Rachel Griffin
Newton Falls,OH
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
13
13
years of professional experience
Work History
Insurance Specialist
Omega Healthcare
10.2023 - Current
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Processed eligibility and benefits verification and authorization requests.
- Followed up on denials, late payments, extensions and other special circumstances.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
Quality Assurance Specialist
Keizer Solutions
09.2018 - Current
- Educated employees on specific QA standards and confirmed maintenance of standards.
- Monitored product standards and quality-control programs.
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
- Kept inspection journals and daily summary logs as required.
- Fixed identified issues to increase productivity and boost workflows.
- Promoted adherence to quality standards by educating transcriptionists on quality control.
Medical Transcriptionist
AccuData
11.2016 - 07.2020
- Transcribed sensitive documents with complete confidentiality.
- Recorded information using word processing, dictation and transcription software and equipment.
- Followed all HIPAA rules and regulations regarding patient confidentiality.
- Transcribed and edited physician reports from dictation using EditScript.
Reimbursement Specialist
Edwards Healthcare
03.2016 - 03.2017
- Rated #1 in the department multiple months for insurance payments collected.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Prevented delays and claim denials by correcting information prior to submission.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Compiled department-specific reports to help senior managers identify trends and improve progress.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.
Clinical Coordinator/Revenue Cycle Manager
Beaches Pediatrics
07.2011 - 03.2016
- Solely responsible for running claims reports, submitting claims, posting payments, working denials (all cycles of revenue).
- Monitored and guided revenue cycle operations.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Coordinated, monitored, assigned and documented patient and clinical care activities.
- Implement new policies and educate staff on changes.
- Ordered and maintained appropriate stock of medications and supplies.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Education
Bachelor Of Applied Science - Health Information Technology
Southern New Hampshire University
Hooksett, NHUndergraduate - Mathematics
Kent State University
Kent, OHCertificate - Nursing
Trumbull Career And Technical Center Adult Training Center
Warren, OH07.2011
Diploma -
Labrae High School
Leavittsburg, OH05.2002
Skills
- Past Due Balance Management
- Accounts Payable and Accounts Receivable
- Insurance Verification
- Medical Billing
- Managing Records
- Medical Terminology Knowledge
- Revenue Cycle Management
- Word Processing
- Verbal and Written Communication
- Problem-Solving Skills
- Financial Records and Processing
- Policy analysis
Timeline
Insurance Specialist
Omega Healthcare
10.2023 - Current
Quality Assurance Specialist
Keizer Solutions
09.2018 - Current
Medical Transcriptionist
AccuData
11.2016 - 07.2020
Reimbursement Specialist
Edwards Healthcare
03.2016 - 03.2017
Clinical Coordinator/Revenue Cycle Manager
Beaches Pediatrics
07.2011 - 03.2016
Bachelor Of Applied Science - Health Information Technology
Southern New Hampshire University
Undergraduate - Mathematics
Kent State University
Certificate - Nursing
Trumbull Career And Technical Center Adult Training Center
Diploma -
Labrae High School
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