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Data Entry Insurance

Location:
Marietta, GA
Posted:
August 25, 2014

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Resume:

DAWONNA C. ANDERSON

**** ******** *****

Decatur, GA 30035

404-***-****

acfk1k@r.postjobfree.com

Summary

• A healthcare professional with 13 years of experience within a variety of roles in a healthcare provider sector.

• Outstanding interpersonal and communication skills, including written, verbal, presentation and listening skills in addition to establishing positive relationships

with internal and external stakeholders.

• Extensive staff supervision experience and facilitating employee training in HIM applications Emory’s Electronic Medical Records.

• Exceptional time-management capabilities, successfully managing multiple projects and prioritizing work responsibilities to meet project expectations within

target deadlines

Professional Experience

Emory Healthcare

Radiology RadNet Trainer 2012-Present

• Assists and train (Client/Staff)during Go-Lives inpatient and ambulatory

• Verify functional, performance, and reliability requirements placed on design items

• Communicate with end users for problem resolutions

• Performs clinical workflow analysis and assessment of Cerner Millennium, Scheduling and RadNet

• RadNet for Radiology, Breast Imaging, Interventional Radiology Cardiology, NM

• Determines the desired end state that managers hope to achieve by the workflow analysis project.

• Recommend processes that need to be changed, automated or left in place in line with stated goals

• Trains and educates users on RadNet and Surginet system functionality and capability.

Bone Marrow Transplant Trainer 2008 – 2012

• Trainer for the implementation of Emory’s Global Patient Registration initiative, providing support for operational processes in areas that handle registration,

and ensuring staff are properly trained to utilize system appropriately.

• Obtain detailed transplant benefits; ensure authorizations are secured for each transplant phase

• Act as liaison on behalf of physicians and nurses and provide clinical updates to case managers

• Counsel patients regarding state and federal assistance programs, educate patients and families on insurance issues, and communicate patient fiscal

responsibility

• Ensure highest benefit level of reimbursement for the department

• Identify special policy clauses or pre-existing conditions and verify effective dates and co-pay information

• Ensure claims are entered and submitted within 48 hours of receipt, data entry and charge entry

• Accurately apply payments to patient accounts

• Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections and other issues with outstanding accounts.

Patient Account Representative II 2006 – 2008

• Processed an average of 35 patients per day by verifying insurance benefits for new and returning patients

• Ensured all insurance information was complete and accurately obtained

• Documented information given or received to support action taken on insurance charges and referral issues

Medical Secretary 2005-2008

• Maintained patient medical records

• Reviewed and mailed physician dictations and typed letters while ensuring accuracy and completeness

• Maintained physician’s patient schedule and prepared materials and documents for clinic

• Screened and triaged multi-line phone, responded to questions, and took messages according to physician’s instructions

Scheduling and Front Desk Trainer 2000 – 2005

• Served as team leader for the scheduling department

• Processed an average of 100 calls per day, Checked-in an average of 80 patients per day

• Registered and verified patient demographics and insurance information for completeness and accuracy

• Verified and processed referrals and authorizations and linked to appointments

• Processed all medical records requests for corporate, legal and personal reasons within 48 hours

• Prepared, created, and reviewed charts for quality assurance and JCAHO compliance

• Processed incoming and outgoing claims and completed data entry and filing.

PROFESSIONAL AFFILIATION AND SKILLS

• American Academy of Professional Coders (AAPC), Member

• Medical Terminology

• Microsoft Office

• Healthcare systems – RadNet, Cerner Scheduling, Cerner Registration, Cerner Global Patient Registration, IDX Scheduling, Health Quest, Pre-Arrival

Database (PADB), Emory Electronic Medical Records (EeMR) applications, Powerchart, Surginet, Kronos Time System, Avaya CMS Call Monitoring, and

Lotus Notes.



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