Yolanda Grooms
Baltimore,MD
Summary
A dedicated administrative professional passionate about patient care and aptitude for all aspects of a medical practice duties as demonstrated over the last several years. Successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Overview
16
16
years of professional experience
Work History
Medical Records Processer
Pinnacle Care
10.2024 - 01.2025
- Accurately sorted and categorizing medical records for efficient electronic storage and retrieval from internal systems. While ensuring the confidentiality and integrity of patient information, while adhering to HIPAA regulations
- Organize and sort incoming 25-35 medical records into designated categories.
- Communicated with physician's offices and facilities to obtain records for specialty visits
- Maintain accurate and clear records of all sorted documents.
- Verify patient information for accuracy and completeness.
- Assist in the creation of portable media for both inbound ingestion and outbound consumption.
- Perform ongoing quality checks, auditing and reporting of results as assigned
Financial Services Representative
Northwell Health System
05.2021 - 12.2023
- Managed approximately 30 payments by segmenting each payment by business unit and scanning into data base
- Identifies and communicates customer payment discrepancies and works directly with collections team for research and resolutions
- Applies cash wires to corresponding customer accounts based on remittance details provided by customers
- Enter invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft
- Worked closely with other departments to provide seamless reconciliation of accounts and potential administrative errors
Accounts Receivable Clerk
United Health Group, Optum
11.2019 - 05.2021
- Enter and verifies patient demographics information, billing and account data using Invision, Aeos, Affinity, Availity, PCX, and HDX
- Streamlined operations and prioritized task, allowing senior staff to increase revenue by 25%
- Performs various clerical duties as assigned to meet department goals and metrics
- Performs follow-up on underpaid accounts to obtain expected contractual reimbursement.
Credentialing Coordinator/Admin.assistant
Neurological surgery PC
09.2008 - 09.2018
- Handled initial and reappointment hospital credentialing and verified documents in accordance with established guidelines
- Served as corporate liaison for the practice attorney, accountant, and billing manager
- Assisted with negotiations of liability insurance agreements and all renewals
- Converted paper charts into digital files and uploaded them into Criterion EMR system
- Arranged and coordinated group certification trainings for all clerical staff.
Education
Billing Specialist Certification -
Hunter Business School
Levittown, NY08.2019
Associates of Occupational Studies -
Mandl College of Allied Health
New York, NY05.2008
Skills
- Administrative and Secretarial functions
- Customer Service
- Medical Terminology
- Medical Billing,Coding,EMR,and Practice Management software ie: Salesforce,Zeus, Criterions
- Medical Credentialing
- Claim Management
- Strategic decision making
- OSHA and HIPPA compliance regulations
- Microsoft Word, Excel and Powerpoint
- Excellent communication
Timeline
Medical Records Processer
Pinnacle Care
10.2024 - 01.2025
Financial Services Representative
Northwell Health System
05.2021 - 12.2023
Accounts Receivable Clerk
United Health Group, Optum
11.2019 - 05.2021
Credentialing Coordinator/Admin.assistant
Neurological surgery PC
09.2008 - 09.2018
Billing Specialist Certification -
Hunter Business School
Associates of Occupational Studies -
Mandl College of Allied Health
Volunteer for the New Auchentoroly Association 2018 - Present
Proud member of the New Auchentoroly Terrace Association (ATA), An association that services the Western district neighborhood in Baltimore. created to maintain a clean, safe and healthy community for all residents by actively working together to address and solve community problems. Currently holding a position on the board as Treasurer
References
Available upon Request
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