Stacy Frazier
Cottage Grove,OR
Summary
Dynamic professional with proven expertise in claims processing and medical records management at Providence Health Plan. Demonstrates exceptional detail orientation and leadership skills, achieving consistent productivity benchmarks. Proficient in health information systems and compliance management, driving quality control and operational efficiency in healthcare settings.
Overview
8
8
years of professional experience
Work History
Associate Claims Specialist
Providence Health Plan
Beaverton, OR
08.2023 - Current
- Analyze incoming claims for completeness, accuracy of billing codes, patient eligibility, and benefit coverage based on policy guidelines.
- Achieve consistent productivity and quality benchmarks during heavy daily claim processing.
- Investigate and resolve complex claim issues by analyzing medical records, policy documents, and billing information.
- Inputted claim data into claims processing system with accuracy.
- Evaluated patient eligibility and benefit levels for accurate claim payments.
- Stay updated on regulatory changes and ensure claims processing complies with HIPAA, state, and federal regulations.
Patient Care Coordinator
Hearing By Design
Eugene, OR
10.2022 - 07.2023
- Managed patient appointments, scheduled procedures, and coordinated with medical staff to optimize efficiency.
- Facilitated prior authorizations, referrals acquisition, and payment collection from patients through pre-service screening.
- Ensured timely claims processing by liaising with insurance companies.
- Performed administrative and clerical duties related to medical records.
- Collaborated with healthcare professionals to develop personalized care plans based on individual needs and goals.
- Maintained accurate and up-to-date patient records, including medical history, treatment plans, and insurance information.
- Implemented efficient systems for managing patient flow within the clinic or hospital setting.
- Provided compassionate support to patients and their families.
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
Accounts Payable/Accounts Receivable Specialist
Superior Farms
Dixon, CA
07.2021 - 08.2022
- Created detailed reports on aging payables, vendor payments, cash disbursements.
- Led month-end and year-end closing processes for accounts payable, ensuring deadlines were met and financial reports were accurate.
- Reviewed all invoices for accuracy, subsequently resolving various issues.
- Conducted periodic audits of accounts payable transactions to ensure compliance with accounting policies and procedures.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Researched discrepancies between invoice amounts, purchase orders, receiving reports.
- Efficiently maintained accounts payable transaction processing and led team on training initiatives to ensure continuity.
- Checked accounting system on regular basis to monitor transactions.
- Coded invoices to maintain organized and accurate records.
- Investigated and resolved customer inquiries regarding billing issues or discrepancies.
- Utilized daily audit information to update aging reports.
- Conducted monthly reconciliation of the accounts receivable ledger to ensure accuracy.
- Analyzed customer accounts to identify and resolve discrepancies.
Medical Records Director
Prestige Care, Inc.
Cottage Grove, OR
12.2018 - 06.2021
- Resolved complex issues related to medical record retrieval requests from external sources such as attorneys, insurance companies or government agencies.
- Administered fiscal operations for accounting, budget planning, authorizing expenditures and coordinating reporting.
- Directed, supervised and evaluated medical, clerical or maintenance personnel.
- Evaluated patient care documentation to ensure accuracy of data entry into electronic health record system.
- Participated in committees that addressed quality assurance initiatives related to medical records management.
- Returned incomplete records and charts to appropriate personnel for correction.
- Conducted audits of medical records to identify areas needing improvement or corrective action.
- Developed workflow processes that ensured efficient utilization of resources while maintaining high quality standards.
- Enforced state and federal legal requirements governing confidentiality and legal issues pertaining to health information.
- Collaborated with physicians, nurses and other healthcare professionals to improve quality of patient care documentation.
- Reviewed medical records for accuracy, completeness and compliance with applicable laws and regulations.
- Analyzed data from various sources including physician orders, laboratory results, radiology reports, to ensure complete documentation within patient's chart.
- Ensured timely release of information in accordance with federal and state laws, accreditation standards, organizational policy and other regulatory requirements.
Memory Care Caregiver
Self-Employed
Cottage Grove, OR
12.2016 - 12.2020
- Organized oral medications for clients following dosage and schedule requirements.
- Provided emotional support and encouragement to client with memory loss.
- Assisted client with activities of daily living, such as bathing, dressing and grooming.
- Provided emotional support for clients who were experiencing depression or anxiety.
- Monitored vital signs and medication use, documenting variances, and concerning responses.
- Planned and prepared healthy meals and snacks for clients and provided assistance with eating when necessary.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Education
Bachelor of Science - Healthcare Administration
University of Massachusetts
Remote02-2028
High School Diploma -
Freedom High School
Oakley, CA06-2000
Skills
- Teamwork skills
- Detail orientation
- Quality control
- Health information systems
- Annual budgeting
- Medical billing
- Department oversight
- Records administration
- Certified electronic health record specialist
- HIPAA
- Claims processing proficiency
- Electronic claims processing
- Compliance management
- Exceptional leadership
- Staff training and development
- Operations management
- Shift scheduling
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Associate Claims Specialist
Providence Health Plan
08.2023 - Current
Patient Care Coordinator
Hearing By Design
10.2022 - 07.2023
Accounts Payable/Accounts Receivable Specialist
Superior Farms
07.2021 - 08.2022
Medical Records Director
Prestige Care, Inc.
12.2018 - 06.2021
Memory Care Caregiver
Self-Employed
12.2016 - 12.2020
Bachelor of Science - Healthcare Administration
University of Massachusetts
High School Diploma -
Freedom High School
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