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Patient Accounts Representative/Medical Records Specialist

Location:
Aiea, HI, 96701
Posted:
September 07, 2017

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Resume:

**-**** ********** **

Waipahu, HI *****

ac1698@r.postjobfree.com

808-***-****

Maria “M&M” Mino

Objective

To obtain a Professional Administrative position with a growing company where experience, hard work, communication and decision making skills are needed to maximize the work performance and job satisfaction of the employees.

Work History

Patient Accounts Representative

Wahiawa General Hospital-PFS Dept Billing/Accounting 09/26/16-12/14/16

Under the general direction of the Senior Accounts Representative, the Patient Accounts Representative is responsible for the accuracy and timeliness of their respective records. The Patient Account Representative prioritizes the workload and keeps abreast of policies and procedures affecting their respective area ensuring timely maximum reimbursement.

Data Entry Clerk

Robert Half-Account Temps 05/08/14-06/17/16

Requisitions that are scanned on a daily basis are then input into the system Co-Path with Medical Management Verify patient(s) demographics, mailing address, insurance(s) Knowledge of medical insurance, medical terminology. HMSA, Medicare, Medicaid, Tri-care & Tri care-West & Any & all commercial plan(s).

Release of Information Specialist

Kaiser Hospital/HIM Department-Medical Records 03/01/14-03/28/14

Handled continuing of care requests from providers and doctor’s offices to establish care. Print out documentation such as medical reports, prepared & forwarded back to the copy service IMPI (Information Management Partners Inc).

Complying with all regulations, (HIPAA) & the Protected Health Information on confidentiality of the release of information from the patient(s)/member’s medical records.

Data Entry/Benefits Assistant

HIHR-Hi Employment 02/11/13-06/04/13

Input data for the accounting department, scanning of documents & renaming them into different categories Provide assistance with answering phone calls & information for client & employees. Clerical duties that included copying, faxing & scanning files into their data base Share Point.

Patient Accounts Clerk/Patient Accounts Representative

Straub Clinic & Hospital-HPH Business Services Department 01/02/08-08/09/12

Under the supervision of the Business Services Management within the Hospital Billing Department, the Patient Accounts Representative duties are as follows. Complete the billing process for claims generated within the Business Services Billing guidelines. Reviews, researches and resolves billing edits and holds reflected in edit/error reports and system work queues according to business office procedures for resolution. Follow up on AR with third party payers and patients through the appropriate accounts receivables billing system. Researches work lists or edit lists for undistributed and/or rejected payments/adjustments and resolves discrepancies. Organizes and executes billing and follow-up projects.

Patient Information Specialist

Straub Clinic & Hospital-Medical Reports Services 02/04/02-07/06/07

Assist in the review and coding incoming mail and route or process as appropriate.

Communicate with patients, doctors, insurance company personnel, attorneys, government officials, judicial staff, court reporters and other members of the general public who request patient information verbally and in written communications.

Process appropriate charges for billable reports. Using medical terminology to transcribe medical reports, laboratory analysis etc.

Input all requests received into database and follow-up on status of requests. Researching medical records and extracting those pertinent information to develop written responses to a variety of requests from authorized parties such as patients/members, providers and state officials and so forth and complying to All regulations, including HIPAA and the Privacy Act on the confidentiality and the release of information from the individual(s) medical records.

0 Central Medical File Clerk/Team Lead

Straub Clinic & Hospital-Basement Clinical Operations 6/01/00-02/01/02

Perform all functions in the Central Medical File Department and provide support in supervising the daily operations, quantitative and qualitative data collection, project planning and implementation, researching, processing, training, orientation, procedure development and communicating to customers the status on chart requests and loose reports.

Charts were pulled and transported to the various departments/doctors requesting patient charts as well as heavy lifting.

1 Data Entry Clerk/Receptionist

Various Temporary Agencies 1/1996 - 11/1999

Empanel families with respectively assigned doctor, input patients, information into the database and assist in the Medical Records Department.

Assist in light office/duties such as answering the phones.

Enter doctor’s names, radiology reports and emergency visit bill into the facility’s database.

Receive and date incoming faxes and route accordingly to office personnel.

Assist in daily cleanup at close of business.

Type office correspondences and run various errands. Abstracts for clients at the district court.

Claims Assistant

Argonaut Insurance Company Honolulu, HI 4/1990 - 8/1995

Assist and support specialist, maintain subrogation log. Off-site claim storage, provide administrative support to Medical Management Director.

Handle disability and death benefits checks, scheduling evaluations and paying medical, legal, utility bills.

Set up medical claims, determine wage & disability information. Audit medical bills.

Create and close out files.

Skills

Type 50 wpm, 10-Key touch. Fluent in both written and spoken Samoan and English languages.

Computer literate- Able to operate basic office machinery such as multi-line phones, Fax, XEROX, Printer, etc.

Knowledgeable (software program) EPIC, Care Link, Medical Management, IDX, SharePoint & Co-Path.

Education

Waipahu High School 1984-1988

HPU (Through Argonaut Ins) Lotus 123 (6 Month Period (1992))



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