SAMANTHA NAWAHINE
Hockley,TX
Summary
Efficient professional in healthcare documentation boasts high productivity and the capability to complete tasks swiftly while maintaining accuracy. Skilled in medical coding, electronic health records management, and data analysis. Excel in organizational, communication, and problem-solving skills, ensuring seamless workflow and compliance with healthcare regulations.
Overview
11
11
years of professional experience
Work History
Billing Specialist
Maximus
Houston, Texas
04.2024 - Current
- Answered facility inquiries regarding billings, payments, account status.
- Investigated incorrect billings and processed refunds as necessary.
- Advised facilities on filing requirements, documentation needed, and other matters pertaining to their claims.
- Built lasting relationships with facility contact to underpin successful claims activities.
Medical Records Clerk
Lone Star Behavioral Health
Cypress, Texas
03.2024 - 06.2024
- Processed incoming medical records requests.
- Scanned paper records into digital format.
- Retrieved patient medical records in response to requests from authorized personnel.
- Assisted in the development of policies and procedures related to the maintenance of accurate medical records.
- Performed quality assurance reviews of medical records for accuracy and completeness.
Medical Records Supervisor
Veteran Evaluation Services
Houston, TX
09.2023 - 03.2024
- Planned, monitored, and appraised job results for a multi-member team.
- Ensured department objectives were achieved through effective supervision of team members, organization of work, and strict adherence to deadlines.
- Implemented effective coaching strategies and corrective measures to enforce compliance with department policies.
- Participated in biweekly HR meetings, monthly team meetings, and quarterly trainings to ensure a thorough understanding of expectations and updates in protocols.
Medical Record Bookmarker
Veteran Evaluation Services
Houston, TX
04.2019 - 09.2023
- Elevated the reliability and precision of reports sent to VA-appointed examiners by meticulously recording physical examination data, laboratory findings and radiological notes.
- Maintaining quota per leveled tier to ensure that all records scheduled for upcoming appointments are ready for review prior to the appointment date.
- Sustained training to keep abreast of common and rare diagnoses, symptoms, and treatments
- Implemented measures to safeguard medical records and preserve patient confidentiality.
Medical Billing and Collections Specialist
Benefit Recovery
Houston, TX
06.2022 - 10.2022
- Followed up on unpaid or denied claims in a timely manner.
- Resolved billing discrepancies with insurance companies and patients.
- Communicated with patients regarding payment plans, overdue balances, and collections issues.
- Reconciled accounts receivable reports to ensure accuracy of payments received.
Medical Billing and Collections Specialist
Aspire Hospital
Conroe, TX
03.2022 - 06.2022
- Verified patient insurance eligibility and coverage for medical services rendered.
- Processed credit card payments from patients for medical services rendered.
- Analyzed account receivables aging report to identify delinquent accounts.
- Developed strategies to improve collection rates and reduce outstanding debt levels.
Patient Account Specialist
Avika Billing Solutions
Houston, TX
02.2019 - 06.2019
- Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
- Researched discrepancies in accounts to ensure accurate payments.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Analyzed accounts for accuracy of coding and billing procedures.
Medical Billing Specialist
MDX Hawaii
Honolulu, HI
01.2017 - 06.2018
- Enforced adherence to filing guidelines by handling office claims submission for 18 providers specialized in varied medical fields.
- Managed insurance-related tasks, including reviewing correspondence, resolving claims, processing denials, and tracking claim statuses with meticulous attention to detail.
- Successfully handled daily income reporting and deposits as well as monthly insurance, patient aging, and billing statement preparation to enhance cash flow.
- Assessed patient insurance information including coverage, deductibles and unpaid balances.
Home Health Aide
Bayada
Honolulu, HI
08.2013 - 01.2017
- Assisted with personal care activities, such as bathing, dressing and grooming.
- Collected information about conditions and treatment plans from caregivers, nurses, and doctors.
- Monitored vital signs, such as temperature, pulse rate, and blood pressure.
- Reported any changes in the client's physical or emotional condition to supervisor immediately.
- Recorded daily notes about client conditions, treatments provided and progress made.
Office Manager
Quality Case Management
Waipahu, HI
06.2016 - 10.2016
- Prepared, proofread, and processed financial reports, timesheets, overtime requests, travel records, labor changes, and direct charges for all division tasks.
- Implemented workflow procedures to establish efficient processes.
- Delivered process training to newly hired staff, enabling them to understand the company's procedures while concurrently ensuring that employee productivity was maximized.
- Managed and maintained adherence to legal and regulatory requirements.
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
- Proficient in Medical Billing
- Thorough Review Skills
- Dispute Resolution Skills
- Knowledge of HIPAA Regulations
- Critical Thinking Skills
- Team Development
- Clear and Concise Communication
- Medical Terminology Proficiency
- Effective Team Leadership
- Accurate Data Input
- Guidance and Oversight
References
References available upon request.
Timeline
Billing Specialist
Maximus
04.2024 - Current
Medical Records Clerk
Lone Star Behavioral Health
03.2024 - 06.2024
Medical Records Supervisor
Veteran Evaluation Services
09.2023 - 03.2024
Medical Billing and Collections Specialist
Benefit Recovery
06.2022 - 10.2022
Medical Billing and Collections Specialist
Aspire Hospital
03.2022 - 06.2022
Medical Record Bookmarker
Veteran Evaluation Services
04.2019 - 09.2023
Patient Account Specialist
Avika Billing Solutions
02.2019 - 06.2019
Medical Billing Specialist
MDX Hawaii
01.2017 - 06.2018
Office Manager
Quality Case Management
06.2016 - 10.2016
Home Health Aide
Bayada
08.2013 - 01.2017
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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