Tammie Tsosie
Farmington,NM
Summary
Experienced Medical Records Clerk with a proven track record of efficiently handling diverse medical documentation. Strong organizational skills and ability to establish positive relationships with staff and patients, ensuring seamless department operations. Recognized for analytical, communication, and teamwork abilities, excelling in adapting to new environments. Eager to contribute to team success and enhance professional skills. Positive attitude and commitment to continuous learning and growth, dedicated to making a valuable impact in the field.
Overview
22
22
years of professional experience
Work History
Patient Service Representative
CommonSpirit Health
11.2024 - Current
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Managed patient registration process, confirming data accuracy and completeness.
- Used Epic to schedule appointments.
- Handled customer service inquiries in person, via telephone and through email.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Entered patient demographic and insurance data into electronic medical record system.
- Processed medical records requests efficiently, safeguarding patient privacy while ensuring timely information access for healthcare providers.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Actively participated in team meetings focused on improving workflows and enhancing overall practice performance.
- Collaborated with clinical staff to coordinate care plans, resulting in improved patient outcomes.
- Supported new Patient Service Representatives'' orientation process by sharing expertise on office procedures.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Verified patient insurance eligibility and entered patient information into system.
- Trained new staff on filing, phone etiquette and other office duties.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Delivered support to medical staff in completion of patient paperwork.
HIM Management & Processing Specialist
San Juan Regional Medical Center
05.2022 - 09.2024
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Maintained patient confidence by keeping patient records information confidential.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Supported medical staff by providing organized and accurate medical records.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Reviewed charts and flagged incomplete or inaccurate information.
- Maintained patient records systems by archiving, scaning and indexing important documents and files.
- Scanned and uploaded medical records into electronic medical records system.
- Followed up with medical staff regarding missing information in patient records.
- Researched and resolved medical record discrepancies.
- Verified accuracy of patient information in medical records.
- Assisted in training new staff on medical record processing and filing procedures.
- Provided clerical support to the department by answering phone calls, faxing, and filing documents.
Customer Service Representative
San Juan Regional Medical Center
01.2021 - 05.2022
- Schedule and confirm patient appointments or medical referrals
- Interview patients to complete demographics and patient insurances, and maintain medical records or files as required
- Transmit correspondence or medical records by mail, e-mail, or fax
- Process documents such as authorization of medical records, release of information, and other requests for patients
- Maintain customer's rights - confidentiality, privacy, safety, security, and decision making)
- Detail oriented, organizational skills, and ability to prioritize
- Utilize computer system as needed for information, data analysis, and to complete tasks.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Built and maintained positive working relationships with patients and staff.
- Answered incoming calls, scheduled appointments and filed medical records.
- Delivered support to medical staff in completion of patient paperwork.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Billing Specialist
Encompass Health Services
09.2003 - 07.2017
- Generated and submitted invoices based upon established accounts receivable schedule and terms
- Verified vendor accounts by reconciling monthly statements and related transactions
- Kept vendor files accurate and up-to-date to expedite payment processing
- Posted and adjusted payments from insurance companies
- Trained new employees on multiple medial billing programs and data entry software
- Communicated effectively and extensively with other departments to resolve claims issues
- Precisely completed appropriate claims paperwork, documentation, and system entry
- Verified signatures and checked medical records for accuracy and completion
- Submitted electronic and paper claims to insurance companies including Medicare to collect medical payments
- Adhered to established standards to safeguard all patients' health information.
- Answered phone promptly and directed incoming calls to correct offices, as needed for front desk coverage.
- Confirmed appointments, communicated with clients, and updated client records for front desk coverage.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance, as needed for front desk coverage.
- Handled cash transactions and maintained sales and payments records accurately, as needed for front desk coverage.
Education
Associate of Applied Science (A.A.S.) Health Information Management -
San Juan College
12.2021
Skills
- Data Accuracy Assurance
- Accurate Data Entry
- Data Gathering
- Excel Proficiency
- Analytical Problem-Solving
- Client Relations
- Establishing Rapport
- HIPAA Regulations Expertise
- Insurance Eligibility Verification
- Maintaining Patient Confidentiality
- Medical terminology
- Eligibility determination
- Data entry proficiency
- Effective Verbal Communication
- Electronic health records
- Phone etiquette
- Effective Queue Management
- Multitasking and organization
- Electronic Medical Records
Timeline
Patient Service Representative
CommonSpirit Health
11.2024 - Current
HIM Management & Processing Specialist
San Juan Regional Medical Center
05.2022 - 09.2024
Customer Service Representative
San Juan Regional Medical Center
01.2021 - 05.2022
Billing Specialist
Encompass Health Services
09.2003 - 07.2017
Associate of Applied Science (A.A.S.) Health Information Management -
San Juan College
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