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Medical Office Staff

Location:
Houston, Texas, United States
Posted:
August 12, 2018

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Resume:

Chazmond J. Kelly

Houston, TX *****

469-***-**** (cell)

Email:ac6nbm@r.postjobfree.com

Summary Healthcare professional with experience in billing, electronic medical records, and patient advising. Reliable team player dedicated to the advancement of medical billing and coding processes. Highly experienced in posting and reconciling payments with high degree of accuracy. Seeking a position as an patient access coordinator where I can use my outstanding customer service skills to further the vision and goals of a medical institution. Professional Experience

Payor Relations Specialist I (Temp)

Amedisys, Baton Rouge, LA December 2017- March 2018

Mediated between payers and the billing office to analyze and communicate rate changes and to provide updates of payer policies and procedures.

Educated care network and behavioral health office staff regarding managed care contractual nuances as well as any payor payment incentive programs.

Worked closely with credentialing and response specialists to identify and remove revenue cycle barriers. Established and maintained positive working relationship with the health network and behavioral health office managers, physicians, and office staff.

Communicated with various internal departments and to provide documentation of any identified internal process that were in need of review or modification

Contacted insurance companies to obtain missing information, explain and resolve underpayments and arrange for payment or adjustment processing on behalf of client GAP- Transitioning back to Louisiana May 2017- December 2017 Support Analyst I December 2016- May 2017

Getix Health, Houston, Texas

Focused on supporting both clinical care and ensuring information is stored in the system so that clinical and operational outcomes can accurately be measured. Protected the security of medical records to ensure that confidentiality is maintained.

Responsible for the design and implementation of solutions to optimize quality measure improvement and promoting efficiencies in the clinical workflow

Reviewed records for completeness, accuracy, and compliance with regulations.

Retrieved patient medical records for physicians, technicians, or other medical personnel.

Assigned the patient to diagnosis-related groups (DRGs), using appropriate computer software.

Processed patient admission or discharge documents. Chazmond J. Kelly

Houston, TX 77054

469-***-**** (cell)

Email:ac6nbm@r.postjobfree.com

Financial Advising Coordinator February 2014- June 2016 Patient Financial Services, Houston, Texas

• Mediated between patients and family members, medical staff, administrative staff, and/or regulatory agencies

Interviewed patients or family representatives to identify problems related to care

Maintained knowledge of community services and resources available to patients

Communicated with referring provider's office, clinical department(s), and/or other appropriate personnel to exchange necessary information and determine schedule. Verifies insurance benefits and obtains pre-certification/authorization as necessary. Investigated direct patient inquiries and/or complaints

Prepare and submit correspondence such as letters, emails, faxes, online inquiries, appeals, adjustments, reports and payment posting

Escalated complaints to appropriate management staff when needed and followed up to ensure satisfactory resolution for the patient

Attend client, department and company meetings

Education

McKinley Senior High School Graduate, (2011)

Baton Rouge, LA

Houston Community College, Associates in Communications (2016) Houston, Tx

Skills and Qualifications

HIPPA Certification

Electronic Medical Records experience (Epic, Supra, eclinical) cerner

McKesson/IDX Certification

Microsoft Office Proficient

Critical thinking

Organization and prioritization skills

Ability to multitask

Strong verbal and writing communication



Contact this candidate