SAMANTHA NAWAHINE
Waller,TX
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
16
16
years of professional experience
Work History
Medical Records Supervisor
Veteran Evaluation Services
2023.09 - Current
- Plans, monitors, and appraises job results of a team consisting of several members
- Accomplishes department objectives by supervising team members, organizing work, and monitoring deadlines
- Issuing coaching, training, and corrective actions as needed to ensure department policies are followed
- Scheduling and attending biweekly HR meetings, monthly team meetings, and quarterly trainings in order to maintain up-to-date knowledge of expectations and changing in protocols.
Medical Record Bookmarker
Veteran Evaluation Services
2019.04 - 2023.09
- Responsible for accurately providing physical examination, laboratory findings, and radiology notes to the VA appointed examiner for review
- Maintaining quota per leveled tier to ensure that all records scheduled for upcoming appointments are ready for review prior to the appointment date
- Continuing training to stay knowledgeable on common and uncommon diagnosis, symptoms, and treatment.
Recovery Specialist / Accounts Receivable Specialist
Benefit Recovery
2022.06 - 2022.10
- Assisted patients, facilities, and health care providers with questions regarding claims processing, denials, coding issues, and A/R follow up
- Reviewed correspondences from patients, healthcare providers, and insurance companies in order to adjust claims and update account files accordingly
- Developed and implemented strategies to improve collection processes and reduce overdue payments.
- Generated monthly accounts receivable reports to submit developments for management review.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Accounts Receivable Specialist
Aspire Hospital
2022.03 - 2022.06
- Assisted patients, facilities, and health care providers with questions regarding claims processing, denials, coding issues, and A/R follow up
- Reviewed correspondences from patients, healthcare providers, and insurance companies in order to adjust claims and update account files accordingly
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Monitored accounts to verify compliance with payment terms and schedules.
Patient Account Specialist
Avika Billing Solutions
2019.02 - 2019.06
- Lowered daily A/R through effective revenue cycle management.
- Responded to customer inquiries and provided detailed account information.
- Entered client details and notes into system for interdepartmental access and review.
- Responded to customer inquiries and provided detailed account information.
- Researched billing errors and discrepancies to initiate corrective action.
- Worked with outside entities to resolve issues with billing, claims and payments.
Medical Billing Specialist
MDX Hawaii
2017.01 - 2018.06
- Ensured compliance with filing guidelines by submitting office claims for 18 providers specializing in 5 different areas of medicine.
- Oversaw activities related to insurance companies by reviewing daily correspondence, as well as resolving claims for resubmission, processed denials, and noted detailed claim status for all accounts.
- Also maintained daily income reports and deposits, prepared monthly reports on monthly insurance, patient aging, and billing statements to support improved cash flow.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Home Health Aide
Bayada
2013.08 - 2017.01
- Enhanced client satisfaction level by properly assisting clients in bathing, toileting and personal hygiene
- Monitored client's vitals daily and ensured the proper administration of prescribed medications
- Coordinated with client's family and physicians regarding progress and communicated any changes in health immediately to the case manager/nurse.
Office Manager / Medical Biller
Quality Case Management
2016.06 - 2016.10
- Responsible for recruiting new personnel, maintaining resumes and work authorization forms, preparing/proofing/processing financial reports, timesheets, overtime requests, records for travel, labor changes, and direct charges on all tasks within the division.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Coached new hires on company processes while managing employees to achieve maximum production.
- Managed compliance to keep organization operating within legal and regulatory guidelines.
Home Health Aide
All About Care
2010.07 - 2011.06
- Enhanced client satisfaction level by properly assisting clients in bathing, toileting and personal hygiene.
- Monitored client's vitals daily and ensured the proper administration of prescribed medications.
- Coordinated with client's family and physicians regarding progress and communicated any changes in health immediately to the case manager/nurse.
- Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
Home Health Aide
Griswold Special Care
2008.01 - 2010.06
- Enhanced client satisfaction level by properly assisting clients in bathing, toileting and personal hygiene
- Monitored client's vitals daily and ensured the proper administration of prescribed medications
- Coordinated with client's family and physicians regarding progress and communicated any changes in health immediately to the case manager/nurse.
- Traveled to clients' homes to complete healthcare services and promote continuity of care
Education
Associate Degree, Health Care Management -
Ultimate Medical Academy
Clearwater, FL09.2015
Associate Degree, Medical Office and Billing Specialist -
Ultimate Medical Academy
Clearwater, FL08.2014
Diploma, Medical Coding and Billing -
Ultimate Medical Academy
Clearwater, FL07.2013
High School Diploma -
Millville Senior High School
Millville, NJ06.2007
Skills
- Medical Billing Understanding
- Attention to Detail
- Conflict Resolution Techniques
- HIPAA Regulations Proficiency
- Analytical Problem Solving
- Staff Training and Development
- Written and Verbal Communication
- Medical Terminology Expertise
- Team Leadership Abilities
- Data Entry Accuracy
- Supervision and leadership
Timeline
Medical Records Supervisor
Veteran Evaluation Services
2023.09 - Current
Recovery Specialist / Accounts Receivable Specialist
Benefit Recovery
2022.06 - 2022.10
Accounts Receivable Specialist
Aspire Hospital
2022.03 - 2022.06
Medical Record Bookmarker
Veteran Evaluation Services
2019.04 - 2023.09
Patient Account Specialist
Avika Billing Solutions
2019.02 - 2019.06
Medical Billing Specialist
MDX Hawaii
2017.01 - 2018.06
Office Manager / Medical Biller
Quality Case Management
2016.06 - 2016.10
Home Health Aide
Bayada
2013.08 - 2017.01
Home Health Aide
All About Care
2010.07 - 2011.06
Home Health Aide
Griswold Special Care
2008.01 - 2010.06
Associate Degree, Health Care Management -
Ultimate Medical Academy
Associate Degree, Medical Office and Billing Specialist -
Ultimate Medical Academy
Diploma, Medical Coding and Billing -
Ultimate Medical Academy
High School Diploma -
Millville Senior High School
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