Data Entry Insurance
Resume:
DAWONNA C. ANDERSON
Decatur, GA 30035
****************@*****.***
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.
Contact this candidate