Rita Bih
Burnsville,MN
Summary
Detail-oriented medical records specialist professional with advanced knowledge of medical terminology, procedural codes and billing practices. Known for diligently checking records and resolving discrepancies. Expert in EHR, EPIC, ECW, OUTLOOK, EXCEL, and learns new programs, systems and policies quickly to maximize contributions. Maintain positive interaction with customers, and work personell . Respectful, attention to detail, and skill in evaluating and correcting health records. Expertise scanning and indexing medical records to appropriate chart. Excellent work ethic and exemplary time management skills.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Advance Medical Support Assistant
VA Medical Center
Minneapolis, MN
11.2020 - 10.2022
- Maintain effective and efficient communication with the patient, interdisciplinary team, VA medical centers, and other agencies
- Import images for timeliness of services provided to veterans' by their providers
- Receive phone calls in a courteous and timely manner
- Determine nature of requests and provide the information desired using privacy rules established by VACC processes and HIPPA
- Ensures medical documentation is scanned to veteran's chart for timely consult closure and ongoing care needs
- Participate in daily huddles and make contributions to effectively complete work tasks.
- Determined nature and urgency of patient requests to refer patients to appropriate medical staff.
- Organized patient records to research records, extract medical information and review records for completeness and accuracy.
- Maintained and obtained medical records.
- Performed medical records management, including filing, organizing and scanning documents.
Precertification and Authorization
Mayo Clinic Health System
Red Wing
08.2019 - 07.2020
- Placed calls to patients' insurance company to verify patients' eligibility, coverage, and network status
- Communicated effectively with patients', providers and nurses via phone calls and emails about pre-determination, authorization, and denials of patients' procedures from insurance companies
- Called and send providers and nurses email messages to have peer to peer reviews or provide complete clinical notes for preauthorization approval
- Reviewed providers notes to fill out or initiate preauthorization request form via phone or web using insurance payer portals such as NaviNet, Availity,Cigna
- Looked up ICD-10 Codes and CPT Codes for diagnostic procedures and assign them to get medical procedure authorization
- Participated in weekly team meets to keep informed with other staffs and resolve any work issues.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
- Assisted clients with accurate eligibility form, application and document completion.
- Resolved discrepancies with client applications to verify eligibility.
- Assisted with medical coding and billing tasks.
- Performed various administrative tasks by filing, copying and faxing documents.
Health Information Technician
Sholom Home West
Saint Louis Park
08.2018 - 08.2019
- Acted as a point of contact for patients', families, providers, nurses, and other care personnel
- Accurately put in physicians and nurses written orders electronically into Matix software for collection, storage, analysis, retrieval, and reporting
- Set up patients' appointments, scheduled rides, and maintained appointment to ensured readiness for patients' visit
- Created lab orders using the classification software ICD-10 code
- Audited POLST and Patient face sheet
- Sort, scan and index Discharges, Labs, Hospital documents, and loose documents into Matrix
- Worked independently from home and office to make sure records are completed timely and accurate.
- Participated in committees to discuss electronic health records and methods to improve overall workflows.
- Maintained relationships with medical providers, suppliers and reporters.
- Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
- Upheld HIPAA regulations and standards for protecting patient information.
- Performed regular quality and validation assessments on patient data to verify accuracy.
- Studied and researched various medical terms as well as software and coding systems.
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Retrieved medical data for physicians and patients.
- Generated medical reports on patient admissions, treatment and discharge for disbursement to various departments.
Medical Record Specialist
North Clinic
Maple Grove
06.2017 - 08.2018
- Effectively followed HIPPA guidelines in the release of medical records upon patients',medical facility, or requestors request
- Answered multiply phone calls and provided appropriate services , redirected some of the calls to corresponding departments
- Provided support such as sorting,picking up and delivering medical charts to providers and clinic staffs
- Send out-going referrals and outgoing faxes
- Sorted ,scanned, and logged medical records into Electronic Clinical Works database (Ecw)
- Worked closely with team member to complete tasked assigned
- Maintained good communication and customer service so as have good chart/information flow.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Maintained patient confidence by keeping patient records information confidential.
- Maintained patient records in compliance with security regulations.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
- Kept accurate log of requests for medical information and records.
- Reviewed charts and flagged incomplete or inaccurate information.
- Maintained relationships with medical providers, suppliers and reporters.
- Maintained patient charts and accurately recorded new information.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
- Responded to patient inquiries to provide information and details of medical records.
