Highly motivated and detail oriented health information administrator with extensive experience in experience working with sensitive information within health information management, patient services, medical billing (accounts receivable)and case investigation. Extremely knowledgeable in electronic health records programs including Cerner Millennium and Epic. In depth knowledge of medical terminology. Strong customer service skills with excellent attention to detail. Communicative professional working collaboratively with departments to minimize risk and effectively resolve issues. Thrives in a fast paced environment, deadline oriented.
Performs communicable disease investigation and control. Interviews clients to determine location of contacts and obtains relevant information including demographics, symptoms, underlying medical conditions and other risk factors. Using a client centered approach provides education and guidance on isolation and quarantine procedures. Assess case's ability to safely and effectively isolate with adequate food, water and other necessities. Identify barriers to necessary interventions and facilitate appropriate referrals, per local protocols. Direct clients to comply with public health recommendations. Uses data collection to document pertinent information in health departments' data surveillance system while adhering to completeness and timeliness. Participate in requisite training, program meetings and quality improvement activities to ensure program outcomes. Maintain patient confidentiality and privacy by complying with HIPAA regulations.
Analyzed complex explanation of benefits forms to verify correct billing of insurance carriers. Ensured that all medical documents matched up with date of services, collected payments and applied to patient accounts. Prepared billing statements for patients. Liaised between patients, insurance companies, and billing office. Communicated with insurance providers to resolve denied claims by identifying root cause of denial. Resubmitted clean claim. Posted payments and collections on regular basis. Reviewed patient diagnosis codes to verify accuracy and completeness. Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records. Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable. Audited and corrected billing and posting documents for accuracy. Maintained accurate records of customer payments and handled correspondence with customers. Adhered to established standards to safeguard patients' health information.
Assisted patients in filling out check-in and payment paperwork. Verified insurance eligibility and coverage for patients. Managed patient registration process, confirming data accuracy and completeness. Took copayments and compiled daily financial records. Applied administrative knowledge and courtesy to explain procedures and services to patients.
Balanced deposits and credit card payments each day. Built and maintained positive working relationships with patients and staff.
Entered patient demographic and insurance data into electronic medical record system. Filed and maintained patient records in accordance with HIPAA regulations. Provided exceptional customer service to patients, answering questions and addressing concerns. In charge of release of information for department. Tracked and monitored requests for medical records release. Organized patient records and database to facilitate information storage and retrieval. Identified new methods to optimize medical records management. Followed document protocols to safeguard confidentiality of patient records. Assisted in training new staff on medical record processing and filing procedures.
Performed qualitative analysis and research of outpatient, recurring and emergency department medical records applying appropriate deficiencies when necessary. Concurrently analyzed all inpatient records for timeliness of required documentation (H&P's and OP Reports) to meet facility, state, and Joint Commission rules and regulations. Followed up with medical staff regarding missing information in patient records. Assisted in department preparation and readiness of Joint Commission and CMS surveys. Maintained EMR data integrity. Worked as a liaison between ancillary departments and IT to correct mapping issues. Sorted, scanned and indexed documents, developed workflows and processed workflow reports to keep clinical records maintained in accordance with guidelines. Troubleshot and contacted appropriate areas during system inoperability to reduce downtime.
Assisted in training new staff on medical record processing and filing procedures. Maintained accuracy, completeness, and security for medical records and health information. Verified accuracy of patient information in medical records. Tracked and monitored requests for medical records release for patients, and external organizations.
Office Support Skills include