TABITHA SIMMONS

Phone: 706-***-****

Email: ad2len@r.postjobfree.com

SC 29445 706-***-**** ad2len@r.postjobfree.com

Professional Summary

Adept at greeting patients and visitors, obtaining patient demographics, interviewing patients and preparing admission and discharge records. Excellent customer service skills in all interactions, with both external and internal customers. Social and communicative with high regard for sensitive and confidential information. Clear understanding of HIPAA rules and insurance protocols. Adept at scheduling and medical billing with talent for collaboration and eye for detail. Successful at comprehensive patient education. Skilled at coordinating busy offices and maintaining professionalism in stressful situations. Highly skilled with a degree in Healthcare Administration/Electronic Health Record and impressive medical office background. Resolved diverse patient financial issues in large regional hospitals and earned awards for exceptional performance. Excellent communications skills and dedication to patient satisfaction leading to optimum results. Capable medical administrative professional with 5+ years in patient services. Adept at directing visitors and callers, documenting patient details and updating EHR and financial systems. Adept at scheduling and medical billing with talent for collaboration and eye for detail. Successful at comprehensive patient education. Excellent reputation for resolving problems and improving customer satisfaction. Skills

• Patient registration, front desk operation/obligation

• Eligibility determination information

• Message Development and Testing

• Chart pulling, training of employees,

• 5 plus years in healthcare/medical and clerical administrative task, office support,

• Excellent customer service, verbal, and written communication skills

• Medical insurance verification and billing, financial obligation, collections, document filing

• Partner Engagement

• Consults, Processing and Forwarding in Community Care, appointment, no-shows, check-in, and check-out.

• Audience Analysis and Segmentation

• Ability to handle fast paced environment and prioritize task based on importance.

• Proficiency Microsoft Office, Excel, Vista Gui, Computerized Patient Record System

(CPRS), Teams

• Consult Tracking Management, TRM Plus, Insurance, Capture, Buffer (ICB), Vet Link

• Foundation in Health Communication and Marketing

• Word Processing and PowerPoint Software Cerner, Epic, Electronic Health Record (EHR)

• Written Communication

• Quality assurance, Paging systems, Medical Terminology,

• CPT-4, and ICD 9 and 10

• Medical Billing and Coding understanding

• Scheduled home health service, Patient interviewing skills.

• Patient interviewing skills, and medical charting.

• Payment’s processing, scheduling, and rescheduling

• Answer inquiries and enforce payroll policies

• Teamwork, Team building, Cultural awareness, Critical thinking, and Reading comprehension.

• Payment’s processing, scheduling, and rescheduling

• Cross train in multiple consults

• Time and Leave Clerk

• Document and Records Management

• Medical Charting

Work History

Lead Medical Support Assistant 08/2023 to Current Department of Veterans Affairs, Full-time, 40hrs weekly GS 7

• Ensuring all appointments are scheduled in a timely matter.

• Run reports to RTC scheduling for staff.

• Providing guidance to staff members, to include changes in policies and procedures.

• Maintain and create daily workload assessments, assign work for employees.

• Assure that proper staffing coverage is available.

• Maintained evaluating training records, and determine training needs of MSAs to provide support across interdisciplinary settings.

• Stand in as a liaison for advanced medical support assistant staff, patients and other interdisciplinary staff to resolve day to day conflicts.

• Expert in all administrative support subject matter packages such as FBCS, CPRS, VISTA, VSE, HSRM, PPMS, Consult Tracking Manager, Message Manager, Scheduling

• Manager, ICB, Vet Link and all other administrative packages required for scheduling.

• Maintain covering for workload, such as coverage for advanced medical support assistant and medical support assistant roles as needed if gaps in staffing are identified.

• Ability to maintain the confidentiality of information obtained to carry out required duties.

• Provide aid to the supervisor in monitoring and ensuring the integrity of various databases, to include consult management and other reports and data used in the management of administrative and customer service within the service line.

• Ensure and demonstrate leadership and be always a positive role model to staff.

• Maintain a variety of support duties that include work of nurses, physicians, physicians’ assistants, nurses’ assistants, and all other medical facilities that provide patient care.

• Serve as a Time and Leave Clerk.

• Perform a variety of support duties that facilitate the work of physicians, physician assistants, nurses, nursing assistants, and other members of the medical facility who provide patient care.

• Perform running necessary reports for management and providing miscellaneous support to the medical staff of the unity.

• Utilize practical knowledge of the standard procedures, medical records, and medical terminology of the unit supported.

• Maintain computerized data entry and information processing systems, the medical facility's organization and services.

• Utilize basic rules and regulations governing visitors and patient treatment.

• Performs work of a timekeeper.

• Assists supervisors in correcting timecard errors.

• Identified workflow and system barriers and utilized standard operating procedures to ensure efficient and productive workflow.

• Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.

• Respond to messages received from veterans concerning appointments, medication refill, or any health concerns. Ensured messages were sent to providers and nurses.

• Utilize the Patient Advocacy Tracking System (PAST-R), to document and track the resolution of complaints and compliments inside the VA Medical Center. Advanced Medical Support Assistant 11/2021 to 08/2023 Department of Veterans Affairs Full-time, 40hrs weekly GS 6

• Ability to collaborate and communicate with a wide range of medical clinicians across multiple disciplines (e.g., medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and nursing staff) to accomplish team goal setting to ensure medical care to patients is met.

• Provide clerical and administrative support in the coordination, care and treatment provided to patient throughout Primary Care.

• Enters, manipulates, and retrieves information and data from clinical information systems as appropriate to the area assigned.

• Assures completion and filing of original medical documentation and forms in records, verifying physicians’ orders.

• Receives telephone requests for information and transmits requests to the appropriate physicians.

• Facilitates and processes secure messaging with the patient and team.

• Obtains quality demographic and financial information for patients entering the facility.

• Participates in team huddles and team meetings to manage and plan patient care, setting priorities and deadlines, adjusting workflow to meet team and patient needs.

• Manages patient flow to the clinic areas verifying and updating patient demographics, insurance information and ensuring that patient encounters are complete by check-out, canceling/no show, and verifying physicians’ orders.

• Provides information desired using privacy rules and established clinic processes.

• Assess patient information and clinic schedule lists to determine whether the patient requires an immediate appointment.

• Tracked assigned workloads for all of consults, results management, and traditional CCN authorizations.

• Conduct the electronic waiting list, patient processing and customer service.

• Establish strong, trusting relationships with the families of patients embracing them.

• Provides administrative support to clinicians and other administrative and professional staff throughout the medical staff office for purposes of coordinating VA Community Care (VACC) for Veterans when the inpatient or outpatient provider has deemed such care necessary.

• Ensured all treatment requested by physician has been scheduled and rescheduled appointments when necessary.

• Conducted interviews with veterans to obtain, clarify, and verify information about initial and continuing eligibility for Community Care.

• Respond to interactions where patient wishes to speak/discuss to "supervisor," by attempting to deescalate interaction by immediately addressing inquirer's needs prior to referral for contact by supervisor.

• Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care. Patient Service Representative 01/2021 to 11/2021 Mt. Pleasant OB/GYN – Daniel Island, SC, Full-time, 40hrs weekly

• Assisted patients in filling out check-in and payment paperwork, took copayments and compiled daily financial records.

• Identified issues, analyzed information, and provided solutions to problems.

• Provided brief patient interview, on-line entry of information into computer system, updating patient forms and obtaining signatures on releases.

• Document account activity using correct medical and billing codes.

• Developed and maintained courteous and effective working relationships.

• Offering friendly and efficient service to all customers, handled challenging situations with ease.

• Improved operations and provided exceptional service, answer, investigate and/or direct patient inquiries or complaints to the appropriate medical staff member.

• Eliminated downtime and maximized revenue by providing top project quality control.

• Collected and entered patient demographic. And insurance data into a computer database to establish the patient's medical record.

• Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.

• Maintained a level of productivity suitable for the department.

• Clearly documented all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.

• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.

• Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.

• Contact insurance carriers to verify patient’s insurance eligibility benefits, and requirements.

Patient Access Specialist 10/2018 to 12/2020 Prisma Health – Columbia, SC, Full-time 40hrs weekly

• Performed patient scheduling, rescheduling, cancellation patient appointments functions to serve as initial contact point for medical office visits. Enters, manipulates, retrieves information & data from clinical systems as appropriate to area assignment.

• Assures proper completion and filing of original medical documentation and forms records prior to scanning medical records.

• Utilized knowledge of electronic medical record systems and medical terminology CPT-4

& ICD 9 and 10 to perform diverse data entry.

• Discuss medications, insurance, and prior authorization documents with patients.

• Processed billing information, distribute payment information, follow up on missing or incorrect billing information so patients receive the correct reimbursement.

• Logged in patient information digitally, maintained records, documented account activities using correct Medical and Billing Coding.

• Received telephonic request for information, transmit request to appropriate physician, determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.

• Collected and entered patient demographic and insurance data into a computer database to establish the patient's medical record.

• Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.

• Secured patient information and confidential medical records in compliance with

• HIPAA privacy rule standards to protect patient's privacy.

• Contacted insurance companies for patient medical billing operations, compiled and reviewed medical charts.

• Prepared patient charts, identification band and completed admissions papers, performed patient pre-admission, transfer, and discharge activities.

• Inform patients and family of hospital policies, procedures, and protocols.

• Maintained communication with coverage providers and accepted insurance information.

• Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care. Paraprofessional Assistant 02/2006 to 05/2018 Paraprofessional Richmond County Board of Education– Augusta, GA., Full-time, 40hrs weekly

• Prepared instruction materials, including making copies, setting up visual aids, equipment, bulletin boards, classroom displays to support teacher's lesson delivery.

• Participated in lesson planning and curriculum implementation to promote quicker rollout and delivery, prepared reports, and paperwork for parent-teacher conferences.

• Documented student behaviors, interventions & outcomes to enable lead teachers to address pertinent issues, successfully correspond with parents through a variety of media (phone calls, & emails.)

• Created lesson materials, visuals, and digital presentations to supplement lesson plan organized and guided activities for students, including skills practice, research and memorization tasks.

• Recorded grades for coursework, tests and IEP data in online reporting systems and for teaching staff and clients.

• Assisted teachers with classroom management and document coordination to maintain a positive learning environment.

• Arranged multiple assignments to meet deadlines.

• Instructed small groups of students in basic concepts such as alphabet, shapes, and color recognition

• Supported student learning objectives through personalized and small group assistance.

• Greeted visitors and answered telephone calls.

• Communicated effectively both orally and in writing with people from variety of backgrounds.

• Coordinated with coworkers to complete multiple tasks associated with performance of duties.

Health Service Technician Lead 03/2014 to 03/2018 Safe in My Hands Sitting Service – Augusta, Ga, Part-time 30hrs weekly

• Answered incoming calls, scheduling appointments, and added notes to patient files. Verified and updated patient demographics, entered ICD 9 and10 and CPT-4 code, created, and implemented organizational policies and procedures.

• Developed and maintained electronic record management systems to analyze and process data.

• Scheduled patients' appointments for home health aide, manage patient flow to clinic areas.

• Established strong trusting relationships with families of patients, embracing them, developed rapport to create a safe, trusting environment.

• Created and maintained electronic record management (EMR) systems to store data and develop reports.

• Gather and assess data regarding program activities to help with effective decision making.

• Managed agendas and scheduling meetings.

• Maintain monthly reports and prepare spreadsheets. Medical Clerk/Volunteer Clerical Assistant 05/2006 to 08/2006 St. John Towers/The Plaza – Augusta, GA, Part-time 15hrs weekly

• Protected patients' confidentiality made sure protected health information was secured, adhered to all facility, company, and legal guidelines.

• Supplied excellent customer service both in person and over multi-phone lines. Stayed on top of all records requests and case management functions with open and clear communication.

• Responded to materials requests and retrieved necessary information, monitored, and kept stationery and supplies inventory.

• Evaluated department procedures and recommended improvements to maximize efficiency, reviewed charts and flagged incomplete or inaccurate information.

• Received, processed medical records requests, sent records requests, and stayed in close communication with case managers regarding open issues. Administrative Assistant to Project Manager 04/1999 to 10/2001 Fluor Constructor – Jacksonville, FL, Full-time 40hrs weekly

• Greeted clients, managed over 50 clients phone calls per day, checked voicemail, prepared invoices, answer incoming calls, and respond to emails in a professional way.

• Supported, and distributed a myriad of financial and production reports including cash flow reports, invoices, purchase orders.

• Executed general administrative and clerical office duties such as setting up filing systems, data entry, copying, typing, faxing, ordering office supplies, payroll, account receivables, scanning, and other administrative tasks for special projects as requested.

• Prepared, reviewed required documents for signatures and accuracy using State policy.

• Prepared forms as change orders, purchase orders, service agreements and subcontracts.

• Purchased and kept office supply inventories and being careful to adhere to budgeting practices.

• Updated operational methods, oversaw accounting procedures, tracked information, and compiled data to improve efficiency.

• Prioritized and organized tasks to efficiently accomplish service goals.

• Demonstrated leadership by making improvements to work processes and helping to train others.

• Drafting and composing letters, memos, and other written communications on behalf of management.

• Managing multiple projects simultaneously while ensuring that deadlines are met.

• Coordinating with clients to set up meetings, prepare presentations, and arrange travel arrangements.

• Assist in the preparation of regularly scheduled reports, updated, and maintain office policies and procedure.

• Act as the point of contact for internal, external clients, vendors, subcontractors, various construction services.

• Provided administrative support to the office project manager, manager, general contractor, and other construction management staff. Education

Bachelor of Science: Healthcare Management 09/2020 Walden University - Minneapolis, MN Associate of Arts: Medical Billing and Coding Specialist 12/2016 Ultimate Medical Academy Clearwater - Clearwater, FL

Associate of Science: Healthcare Administration/EHR 03/2016 University of Phoenix - Phoenix, AZ

Certificate: Medical Clerk Specialist 06/2005 Training for Life Academy - Augusta, GA

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