- Supported medical staff by providing organized and accurate medical records.
- Printed and photocopied documents to provide patients with copies of medical records.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Analyzed complex medical records to identify discrepancies in accuracy and completeness.
- Developed and maintained organized filing system for medical records to adhere to HIPAA regulations.
- Maintained patient records systems by archiving, scaning and indexing important documents and files.
- Scanned medical records in digital format for easy retrieval and accessibility.
Pathology Volunteer Assistant
Essentia Hospital
Duluth
09.2016 - 05.2017
- Effectively and accurately arranged patients' lab files in numerical order so as easy verification of patients' lab file
- Communicated medical errors to manager in charge to ensure accurate recording.
- Worked closely with management to provide effective assistance for specific aspects of business operations.
- Greeted guests in with friendliness and professionalism.
- Answered incoming phone calls to process requests, transfer calls, or relay messages to appropriate personnel.
- Reviewed and edited documents for accuracy, grammar and clarity.
- Increased customer service success rates by quickly resolving issues.
Intern
Veteran Health Care System
St. Cloud
02.2017 - 03.2017
- Observed personnel working in the HIM Department, including Coders, Scanners, Transcriptionist, and Healthcare Information Specialties
- Attended departmental meetings with HIM Directors and and Staffs in order to discuss changes in Electronic Health Record system
- Successfully completed an assigned project to condense and consolidate information in the release of information policies and procedures.
- Analyzed problems and worked with teams to develop solutions.
- Completed research, compiled data, updated spreadsheets, and produced timely reports.
- Participated in workshops and presentations related to projects to gain knowledge.
- Prepared project presentations and reports to assist senior staff.
- Provided project progress updates and proposed solutions to issues.
- Collaborated with senior management on new initiatives to build confidence.
Nursing Assistant
Heritage Manor
Chisholm
08.2012 - 08.2015
- Utilized time management to make quick decisions while assisting 100+ client
- Documented patient's cares into electronic health record
- Assisted 100+ residents in activities of daily living
- Ambulated patients from Hoyer to wheelchair, transfer patient to bed and toileting.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.
- Documented care actions by completing records and logs in medical software system.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
Receptionist Volunteer Assistant
Fairview Hospital
Hibbing
05.2014 - 09.2014
- Greeted patients and families and directed them to the right persons or department
- Looked up patients in registry using Epic System.
Member Service Associate
Blue Cross Blue Shield MN
Eagan, MN
08.2023 - Current
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
- Compiled and maintained client records to monitor health insurance policies and premiums paid.
- Provided comprehensive customer service to drive client satisfaction.
- Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
- Responded to customer inquiries regarding health insurance coverage and policies to assist with informed decision-making.
- Educated clients about health insurance coverage options, benefits and costs.
- Monitored changes in health insurance laws and regulations to verify continuous compliance.
- Assisted clients with filing and tracking health insurance claims to facilitate swift settlements.
Education
Bachelor of Science in Healthcare Information Management (HIM) - undefined
05.2017
Skills
- EMR Systems
- Record Retrieval
- Charting Expertise
- Patient Records Maintenance
- Customer Service
- Patient Communication
- Medical Billing and Coding
- Medical Record Assessment
- Medical Office Support Expertise
- Medical Terminology Understanding
- Administrative Duties
- Medical Records Management
- Customer Relationship Management
- Documentation Procedures Expertise
- Electronic Medical Record
- Communicating with Patient Families
- Medical Terminology
- Insurance Company Procedures Understanding
- Understanding of Privacy Regulations
- Complex Problem-Solving
Certification
COVID-19 Contact Tracer, 07/2020
Timeline
Member Service Associate - Blue Cross Blue Shield MN
08.2023 - Current
Advance Medical Support Assistant - VA Medical Center
11.2020 - 10.2022
Precertification and Authorization - Mayo Clinic Health System
08.2019 - 07.2020
Health Information Technician - Sholom Home West
08.2018 - 08.2019
Medical Record Specialist - North Clinic
06.2017 - 08.2018
Intern - Veteran Health Care System
02.2017 - 03.2017
Pathology Volunteer Assistant - Essentia Hospital
09.2016 - 05.2017
Receptionist Volunteer Assistant - Fairview Hospital
05.2014 - 09.2014
Nursing Assistant - Heritage Manor
08.2012 - 08.2015
The College of St. Scholastica (CSS) - Bachelor of Science in Healthcare Information Management (HIM),