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Click here or scroll down to respond to this candidateCandidate's Name
Picayune, MS Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLECustomer Service/ Medical records specialist with years of experience in managing and maintaining medical records. implemented a risk/priority system for expedited email and chat requests, resulting in a 65% decrease in complaints from requestors. Strong leadership skills and the ability to adapt to changing environments. Attention to detail.Committed to providing proficient and reliable services to support healthcare professionals and improve patient care.Willing to relocate: AnywhereAuthorized to work in the US for any employerWork ExperienceMedical Records SpecialistVERISMA SYSTEMS, INC-Phoenix, AZJune 2022 to July 2024 Process expedited requests for medical records, audits, and billing. Process medical ROI requests in a timely and efficient manner. Process requests utilizing Verisma software applications. Support the resolution of HIPAA-related release issues. Organize records and documents to complete the ROI process. Provide exemplary customer service in person, on the phone, via chat and via email, depending on location requirements. Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained.CSR IIVERISMA SYSTEMS, INC-Phoenix, AZAugust 2021 to June 2022 Support customer service calls for multiple lines of business Proficient in the use of Department resources (CS Notebook, Protocols, VRM, etc.) Receive inbound email or chat inquiries from requester clients regarding patient medical records (Avg. 10-12 per hour)Manage customer concerns and questions regarding the status of requests, invoice/fee issues, request remediation, etc.Actively document chat/email details in VRM and RingCentral during call handling to ensure timely resolution (ACW >40 seconds)Respond to all chats/emails in a professional manner consistent with identified standards and metrics(QA Score of >93)Manage request queues for client support made via chat, voicemail and/or email (20 per hour) Ability to data enter requestMaintain positive relationships with customers and ROI requestors (attorneys, insurance companies, state disabilityoffices, record copy services, peer organizations, doctors offices, patients, and others) Maintain strong knowledge of HIPAA, HITECH, state/federal rulings, and statutes, as well as customer- specific requirementsConsistently achieve a Working Rate of >85%Ensure that queued calls are answered timely (Call refusal average of >1 per day) Line Cook/Prep CookMatty Gs Steakburgers-Phoenix, AZOctober 2020 to August 2021Prep cook for steakhouseCashier/Customer ServiceJamba Juice-Phoenix, AZDecember 2019 to October 2020Cashier/crew at a smoothie shopMedical Records/ ROI SpecialistSt. Luke's Rehabilitation Institute-Phoenix, AZFebruary 2018 to January 2020Collaborate with IT department to ensure the smooth operation of the document storage and retrieval system, and troubleshoot any issues that may arise. Develop and implement strategies to improve the efficiency and accuracy of medical records retrieval and storage processes.Ensure compliance with all regulatory requirements pertaining to document storage and retrieval, including HIPAA guidelines.Ensure that all medical, billing records are properly coded and classified according to hospital and industry standards.Medical Records SpecialistSouthwest Behavioral Health Services-Phoenix, AZFebruary 2015 to March 2019Process medical records for recovery-based services in a secure environment for consumers in varying levels of crisis. Takes leadership role in operating unit in manager's absense. Responsible for contributing to and creating a recovery based environment. Ensures documents are complete for medical service plan. CaseworkerAHCCCS - Arizona Health Care Cost Containment System-Phoenix, AZ August 2018 to February 2019 Maintain a caseload of 70 clients Investigate customer grievances and other non-compliance issues. Collaborate with clinical team to create best care plan for the patient. Inspect data to detect areas for improvement and report on results of quality activities Assist patient with adls, transport patients as needed, and take actions in accordance with these needs to ensure competent care for the patient.Records File ClerkAll About People-Phoenix, AZMarch 2016 to December 2018Provide excellent customer service to clients and others by following company standards of care Completed coding and classification of documents for State of Arizona Adult Protective Services. Maintained an accurate spreadsheet of patient information for timely service to the patients and their care team.Behavioral Health TechnicianSouthwest Behavioral Health Services-Phoenix, AZMarch 2016 to May 2018Crisis Recovery unit 1&2conducts assessments, assists members with resources within the community, and provides coordination of care inside and outside of the agency.Employment SpecialistWarehouse, VALLEYLIFE-Phoenix, AZFebruary 2015 to September 2016 Accurately document client progress, milestones and goals including barriers to success to maximize community immersion and job retention Ensure state and federal of Department of Labor regulations contain time study standards and the required documentation
Assists in the facilitation of employment opportunities for individuals and contract opportunities for the organizationDevelop and maintain relationships with local employers to identify potential job opportunities for clients Collaborate with warehouse managers to identify job opportunities for clients with VALLEY-LIFE Case ManagerTerros Health-Phoenix, AZJanuary 2010 to June 2012Managed caseload of 30 clients. Completed assessments monthly. Assisted clients with adls, transportation to appointments, medication management. Conducted groups weekly. Completed home visits.EducationCertification in Medical Billing & CodingPhoenix College - Phoenix, AZJanuary 2023 to PresentCertificate in Medication TechnicianBeacon College - RemoteJune 2023 to June 2023Associate's degree in Medical lab technologyCarrington College - Phoenix, AZAugust 2018 to February 2020Certification in Practical NursingApollo College - Phoenix, AZAugust 2007 to July 2008High school diploma in General StudiesC.E. Byrd High School - Shreveport, LASeptember 1992 to January 1996Skills Proficient Management & leadership skills: Planning & execution Written communication Call center customer service Food safety Work style: ConscientiousnessWork style: Reliability Risk managementRelationship building Process improvementResearch and analysisLINKSLinkedIn Customer service EMR systems Medical billing Auditing Data entry Writing skills English Computer skills Communication skills Medical terminology Microsoft Excel Microsoft Office Health information management Microsoft Word Medical office experience Epic Microsoft Powerpoint Windows Records management Microsoft Outlook ICD-10 EHR systems Driving Microsoft Access HIPAA Administrative experience Medical records Clerical experience Document management systems Hospital experience Information management Typing Delivery driver experience Mobile devices Payroll Conflict management Time management Call center eClinicalWorks Social listening AWS SharePoint Presentation skills Adobe Acrobat Research Computer networking Quality assurance Proofreading Data collection Microsoft Project Training & development Healthcare management Classroom experience Human resources Child protective services Experience working with students Supervising experience Nursing Pediatrics Special education Cash handling Childcare Cooking Preschool experience Office experience Law office Organizational skills Insurance verification Athenahealth Workers' compensation law Workers' compensation Analysis skills Cash register Kitchen experience Recreational therapy Serving Live chat Leadership Grocery store ICD-9 Hospitality Basic math Behavioral Health Customer serviceLinkshttp://LINKEDIN LINK AVAILABLE Certifications and LicensesMedical Billing CertificationCertified Medication TechnicianLevel 1 Fingerprint clearance cardMarch 2022 to December 2026First Aid CertificationJuly 2023 to July 2025Driver's LicenseMarch 2022 to March 2039BLS CertificationRHITNon-CDL Class CMedical Billing CertificationCPR CertificationAED CertificationLPNLicensed Psychiatric TechnicianProfessional In Human Resources |
