After coming home from work, I enjoy the time that I share with my children, husband and grand child.
Tonia Artis
Clayton,NC
Summary
Hardworking Health Information Clerk with expertise in healthcare documentation procedures. Dedicated to applying evolving information technology to complete health information management processes. Monitors compliance with payment systems including Medicare, Medicaid and managed care. Produces accurate and thorough data utilized for healthcare quality improvement, utilization management and risk management.
Overview
10
10
years of professional experience
1
1
Language
Work History
Utilization Management
Freedom House Recovery Center
2022.12 - Current
- Performed 30 evaluations of medical necessity, appropriateness and efficiency of use health care services or procedures, and facilities under provisions of applicable health benefits plan.
- Checked insurance availability and verified insurance.
- Approved clinical notes for billing and entered several consumers into appropriate Managed Care Organization.
Billing and Accounts Receivable Specialist
Beachside Home Service, LLC
2022.06 - 2022.08
- Manages all activities in accounts payable/receivable function.
- Streamlined operations and prioritized tasks.
- Ensuring company policy is adhered to and payment deadlines are met.
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Increased efficiency of collections process 25 % by implementing new strategies and procedures for tracking delinquent accounts.
Shift Leader/ Qualified Professional
Beachside Home Service, LLC
2021.07 - 2022.06
- Perform leadership, management, acute crisis intervention and organization tasks to ensure team members work efficiently and effectively during shift.
- Monitoring attendance, tardiness and time off.
- Assigned duties to specific employees based on their role and skills.
- Provided client education by conducting 20 substance use and mental health classes.
- Conducted performance reviews, shared feedback with both upper management and team members.
- Training new and current team members.
- Handled customer issues and managing conflicts.
- Adhering to company policies, safety and employment standards.
Billing Specialist
Beachside Home Service,LLC
2021.01 - 2021.07
- Managing accounts payable via managing and recording all company invoices.
- Examining of organization's financial records, to include receipts, bills of sales and other invoice documents.
- Researched and resolved billing discrepancies to enable accurate billing.
- Safeguarding company's revenues.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Provided excellent customer service, developing and maintaining client relationships.
Personal Care Assistant
Beachside Home Service,LLC
2020.08 - 2021.01
- Responsible for assisting patients with their daily activities.
- Performing simple medical tasks.
- Observed changes in their health condition.
- Applying basic emergency procedures.
- Improved client comfort by providing exceptional personal care and maintaining clean, safe environment.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Assisted with transferring and positioning clients, ensuring proper body mechanics to reduce risk of injury for both parties.
Administrative Care Coordinator
V.O.I.C.E. Therapeutic Solutions
2019.08 - 2020.01
- Served as point of contact and link between employees, internal departments, and external parties.
- Handling clerical and administrative duties.
- Analyzed and improved office processes and policies.
- Allocated workload to administrative staff; monitored their work duties daily.
- Conducted 10 performance evaluations.
- Resolved operational issues faced by administrative staff.
- Interacted with different departments to ensure that office operates smoothly.
Utilization Management
Freedom House Recovery Center
2014.09 - 2019.07
- Performed 45 evaluations of medical necessity, appropriateness and efficiency of use of health care services or procedures, and facilities under provisions of applicable health benefits plan.
- Checked insurance availability.
- Verified various insurances.
- Entered consumers into appropriate Managed Care Organization.
- Mentored junior team members, sharing best practices in utilization management nursing practice to facilitate professional growth and optimize overall team performance.
- Stayed abreast of industry trends and emerging best practices in utilization management, incorporating relevant insights into departmental operations.
Education
Bachelor's in Allied Health Management -
Miller-Motte Technical College
Wilmington, NC09.2017
Associates' of Applied Science in Electronic Medical Records -
Miller-Motte Technical College
Wilmington, NC07.2014
Diploma in Medical Billing and Coding -
Miller-Motte Technical College
Cary, NC06.2013
Diploma Data Processing - Data Processing
Carver Vocational-Technical High School
Baltimore, MD06.1992
Skills
- Utilization Management
- Computerized Maintenance Management
- Payment posting
- Positive Attitude
- Team Leadership
- Problem-Solving
- Customer service focus
- Insurance Verification
- Invoice Processing
- Data entry proficiency
- Billing systems and software
- HIPAA Compliance
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments
- Achieved great feedback by completing all required trainings with accuracy and efficiency.
- Collaborated with team of 3 in the development of Enrollment Log for all new clients and tracking their discharges.
- Documented and resolved missed potential clients which led to thousands of dollars being unaccounted for.
Work Preference
Work Type
Full TimeWork Location
RemoteOn-SiteImportant To Me
Company CultureWork-life balanceCareer advancement401k matchPaid time offTeam Building / Company RetreatsFlexible work hoursHealthcare benefitsPaid sick leaveWork from home optionStock Options / Equity / Profit SharingPersonal development programsQuote
Every problem is a gift—without problems we would not grow.
Tony Robbins
Interests
Timeline
Utilization Management
Freedom House Recovery Center
2022.12 - Current
Billing and Accounts Receivable Specialist
Beachside Home Service, LLC
2022.06 - 2022.08
Shift Leader/ Qualified Professional
Beachside Home Service, LLC
2021.07 - 2022.06
Billing Specialist
Beachside Home Service,LLC
2021.01 - 2021.07
Personal Care Assistant
Beachside Home Service,LLC
2020.08 - 2021.01
Administrative Care Coordinator
V.O.I.C.E. Therapeutic Solutions
2019.08 - 2020.01
Utilization Management
Freedom House Recovery Center
2014.09 - 2019.07
Bachelor's in Allied Health Management -
Miller-Motte Technical College
Associates' of Applied Science in Electronic Medical Records -
Miller-Motte Technical College
Diploma in Medical Billing and Coding -
Miller-Motte Technical College
Diploma Data Processing - Data Processing
Carver Vocational-Technical High School
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