Sarita Austin
Warren
Summary
Provider Enrollment Specialist with experience supporting various physicians in a busy medical office and professional office setting. Excellent multi-tasker with strong attention to detail. Able to grasp new concepts quickly and efficiently. Extensive knowledge with Medical Records and Birth Registry.
Overview
24
24
years of professional experience
Work History
HIM Processor II/Imaging Specialist
DMC SINAI GRACE HOSPITAL
03.2018 - Current
- Completes documents and work requests according to company standards.
- Scanned and cleaned up documents using Kofax Software.
- Process Birth Certificates using VERA daily.
- Retrieve medical records from hospital units in a timely manner.
- Batch index medical records.
- Process medical records according to organization standards.
- Upload documents to control sites.
- Works successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Completes all reports in a timely manner.
Enrollment Specialist
SPECTRUM HEALTH
10.2017 - 02.2018
- HIPAA compliance Strong planning skills Extensive medical terminology knowledge Computerized charting specialist, Enrolling Individual applications, Short Term applications, Dental enrollment applications.
- Promptly and effectively process all government program enrollment requests in compliance with all regulatory requirements and accreditation standards. This includes timely entry and maintenance of data into Facets after review and analysis of electronic and hard copy information.
- Communicate as required with internal/external customers regarding member enrollment status through Facets.
- Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile enrollment discrepancies.
- Conduct research as necessary to effectively resolve customer issues and respond to customer inquiries in a timely manner.
- Courteously provide customers with information and education concerning government program enrollment processes and requirements.
- Maintain an understanding of state and federal requirements and accreditation standards that impact the enrollment process.
- Maintain an understanding of all internal and external computer systems and reports that impact the enrollment process.
Provider Enrollment Specialist
SCHUMACHER CLINICAL PARTNERS
04.2016 - 08.2017
- Process and enroll provider enrollment applications and supporting documentation weekly for the Medicaid programs in Alabama, Georgia, New York, Pennsylvania and several of their bordering states.
- Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
- Verify Tax ID, DEA, Provider credentials, Liability Insurance along with other documentation for enrollment.
- Maintain provider updates and file maintenance daily and upon request using Salesforce.
- Processed confidential tax form information.
- Assist providers via inbound telephone calls.
- Various other duties as required.
Provider Enrollment Specialist
HP ENTERPRISE SERVICES, GEORGIA MEDICAID
09.2010 - 01.2016
- Provide continued training on new procedures and production standards.
- Process provider enrollment applications and supporting documentation while maintaining provider updates and file maintenance upon request weekly for the Georgia Medicaid Program.
- Assist Provider Field Representatives with any provider enrollment issues.
- Assist providers with complex and escalated issues via inbound telephone calls.
- Verify Tax ID, DEA, Provider credentials, Liability Insurance along with other documentation for enrollment.
- Maintain, suspend, and terminates provider files as directed by the Department of Community Health.
- Trainer for contingent and current employees within the Provider Enrollment Department.
- Assists team members with responses regarding individual provider enrollment questions.
- Enrollment Coordinator for the Finance Department during financial enrollment process.
Coding Assistant
UNIVERSITY PEDIATRICIANS, CHILDREN'S HOSPITAL OF MICHIGAN
04.2000 - 05.2010
- Develop current and accurate census lists for the divisions of Emergency Medicine and Pediatric Sedation services.
- Maintain and update tracking databases and spreadsheets to assign work to coding staff, and to monitor lag times.
- Maintain and update medical record list to submit on a daily basis to the Medical Record Department, including locating medical files for the department.
- Collect, sort, and organize documentation needed for charge capture related to sedation services.
- Numerous other duties as required.
- Served as back up when Supervisor unavailable.
Education
Some College (No Degree) - Medical Terminology
Gordon State College
Barnesville, GA2016
Skills
- Maintains strict confidentiality
- Strong work ethic
- Team player with positive attitude
- Exercises good judgment
- Electronic Medical Record (EMR) software
- HIPPA compliance
- Strong planning skills
- Extensive medical terminology knowledge
- Computerized charting specialist
- Deadline-driven
- Good written communication
Timeline
HIM Processor II/Imaging Specialist
DMC SINAI GRACE HOSPITAL
03.2018 - Current
Enrollment Specialist
SPECTRUM HEALTH
10.2017 - 02.2018
Provider Enrollment Specialist
SCHUMACHER CLINICAL PARTNERS
04.2016 - 08.2017
Provider Enrollment Specialist
HP ENTERPRISE SERVICES, GEORGIA MEDICAID
09.2010 - 01.2016
Coding Assistant
UNIVERSITY PEDIATRICIANS, CHILDREN'S HOSPITAL OF MICHIGAN
04.2000 - 05.2010
Some College (No Degree) - Medical Terminology
Gordon State College
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