Health Information Professional

LESLIE M. PERRIN

***** ******* ***** **** ( RICHMOND, TX 77407

843-***-**** ( ****************@*******.***

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Experienced Health Information Technician

Health Information Professional with more than 10 years of relevant

healthcare experience and a proven record of success in roles requiring an

attention to detail and high level of professionalism. Detail-oriented

with the educational foundation in health information required to succeed

in health information-related positions. Collaborative team player with

the distinct ability to apply a meticulous work style in a position

presenting the possibility for growth and advancement.

Areas of Expertise

Medical Billing Fundamentals ? Coding & Documentation ? ICD-10-CM Codes ?

Customer Relations Medical Terminology ? Anatomy, Physiology &

Pharmacology for Coders ? Pathophysiology ?

Document Management ? Administrative Oversight ? HIPAA & Healthcare

Regulations ? HIM

professional experience

Parallon Business Solutions, (WFH) Houston, TX

Dec. 2013 to Present

Senior Managed Care Coordinator

. Set up monthly conference calls with the insurance companies to

discuss trending issues/topics for the month.

. Verify & calculate expected payment on escalated facility claims from

Clinical Appeals that are considered "underpaid" against contract

models.

. Escalate all inventory (underpaid claims) onto an excel spreadsheet to

all insurance companies for review on a regular rotating monthly

basis.

. Acting liaison between multiple departments within the company,

contracted facilities & insurance companies.

. Find discrepancy & resolution for all Managed Care facility claims for

the Underpayments department

. Work and complete special projects given by upper management in a

timely matter.

KEY ACCESS INSTITUTE, Houston, TX

Apr. 2013 to Aug. 2013

Billing/Collections Representative

. Successfully investigated appealed claims, which required frequent

dialogue with insurance companies and third party payors via digital

and phone communication.

. Delivered continual collection activity on appeals until response by

the payer.

. Seamlessly negotiated on payor network proposals, and escalated

payment delays and problems on aged accounts to the appropriate

supervisor.

. Utilized Medisoft Clinical to access and update supporting medical

documentation.

. Instituted a scheduled follow up payor list to document appeals and

claims inquiry status updates.

. Ensured close adherence to HIPAA and healthcare regulations and

policies in support of protecting PHI information without exception.

HANGER CLINIC, Houston, TX

Oct. 2012 to Mar. 2013

Office Administrator/Collections

. Effectively pursued collection activity associated with current and

previously appealed claims, which required close contact with

insurance companies, third party payors, and government agencies

including Medicare, Medicaid, and Dars.

. Proactively identified possible payor delays including corrective

actions, which required rapid response to eliminate the possibility of

accounts receivable aging.

LESLIE M. PERRIN

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. Maintained and updated all patient and payor demographic information,

posted notes to accounts, and defined payor trends and issues.

. Collaborated with team members regarding pending authorizations, LMNs,

and other pertinent information related to appeal submission to payors

for medical necessity.

. Served as the lead point of contact for payors and patients regarding

their account status.

INVENTIY MEDICAL MANAGEMENT, Augusta, GA

Aug. 2007 to Aug. 2012

Medical Claims Analyst

. Diligently utilized cost analysis to ascertain case by case to setup

contracts for durable medical equipment.

. Confirmed all charges in partnership with numerous providers.

. Priced claims for durable medical equipment, anesthesia, pain, and

general pricing as needed.

. Created a follow up phone list, which kept claims flow status up-to-

date between third party administrators and providers, as well as a

claims tracking list for outstanding claims.

. Pursued resolution for appeals associated with all outstanding claims.

. Served as a backup for "Supplemental" Claims Analyst.

additional experience

SOUTHEASTERN SPINE INSTITUTE Jul.

2006 to Mar. 2007

Medical Receptionist

NEW HOPE TREATMENT CENTERS Mar.

2007 to Sep. 2007

Patient Accounts Coordinator

ROPER ST. FRANCIS HOME HEALTHCARE Jul. 2004 to

Jul. 2006

Patient Financial Representative

SPRING HARBOR HOSPITAL

Mar. 2003 to Mar. 2004

Patient Service Representative/Medical Biller

INSURANCE INNOVATIONS

Nov. 2002 to Mar. 2003

Account Specialist

educatioN

Rasmussen College

December 2014

Associates of Science Degree, Health Information Technician, with Honors

Eligible to sit for Registered Health Information Technician (RHIT) Exam

Medical Billing & Coding Courses completed (Spring 2014)

Technical skills

. Microsoft Office Suite, Medical Software, Meditech, Patron, PTCT,

Fiscal Therapy (Profile Maker), OPS, Medisoft & MediSoft Clinical

(EMR), Business Objects, Archive

Contact this candidate