Experienced Health Information Manager with a proven track record in accurate and secure patient data management. Adept at implementing electronic medical record (EMR) systems, ensuring regulatory compliance, and conducting data analysis to optimize healthcare operations and improve patient outcomes.
Overview
5
5
years of professional experience
Work History
MEMBER ADVOCATE LEAD
Premier Inc.
04.2023 - Current
Review claim submissions
Assist with necessary communication between hospital, admission and clinic teammates
Determining policy coverage and claim amounts
Identify problem accounts and escalate as appropriate
Enter details into computer systems and managed database of information
Act as an advocate for patients, advocating for their needs and rights
Train new employees on best practices, resulting in improved customer experience
HEALTH INFORMATION MANAGER
White Oak Management, Inc.
12.2021 - 04.2023
Received, monitored and processed requests for patient health information in accordance with company and facility policies and procedures
Produced monthly reports using advanced Excel spreadsheet functions
Consistent application of medical privacy regulations to guard against unauthorized disclosure
Identified, analyzed and interpreted trends or patterns in complex data sets
Maintained awareness of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government
Followed up with patients about medical and healthcare processes Ensured compliance with health and safety regulations, resulting in successful health inspections
Implemented new coding and billing procedures that helped alleviate number of denied claims from insurance carriers.
CUSTOMER SERVICE REPRESENTATIVE
Benefitfocus
02.2020 - 02.2021
Served as first point of contact for customers over phone and email
Provided accurate timeframe for issue resolution
Created and maintained detailed database to develop promotional sales.
Participated in team meetings and training sessions to stay informed about product updates and changes
HEALTH INFORMATION SPECIALIST
Ciox Healthcare
02.2020 - 12.2020
Consistent application of medical privacy regulations to guard against unauthorized disclosure
Acted in a lead role with staff regarding general questions and assists with new hire training and developmental training
Participated in committees to discuss electronic health records and methods to improve overall workflows
Sorted, scanned and indexed documents, developed workflows and processed workflow reports to keep clinical records maintained in accordance with guidelines.
Directed and assisted pulling and procurement of medical files according to established procedures.