquiries promptly while maintaining a professional demeanor at all times.
- Explained and responded to customer inquiries regarding billing, payment arrangements, and extensions, delinquent balances, and other charges.
- Collaborated with appropriate department personnel on customer concerns or emergencies; followed up with appropriate department personnel to ensure a response had been made to the customer.
- Complied with Company Regulations for Proprietary Information.
Education
High School Diploma -
Beaumont High School
Saint Louis, United States06.1995
Skills
- Epic Proficient
- Multitasking
- Analytical Skills
- Microsoft Teams
- Microsoft Word & Excel
Timeline
Documentation Specialist
Saint Louis Children's Hospital
04.2022 - Current
Patient Access Specialist
Bjc Heathcare
11.2018 - 04.2022
Senior Customer Service Advocate
Cigna Healthcare
08.2014 - 11.2018
Senior Consultant
AT& T
04.2001 - 06.2013
High School Diploma -
Beaumont High School
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