Medical Data Entry

Tonia Rena Whitehead

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

Mableton, GA 30126

678-***-****

****@***.***.

Objective To secure a clerical position with a business-oriented

firm that is

conducive to personal and professional growth

EDUCATION Henry M. Turner High School Atlanta, GA

Diploma of basic studies 1982-1986

. Member of the Student Government, Honor Roll and Beta

Club

WORK EXPERIENCE

2004-2010 Magellan Health Services Alpharetta,

GA

EAP Affiliate Specialist/UM Support Specialist

. Work in a third party administration environment processing treatment

request forms (mental health) based on diagnosis, medical coverage and

requested cpt codes

. Perform data entry and administrative support to CMC team while ensuring

sensitive information is safeguarded, complete, accurate, and transferred

in a timely manner for smooth operational flow

. Accountable for accurate data entry within established time frame that

consistently exceeds performance levels(i.e, treatment plans, case set-

up, provider dispositions, core indicator, EAP payments)

. Prepare files for off-site storing using excel spread sheet and properly

labeling boxes

. Resolve payment and data quality issues and suspend payments for external

and internal customers

. Mediate all affiliate complaints, request and inquiries

. Relieve front desk receptionist, greet guest, distribute mail, use paging

system

. Recipient of the Service Excellent Reward Program that's awarded

quarterly

2003-2004 Grady Health System Atlanta, GA

Patient Access Representative

. Performed various registrar assignments within different areas of the

hospital registering, patients in the admission, family birth center and

emergency department utilizing the Invision Network System

. Performed bed control duties, such as coordinating bed assignments to

patients and attending bed briefings to determine the status of bed

availability

. Conduct financial interviews with patients that were admitted into the

hospital electively

. Verified medical insurance coverage and generated hospital card/arm bands

2000-2002 Promina Health System Atlanta, GA

Department Secretary/Credentialing Specialist

. Receive and prepare initial/recredentialing practitioner and midlevel

provider applications for specialists

. Entered data in MSL software program, such as updating name and address

changes, facility access, medical licenses, DEA licenses and malpractice

insurance

. Performed filing, copying, faxing, scanning, opening and distributing

mail, answering phones and verifying information with practitioners'

offices

. Coordinated monthly meetings with practitioners and board of directors

for final credentialing approval

. Request and verify the documents necessary for the credentialing process,

such as letter of schooling, letter of residency, medical license

. Perform the above duties according to Joint Commission, NCQA and Georgia

by-laws standards

. Prepare final letters of approval

1998-2000 Magellan Health Services Atlanta, GA

Data Coordinator

. Collected data from 43 staff offices nationwide via mail, fax and e-mail

. Entered data into Microsoft Access program, such as, patients' names,

date of service, type of visit and type of plan

. Produced monthly and annual queries from generated data

RELATED SKILLS/ EQUIPMENT

. Experienced with: Compaq Pentium processor, AS/400, multiple-line phone

system, CRT, PC, 10-key by touch, fax, copier and typewriter

. Used several Microsoft packages including Word, Excel, Power Point,

Outlook and Access

. Abreast of the HIPPA, NCQA and URAC policies regarding health care data

. Perform work assignments in the past as unit clerk and medical claims

reviewer

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