Health information professional with extensive experience in maintaining accurate and secure patient records. Proven track record of improving data management processes and ensuring compliance with healthcare regulations. Reliable team collaborator with strong emphasis on delivering results and adaptability to evolving healthcare needs. Skilled in data analysis, EHR systems, and maintaining confidentiality.
Overview
10
10
years of professional experience
Work History
Lead Health Information Specialist
Ciox Health
06.2018 - Current
Managed the processing of release of information (ROI) requests, ensuring high quality, accuracy, and efficiency in the timely release of records
Process daily requests related to patient information, legal matters, subpoenas, insurance, continuing care, disability, and radiology
Prepare and scan records into the electronic health record (EHR) system
Interact professionally with patients, medical staff, and external agencies
Maintain comprehensive logs of all request types in the EHR system and assist with backlog management for release of information (ROI)
Developed and implemented record storage and retrieval system to comply with record retention laws and maintain accessibility
Participate in quality staff meetings and Conducts training on procedures, policies and performance expectations for new employees
Takes on a leadership role in addressing general inquiries from staff and supports new hire orientation and professional development training
Addressing issues and managing escalated calls in the presence of a supervisor or during their absence
Step into the role of site supervisor when the site supervisor is unavailable
Ensure the provision of efficient and professional telephone services while consistently upholding and protecting patient privacy and confidentiality
Responsible for managing phone calls, tasks, incoming faxes, interactive mail, and emails
Proficient in the processing of clinical diagnostic radiographic films using the PACS system
Billing & Collections Rep
Aerotek Agency, Carecentrix
09.2017 - 01.2018
Researches and resolves denials received that have not passed payer edits and may lead to a final appeal of denied services
Requires knowledge of a variety of system applications both internal and external
Determines and initiates action to resolve rejected invoices, prepares payer corrections, and/or appeals using electronic and paper processes
Use in house systems to validate denials
Make outbound phone calls for outcome of denial
Up to 25 phone calls a day
Have to navigate through systems (in-house specifically geared towards Carecentrix) to validate
Research online information including going to health plan provider website
Utilizes various resources to determine patient’s eligibility, benefits, and health plan confirmation
Including online payer databases, CareCentrix Eligibility platforms, and medical records that may result in provider or payer recoup/rejection activity
Medical Appointment Clerk
Hampton Roads Appointment Center
05.2015 - 06.2017
Use CHCS, schedule and cancel appointments for patients at MTF’s (multiple clinics)
Coordinates in a professional and courteous manner, with patients and clinic staff to resolve patient issues and concerns
Provide an explanation of TRICARE benefits, and answer questions regarding enrollment, portability and eligibility
Verify patient eligibility through Deers, confirm TRICARE status in CRIS, and update patient demographics in CHCS
Use CHCS to track and schedule referral appointments to the specialty clinics at the MTF’s
Negotiate appointment date and time
Education
Bachelor of Science - Health Information Management
Ashworth College
Online
06-2025
Associate of Arts - Healthcare Administration
Tidewater Tech
Norfolk, Virginia
10-2005
Diploma -
Charlotte Amalie High School
St. Thomas, USVI
06-2001
Skills
Medical Records Management
Electronic Medical Records (EMR)
Confidentiality Procedures
Employee Supervision
Data Entry
Customer Service
HIPAA compliance
Attention to Details
Organizational Skills
Problem Resolution
Timeline
Lead Health Information Specialist
Ciox Health
06.2018 - Current
Billing & Collections Rep
Aerotek Agency, Carecentrix
09.2017 - 01.2018
Medical Appointment Clerk
Hampton Roads Appointment Center
05.2015 - 06.2017
Bachelor of Science - Health Information Management
Ashworth College
Associate of Arts - Healthcare Administration
Tidewater Tech
Diploma -
Charlotte Amalie High School
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