Raven Williams
McKinney,TX
Summary
Health Information Specialist with 10 years of experience in medical office settings with vast familiarity of healthcare clinical applications and software. Coordinates timely delivery of medical records and scans documents to secure patient files.
Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
Work History
Health Information Specialist II
Ciox Health, LLC
10.2016 - 11.2023
- Enhanced the efficiency of the release of information process by implementing a streamlined system for handling requests.
- Ensured compliance with HIPAA regulations through diligent tracking and monitoring of protected health information disclosures.
- Decreased turnaround time for record requests by prioritizing tasks and utilizing organizational skills.
- Managed high volumes of record requests efficiently by maintaining excellent organizational skills and attention to detail.
- Handled phone calls from attorneys, insurance companies and patients.
- Navigated within patient records to locate requested documentation, successfully completing over 40 requests per day.
- Date stamped requests and highlighted pertinent data to facilitate processing.
- Coordinated patient information flow through caregivers, insurance companies, billing departments and patients.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Tracked and monitored requests for medical records release.
- Followed exact procedures for handling transfers and other releases of medical records.
- Processed and tracked requests for medical records from external organizations.
- Verified accuracy of patient information in medical records.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Reduced errors in released records by thoroughly reviewing documentation before submission.
- Facilitated communication between medical providers, patients, and legal teams to ensure accurate and timely release of information.
- Responded effectively to requests for medical records from legal representatives, insurance companies, and other authorized parties in a timely manner.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Printed and photocopied documents to provide patients with copies of medical records.
Insurance Verification Specialist
St. Dominic's Hospital
08.2017 - 08.2019
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Updated patient records with accurate, current insurance policy information.
- Generated reports to track insurance verifications and claim progress.
Health Information Management Analyst
St. Dominic's Hospital
05.2014 - 09.2016
- Improved data accuracy by conducting thorough audits of health records and identifying discrepancies.
- Ensured compliance with regulations such as HIPAA by maintaining up-to-date knowledge on privacy laws and providing staff training.
- Reduced errors in medical coding by conducting regular quality assurance checks and providing feedback to clinical staff.
- Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
- Participated in quality assurance reviews to verify accuracy and reliability of data.
- Assisted in revenue cycle management through accurate medical billing and documentation practices.
Education
High School Diploma -
Terry High School
Terry, MS05.2012
Skills
- Electronic Health Records
- Release of Information Requests
- Health Information Technology
- Medical Terminology Proficiency
- Patient Registration Processes
- Medical Record Retrieval
- HIPAA Compliance Knowledge
- Revenue Cycle Management
- EHR Software Navigation
- Customer Service
- Time Management
Timeline
Insurance Verification Specialist
St. Dominic's Hospital
08.2017 - 08.2019
Health Information Specialist II
Ciox Health, LLC
10.2016 - 11.2023
Health Information Management Analyst
St. Dominic's Hospital
05.2014 - 09.2016
High School Diploma -
Terry High School
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