Sandrea Word
Columbus,GA
Summary
Proven expertise in Information Management and Organizational Skills, honed at Anthem Inc, where I streamlined the medical claims process and enhanced HIPAA compliance. Excelled in leveraging EMR Systems for efficient data management, significantly improving patient information flow and claim resolution accuracy. Demonstrated leadership in team building, driving results through effective collaboration and innovation in information sourcing.
Overview
7
7
years of professional experience
Work History
Release of Information Specialist
ScanSTAT Technologies
09.2020 - 05.2024
- Coordinated patient information flow through caregivers, insurance companies, billing departments and patients.
- Reproduced protected health information by using data extraction and file management techniques.
- Handled phone calls from attorneys, insurance companies and patients.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Scanned and uploaded medical records into electronic medical records system.
Medical Claims Processor
Anthem Inc
04.2017 - 06.2020
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Responded to correspondence from insurance companies.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Reviewed provider coding information to report services and verify correctness.
- Followed up on denied claims to verify timely patient payment and resolution.
Education
High School Diploma -
Carver High School
Columbus, GA05.2006
Skills
- Information Management
- Document Scanning
- HIPAA Compliance
- Information Sourcing
- Organizational Skills
- Team building
- Medical Release of Information ROI processes
- Electronic Health Records
- EMR Systems
Timeline
Release of Information Specialist
ScanSTAT Technologies
09.2020 - 05.2024
Medical Claims Processor
Anthem Inc
04.2017 - 06.2020
High School Diploma -
Carver High School
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