TraNeshia Scott
Dallas,TX
Summary
Proficient Litigation Medical Specialist with a proven track record in pre-litigation and litigation accurate records requests received and fulfilled, adept at analyzing medical records and enhancing litigation department processes. Recognized for great attention to detail and effective communication, ensuring compliance with healthcare regulations while optimizing case evaluations.
Overview
3
3
years of professional experience
Work History
Litigation Medical Specialist
Witherite Law Group
Dallas, TX
07 2024 - 04 2026
- Partnered with 2-3 legal teams to conduct thorough analyses of medical records for case evaluations of LOP providers.
- Executed thorough medical research to enhance litigation strategies. Analyzed medical documentation to support attorney briefs and case preparation.
- Ensured hospital and or professional bills aligned with received medical records and confirmed totals prior to case deadlines.
- Attended weekly and monthly case meetings and reviews with attorneys to confirm or deny all case bills and records are accurate and filed according to current DOI to present.
Revenue Cycle Correspondence Team Lead
Steward Health Care
Richardson, TX
06 2019 - 06 2024
- Led and supervised a team of 17 to ensure high-quality electronic health records (EHR), maintaining strict adherence to established protocols and regulatory standards.
- Received and fulfilled medical records and bills requests from payors according to guidelines, reviewed, prepared, and or followed up on payor claim appeals and denials while assisted in a monthly 25% increase in processed records towards complete paid claims.
- Performed weekly team audits of 75-85 randomly chosen cases for accuracy of requests and proper fulfillment per HIPAA and department processes, collaborated with appeals nurses on high level cases in retrieving proper correspondence and documentation to overturn appeals with full allowed payor payment, assisted in payment posting with accurate adjustments and payments with a 15% monthly decrease in write offs.
- Implemented process improvements, mentored staff, fostering professional development and enhancing team performance, coordinated schedules and assisted management in delegating tasks according to individual team knowledge and work flow.
- Maintained knowledge of all received correspondence, dispersed to proper departments or individuals, monthly mail room inspections, ensured electronic postage funds always available, performed monthly financial audits according to correspondence department budget.
Revenue Cycle Billing Specialist
National Partners in Healthcare
Richardson, TX
04 2024 - 06 2024
- Assigned to Government payor team, received, reviewed, processed appeals and denials, audited medical records prior to compiling patients files for payor approval.
- Searched and verified coverage eligibility per payor websites and submitted inquiries, assisted in auditing received correspondence in accurate and timely department delivery
- Reviewed medical bills and claims (CMS-1500) for accuracy per provided service, approved and corrected medical billing ICD-10 and CPT codes during claim audits prior to submitting prepared appeal to appeals team, assisted in 25% quarterly payor denial decrease.
- Investigated 15-20 weekly assigned files for duplicate or missed claim payments, posted payments according to insurance type, audited department payor excel sheets, collaborated with accounts receivable team, submitted payor refund requests for approval.
Medical Records Coordinator
Alliance Family of Companies
Irving, TX
10.2016 - 05.2019
- Organized and maintained accurate patient medical records using electronic health record (EHR) systems.
- Coordinated retrieval and distribution of medical documents in compliance with privacy regulations.
- Assisted in training staff on proper documentation procedures and EHR utilization.
- Reviewed 30-40 medical records requests daily for completeness, ensuring adherence to regulatory standards.
- Identified new methods to optimize medical records management.
Education
Certificate - Medical Billing And Coding
Remington Community College
Garland, TX05.2010
Diploma - All-Basic
Terrell High School
Terrell, TX05.1996
Skills
- Attention to detail
- Communication (verbal and written)
- HIPAA
- Medical terminology
- Organization
- Prioritization
- Time efficient
- Team work
Timeline
Medical Records Coordinator
Alliance Family of Companies
10.2016 - 05.2019
Litigation Medical Specialist
Witherite Law Group
07 2024 - 04 2026
Revenue Cycle Correspondence Team Lead
Steward Health Care
06 2019 - 06 2024
Revenue Cycle Billing Specialist
National Partners in Healthcare
04 2024 - 06 2024
Certificate - Medical Billing And Coding
Remington Community College
Diploma - All-Basic
Terrell High School