Edwina
Cornish
Medical Appeals Analyst
Experience Education
MedStar Health, Baltimore — Medical
Appeals/Grievances Analyst
May 2017 - June 2018
Manage member and provider medical
appeals/complaints/grievances for Maryland and the District of Columbia.
Served as a member advocate
Interfaced and communicated directly with members, staff and physicians.
Served as lead resource and completed detailed
documentation on information to medical
appeals/complaints.
Assisted with the collection of quality improvement data.
MedStar Family Choice, Baltimore — Outreach
Coordinator
July 2014 - August 2017
Communicate and educate members about
wellness initiatives and annual services.
Maintain outreach initiative within HEDIS
standards and EPSDT goals.
Manage contracts and communicate with
member’s Primary Care Physicians.
Operated program within regulatory guidelines
and strive to exceed VBS incentive range and/or
meet EPSDT goal.
MedStar Physician Partners, Baltimore Company —
Office Coordinator (Front Desk Supervisor)
July 2010 – June 2014
Function as a backup resource for administrative positions within the practice.
Worked as a patient advocate and handled
complaints and communication about billing and
collections to gain satisfactory resolution.
Community College of Baltimore
— Certificate Medical Terminology
January 2000
Carver Vocational Technical
High School, Baltimore — HS
Diploma
September 1972 - June 1976
CPR Certification, Baltimore —
CPR
July 2008
Skills
Proficient in Practice
Management System.
Supervising, Training Front Office
Staff.
Centricity Medical Record
System.
Medical Terminology
Billing/Collections
Prepares and Submits Payroll.
Excel
Microsoft Words
Data Entry
IDX Training
Served as a liaison to the billing and collection agency to maintain a good working relationship.
Advanced departmental goals and objectives while adhering to departmental policies, procedures,
quality and safety standards.
Implement, monitor and reinforce MedStar Physician Partner policies and procedures.
Oversee and audit the balancing of cash receipts and preparing the daily deposits and end of shift
reconciliation.
Perform user audit functions related to staff inputting data into the Practice Management System.
Worked with physician staff to reconcile coding
problems.
MedStar Physician Partners, Baltimore — Office Manager June 2007 - July 2010
Manage the outpatient Pediatric Department.
Administrate over payroll, hiring and
onboarding new staff, verification of credentials.
Participate in management meetings to obtain
standards for employee evaluation, review new
trends or procedures
Manage master schedule
Participate in organizing and scheduling state
audits.
Lead monthly staff meetings, act as liaison for
outside agencies.
MedStar Union Memorial Health, Baltimore — Clinical Secretary
July 1997 - January 1999
Worked as part of floater’s pool across various
departments within the hospital including unit
secretary, transport team member and food
service.
Contact
1022 Richnor Avenue
Baltimore, MD 21212
*********@*******.***