Summary
Overview
Work History
Education
Skills
Accomplishments
Work Availability
Work Preference
Timeline
AssistantManager
Sheila Parker

Sheila Parker

Miami Gardens,FL

Summary

Meticulous Medical Records Clerk with 20+year history processing medical records requests while delivering highest quality customer service. Builds rapport with staff and patients to foster smooth and effective department operations. Strong knowledge of Release of Information policies and procedures and HIPAA regulations.

Overview

24
24
years of professional experience

Work History

Medical Records Analyst

Onehome
05.2017 - 01.2024
  • Proactively identified potential gaps in documentation practices, proposing solutions that resulted in increased accuracy and completeness of patient records.
  • Conducted regular audits of medical records to identify inconsistencies or inaccuracies, working closely with staff to correct any discrepancies promptly.
  • Reduced errors in medical coding by consistently reviewing and updating codes in accordance with industry standards.
  • Ensured ongoing adherence to industry standards by staying current on changes in medical coding practices and updating internal systems accordingly.

Precertification Specialist

CarePlus Health Plans
04.2015 - 05.2017
  • Developed comprehensive knowledge of various insurance plans, policies, and coverage limitations to provide accurate guidance to patients and providers.
  • Analyzed trends in denials or authorization delays to identify opportunities for improvement within the precertification department.
  • Increased accuracy of submitted claims through meticulous attention to detail in verifying insurance eligibility and benefits.
  • Elevated patient satisfaction by offering compassionate guidance and support during the often-stressful precertification process.

Home Health Staffer

Univitahealth
03.2012 - 06.2015

Assisted with the set up home home staffing (Nursing, Physical,Occupational and Speech Therapies)of recently discharged patients.

  • Implemented training programs for junior staffers to enhance their skills in sourcing techniques, interviewing tactics, and client relations management.
  • Developed targeted On Call staffing program called the "Air Traffic Controller" to assist the Nursing staff processing incoming home health referrals.
  • Handled incoming customer inquiries and complaints courteously and professionally.

Senior Customer Service Advocate

Florida Blue
08.1999 - 05.2007
  • Enhanced customer satisfaction by promptly addressing concerns and providing effective solutions.
  • Worked closely with sales teams to upsell products/services when appropriate, contributing positively towards revenue growth targets.
  • Assisted management in implementing process improvements aimed at enhancing operational efficiencies within the department.
  • Played an integral role in building a cohesive team culture, fostering a supportive environment conducive to learning and growth.

Education

Associate of Arts - English

Miami Dade College
Miami, FL

Certification - Medical Transcription

Sheridan Technical College
Hollywood, FL

Certification - Computer Programming

Miami Lakes Educational Center
Miami Lakes, FL
08.1999

Skills

  • HIPAA Regulations
  • Clinical Documentation
  • Microsoft Office
  • Healthcare compliance
  • Medical Terminology
  • Records Management
  • Patient Medical Records Maintenance

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Achieved 99% of on time records requests by completing them with accuracy and efficiency.
  • Collaborated on a Compliance team of 6 in the development of company policies and procedures.
  • Documented and resolved patient data breach which led to patient resolution.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference

Work Type

Full TimePart Time

Work Location

RemoteHybridOn-Site

Important To Me

Work-life balancePaid time off4-day work weekFlexible work hoursWork from home optionStock Options / Equity / Profit Sharing401k matchCompany CultureHealthcare benefits

Timeline

Medical Records Analyst

Onehome
05.2017 - 01.2024

Precertification Specialist

CarePlus Health Plans
04.2015 - 05.2017

Home Health Staffer

Univitahealth
03.2012 - 06.2015

Senior Customer Service Advocate

Florida Blue
08.1999 - 05.2007

Associate of Arts - English

Miami Dade College

Certification - Medical Transcription

Sheridan Technical College

Certification - Computer Programming

Miami Lakes Educational Center
Sheila Parker